Category Archives: What’s Up Doc?

The Hidden Gem

Tulsa has often been chided as the “Oklahoma step child” in comparison to Oklahoma City, but I think this article refutes that myth.

Tulsa is on the listhttp://www.medscape.com/features/slideshow/best-places-to-practice-2015?src=wnl_edit_specol&uac=45399FY#page=4

#Oklahoma boasts a low cost of living, and #physicians responding to the Medscape survey also reported high incomes: an average of $304,000. At 8.5%, the average state and local tax burden is well below the national average of 9.8%.

Oklahoma doctors may have trouble finding adequate staff support. Continue reading The Hidden Gem

Drug Reps Will Give You Asthma

I know you’ve been there before….waiting in the doctor’s office for your appointment and some smartly dressed man or woman barely has to say hello to the receptionist and walks right by your seat, straight to the doctor’s office. “Hey, that’s not fair,” you say to yourself as you dig your nose into that outdated magazine trying to mask the irritation.  “My time is just as valuable as theirs is, put me to the front of the line!”  As a patient, my frustration with the #health care system only percolates at the injustice.  Isn’t the cost of #medication so high in America because of all the drug companies?  If there were no drug reps, wouldn’t my doctor have a better and certainly more unbiased selection of medications?  Granted, the goal of any #pharmaceutical company (employer of drug reps) is to make profit, but they can’t do that unless a product (medication) works well and is taken as directed.  In the end, drug companies want you to be adherent to medications prescribed so they’ll work, you get better, all of which is good for the bottom line.  Almost sounds too good to be true when everybody wins, but hang on and I’ll show you how this is possible. Continue reading Drug Reps Will Give You Asthma

The Future of Medicine

I don’t normally stray from the trail of #allergy topics, but this issue is so important for doctors and ultimately patients that it’s worth investigating. If the doctor shortage becomes severe based on a dwindling supply of physicians, and increased utilization with the Affordable Care Act (ObamaCare), where will you get care when you need it? As #Tulsa County Medical Society (TCMS) president, I am privileged to write about our initiatives in the community and this one is of great importance not only now but for future generations. Here’s the President’s letter from the most recent newsletter:

President’s Letter

I had just finished my training in allergy and was ready to conquer the world. Setting up a practice was no big deal; I just didn’t know what I didn’t know! Small town hospital to the rescue. If my practice didn’t succeed or if my revenue didn’t cover my expenses, I would have the local hospital guarantee my salary for the first 3 years of practice. How comforting and reassuring is that? What I didn’t know is if I was more successful than I anticipated (which most of us are), I had to share the profits with a hospital that literally did nothing to earn the cut. Rookie mistake, but very costly and could have been avoided with a few well-placed stories from my mentor….oh yeah, I didn’t have one either.

So here at TCMS, we tell you we’re more than just a political organization looking out for the practice of medicine. We are involved in watching out for your backside, to be sure, but the summer months allow an opportunity to reach out to our #medical students and residents to let them know about life after residency. You mean there is life after residency? In the grand scheme of life, most of the time you spend practicing medicine will be outside of your time as a resident or medical student.

Bright eyed and bushy tailed for those med school lectures!
Bright eyed and bushy tailed for those med school lectures!

Think about your importance as a physician mentor knowing that #doctors of the next generation will be ill prepared for what lies ahead in their practice careers. Now before you jump up and down in protest at having to attend one of the resident/medical student events, consider the following: Continue reading The Future of Medicine

What Else About Allergy is Out There?

It’s difficult to find good material on the internet related to the practice of #allergy. Here is one such blog site: http://blogs.medscape.com/garystadtmauer.  This blog originates from New York and the practice website is http://www.cityallergy.com.  I will periodically post comments & articles from Dr. Stadtmauer’s blog and I’ve included one below about the coexistence of systemic allergy (that’s a positive skin or blood test) and LOCAL allergic rhinitis which has all the signs & symptoms of allergy, but guess what–skin & blood testing is all negative.  Very frustrating for #patients to experience allergy symptoms, but go in to their local allergist and find nothing. I wish treatment would be more satisfactory, but as you can imagine, it’s unknown what allergens to mix up for your allergy recipe if all testing is negative.  Continue reading What Else About Allergy is Out There?

Do You Care if Your Doctor is Board-Certified?

Boards, boards the medical test,

The more you study the more you jest,

The more you jest, the more you scream

Can Boards just be another scheme?

Taken with great artistic license from “Beans, Beans, the Musical Fruit” (http://en.wikipedia.org/wiki/Beans,_Beans,_the_Musical_Fruit)

What does it mean for your doctor to be board certified? Let’s start from the beginning of how your doctor becomes educated in the first place. Believe me, it’s hard enough for your doctor to keep track of the next test to take, much less keep track as a patient. Medical education begins in college as wannabe doctors take prerequisite college courses to prove their mettle in hopes of securing a medical school interview. Successful applications for medical school require a competitive GPA, good scores on standardized tests (MCAT), glowing references, and a first-rate impression during interviews. You would think that would be grueling enough to become a doctor, but there’s more! Once you’re accepted into medical school, you must take a series of exams to demonstrate that you are competent to become “board-certified”. Continue reading Do You Care if Your Doctor is Board-Certified?

What Do Doctors Read?

New Year’s resolutions, gotta lose weight, exercise more.  It does get a bit annoying to read all of our good intentions and then we fall off the wagon one more time!  As I look ahead to 2015, I begin my term (one year) as president of Tulsa County Medical Society (TCMS).  No resolutions I can’t keep, just hard work and lots of meetings.  The best way for me to share my thoughts and vision for 2015 is to let you in on my first newsletter of the year.  (unabridged)

TCMS

It’s Monday morning and I haven’t rested well from the weekend. With a full schedule at the office, I don’t have time for interruptions. I check my e-mail first thing in the morning and today I wish I hadn’t. I have four prior authorization phone calls to complete today, and two of them have already been denied. “What?” I asked as the insurance representative informed me that the patient in question didn’t qualify for the CT sinus study because they hadn’t been on antibiotics for 2 months. “Aren’t we supposed to use antibiotics judiciously?” I asked. But my troubles today were just beginning. Continue reading What Do Doctors Read?

Grapefruit Juice and Drug Interaction

PharmacistAnswers

Newest article is posted on the website!

http://pharmacistanswers.com/grapefruit-juice-drug-interactions.html

Here is our article. Enjoy!

Does Grapefruit Juice Really Interact With My Medication?

      A somewhat odd and alarming warning is listed on the prescription bottle of numerous medications: “Do not take this medication with grapefruit juice”. This warning is in fact listed for the most prescribed medication class in the world, the statin medications for high cholesterol. How could grapefruit juice possibly interact with a medication? Is the interaction actually dangerous? Can I still eat just one grapefruit? These are common questions pharmacists and other health professionals get, yet the exact answers to these questions are usually muddled with a sort of dubiousness by those responding. Information regarding the interaction was sparse at best when it was first discovered and information in scientific literature always seems to change. One year it was okay to eat just one grapefruit or have one glass of juice and the next year that turned intoa…

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