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We had a COPD patient in the lab this week. This is not an unusual occurrence, but it was an exclamation point for me, given that CMS adds COPD to the list of targeted and tracked diseases this October. I thought our patient was a prime example of why COPD is so difficult to treat and why it made the list.
Upon arrival to the lab all was well, ...
You're scanning the EMR and you see four office visits in the past month with the same chief complaint. You walk in the room knowing it's not going to be an average cut-and-dry visit. The patient is frustrated about their bowel, their bladder or their other non-emergent complaint that keeps driving them back to the office, and you have to address ...
There are not many things that frustrate me in my clinical practice. Most patients are open, receptive and leave shaking their heads in agreement to your plan of care. What happens once they leave your office is often unknown. You hope that they venture directly to the pharmacy, take their medications as prescribed and their health improves. ...
I read with some horror an article, Murder: Another Ambien Side Effect?, by John Gever in MedPage Today.
Oh my goodness. I was aware of the bizarre behaviors reported with Ambien use: cooking while sleeping, having sex and not remembering... and driving while asleep. Still, I must admit this article shocked ...
What do you say? Should we ever admit defeat with sleep patients? Is it just me or does it seem that men in their 80s are particularly harder to coach and titrate? They tend to fight CPAP and usually come with a library of reasons they can't or won't use it.
My most recent example was in the lab just this weekend. The techs ...
I read an interesting article about how the Affordable Care Act will be covering weight loss coaching as part of the mandatory coverage starting in 2014. The article goes on to talk about the fact that physicians will not be able to do this counseling due to their current work load. They are instead turning to health and wellness coaches ...
Over half of the US population is overweight. Most of us
are considering again our old resolution for the New Year - losing weight. Fad
diets that require severe calorie restriction have historically failed us
long-term. Many of us lose weight with these diets temporarily, but then
the weight comes on again, and is usually much more ...
I want to comment on the following that I read online in SleepReview:
''The top two reasons for a positive airway pressure (PAP) device being denied as not medically necessary are as follows: 1) no face-to-face clinical evaluation by the treating physician prior to the sleep test to assess the beneficiary for obstructive sleep apnea (OSA) or to ...
I always spend November being thankful. It is a busy month for me as I find that work is busy, my son's birthday is celebrated -- this year he is 21-- and the holidays gear up. This year I even get to deal with Hanukah in November. It has been a crazy year so I am grateful for so many things -- including the challenges.
It is fall again. If
the temperatures haven't started to drop yet where you live, they likely will
soon. It is time to break out the sweaters, jackets, coats, sweatshirts and
warmer sheets, blankets and comforters. It is also prime time for dust
Usually around this
time of year I see an influx of patients presenting to the ...