Editorials from the Executive Medical Director
I’m betting we can convince the FDA not to support USP proposed regulations that would keep allergists from mixing vaccine kits in the office.
Here’s why I believe that, with our efforts, the FDA will not support the draconian suggestions by USP to mandate that allergists, among other items, will develop a positive pressure clean room, and date vaccines at 28 days as proposed:
We here in the College leadership are feeling a little like Butch Cassidy when the Pinkerton Detectives kept interfering with his business – “Who are those guys?”
Somewhere on top of Mount Crumpit, there’s a giant nasty Grinch with a smirk on his face and a giant bulbous green bag. It’s been a good year for the Grinch. He’s taken our contracts and given us lumps of coal, all with the exact ICD-10 code for confusion on them. He took a bad system and made it worse after attending Bill Gates’ seminar on new ways to make things easier.
You have a nasty smirk, Mr. Grinch, and that green bag is bulging with new regulations and ways to make the children wait longer. You’re a mean one, Mr. Grinch. You’ve been talking to the pharmacists about making our extracts with their license, and giving the children sweet little bottles of albuterol from your pocket with no instructions.
Have you detected a silent “hurrah” when global warming is discussed amongst allergists? Imagine the horror of ragweed growing like kudzu, making every city the “worst city” in the world. Imagine forests of poison ivy, and Bermuda grass invading Wisconsin. You guys and gals stop rubbing your hands together – you should be ashamed of yourselves! I am just saying what you are thinking.
I recently read about a physician that allowed a patient’s wife to video her husband’s surgical procedure and when complete, posed with the young couple for a nice photograph and YouTube video.
I was astonished – I was horrified. Something deep in my soul tells me this is just plain wrong.
But then I thought about how many of my friends enjoy turning the television screen around to allow patients to see their own nose from a rhinoscope and will make them a DVD. And then I thought of all the joy a young family has in presenting the black and white sonogram picture of their unborn baby to their family. Isn’t it the same thing really? How far do we go in sharing?
If you don’t know what Yelp is — ask your next patient between the ages of 20 to 45. Chances are they not only know Yelp but have even “Yelped” some themselves. Have you been “Yelped?” Do you care?
Yelp is a crowd-sourced review site that has just joined the non-profit investigative news organization, ProPublica, to provide a feature called “About this Provider,” reviews. USA Today has the cold, hard facts: “As the healthcare industry experiences a digital boom, 77% of consumers begin their healthcare search online, and 45% read online reviews before booking an appointment, according 2015 Healthcare Consumer Trends survey.”
That’s right, you heard it here. Maybe I should be more politically correct and say that the College has a bunch of frat girls, too.
The worst is that frat boy down in Houston, Texas, David Engler, MD, FACAAI. He had the audacity to correct me on my ICD-10 coding in the last College Insider email. Ok, David, you were right – code V9107XA was incorrectly pictured as the code for fire injury on burning water skis. It should have been fire injury on burning jet skis.
Perhaps my antipathy towards frat boys is rooted in my being overlooked during freshman rush in college. It is true that I didn’t have enough money to buy shoes or deodorant, but just being barefooted strikes me as inadequate justification for being passed over by THE Lamar University Delta Delta Delta boys.
When ophthalmologist, senator and presidential candidate Rand Paul got crosswise with his ophthalmology board a few years ago, he simply formed his own board. That’s right. With a full membership of two and a P.O. Box mailing address, “Rand’s Board” of Ophthalmology was in business. Did it hurt him? Did it ruin his academic status? I guess we will never know until he goes back to street medicine one of these days, but he practiced 18 years.
My sap is rising just like the trees, and I have the annual need to do something new in marketing this year. I am soliciting your ideas, as well as recycling a few from my own bin. Tell me what you are doing. Here is my algorithm:
That’s the message from the American Board of Internal Medicine (ABIM). It sounds like they’ve been getting pretty good crisis management public relations advice and decided to bite the bullet. It’s sort of a Kardashian approach that works in Hollywood, but not for serious issues, such as international relations or MOC.
Saying you’re sorry seems to be the same as accepting responsibility in the new age. People are sorry for criminal acts, they are sorry for bad tweets, and they are sorry they violated some rule or another. Saying you are sorry is the first step in the rehabilitation of the image.