The Silent Victims Of The Opioid Crises: Physicians

The Silent Victims Of The Opioid Crises: Physicians

Last week, I delivered the opening introduction to the annual Addiction Studies Institute, an annual conference sponsored by Talbot Hall, the addiction recovery hospital at our medical center. This is the 28th year of the conference and was attended by more than 1,000 health professionals, clergy, educators, and criminal justice professionals who had one thing […]

Why Do People In Ohio Smoke So Much?

Why Do People In Ohio Smoke So Much?

This month, the CDC released the preliminary results of the National Health Interview Survey for 2017. The great news is that the percentage of American adults who smoke dropped nearly 2 percentage points from last year, from 15.8% to 13.9%. This is the lowest number in more than 50 years. But in Ohio, the percentage […]

Should Men Be Screened For Prostate Cancer With PSA?

Should Men Be Screened For Prostate Cancer With PSA?

Identification of cancers in early stages when they are surgically curable has resulted in an overall reduction in cancer death rates in the past 20 years. Where cancer screening has been most effective is in colorectal cancer, cervical cancer, and breast cancer. Prostate cancer screening has been much more controversial with several recent studies suggesting […]

Making Your Outpatient Practice More Efficient

Making Your Outpatient Practice More Efficient

It is hard to make a huge salary with a purely outpatient medical practice, in fact, it is hard to just break even without support from a hospital or some other institution. American medical financing is structured in order to preferentially reward physicians who do procedures, who have high-volume inpatient practices, or who are subsidized […]

Why The Medication List In Your Electronic Medical Record is Wrong

Why The Medication List In Your Electronic Medical Record is Wrong

The importance of an accurate medication list for every outpatient cannot be overstated. In theory, the electronic medical record should improve the accuracy of the medication list but in reality, medication lists are very often inaccurate. The act of verifying the medication list is called “medication reconciliation” which sounds so easy on the surface but […]

Medications To Prevent COPD Readmissions

Medications To Prevent COPD Readmissions

The number of inhalers available by prescription in the United States grew enormously this year. If it is hard for me as a pulmonologist to keep up with all of them, then it has got to be nearly impossible for the hospitalist or primary care physician to keep up. But with all of the new […]

Prescribing Oxygen

Prescribing Oxygen

It is pretty common to have to start a patient on home oxygen after discharge from the hospital but ordering oxygen for home use is much different and much more complicated than ordering oxygen in the hospital. The good news is that our patients have more options than ever before but the bad news is […]