tag:blogger.com,1999:blog-2308282620289958037.post6484269502317955626..comments2023-08-08T08:41:19.586-04:00Comments on The Medical Contrarian: What is our job?The Medical Contrarianhttp://www.blogger.com/profile/09240492315542223258noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-2308282620289958037.post-41344652485157196522018-11-10T07:03:13.249-05:002018-11-10T07:03:13.249-05:00Thank you for give this appourtunity to know about...Thank you for give this appourtunity to know about the physical credentialing.this is very useful facts. All the best.<br /><a href="https://www.ecareindia.com/physician-credentialing-services.html" rel="nofollow"> Medical Credentialing</a><br /><a href="https://www.ecareindia.com/physician-credentialing-services.html" rel="nofollow"> Physician Credentialing</a><br /><a href="https://www.ecareindia.com/physician-credentialing-services.html" rel="nofollow"> MediCare Credentialing</a><br /><a href="https://www.ecareindia.com/physician-credentialing-services.html" rel="nofollow">Credentialing Services</a><br /><a href="https://www.ecareindia.com/physician-credentialing-services.html" rel="nofollow"> HealthCare Credentialing</a><br /><br />Betsyhttps://www.blogger.com/profile/01328724853546903920noreply@blogger.comtag:blogger.com,1999:blog-2308282620289958037.post-64130119760740658382011-12-28T05:00:54.321-05:002011-12-28T05:00:54.321-05:00This post is very informative about health care......This post is very informative about health care...<br /><a href="http://www.cred-net.org/" rel="nofollow">Medical credentialing specialist</a>dany chandrahttps://www.blogger.com/profile/11368050844901829961noreply@blogger.comtag:blogger.com,1999:blog-2308282620289958037.post-84188208627928473022011-12-21T19:12:46.182-05:002011-12-21T19:12:46.182-05:00I cannot argue with anything you say. The health c...I cannot argue with anything you say. The health care environment demands many things of us now, but it does not presently demand certain things. We are in the phase where we say we demand communication but we really don't. The payment systems demands that we do billable things and we respond to those demands most consistently.The Medical Contrarianhttps://www.blogger.com/profile/09240492315542223258noreply@blogger.comtag:blogger.com,1999:blog-2308282620289958037.post-86461158516806559022011-12-20T21:39:31.440-05:002011-12-20T21:39:31.440-05:00When the discussion centers on "patient-cente...When the discussion centers on "patient-centered care" my reflexive response is "what patient are we talking about?" The range of wants and needs of patients is diverse. There is the individual who just wants and is satisfied with a prescription for a particular problem and implicitly trusts that his physician is acting in his best interest irrespective of certainty of diagnosis and treatment efficacy. At the other end of the spectrum there is the patient who is questioning of everything, certain only that there is some specialist out there with the certain knowledge about her condition and its definitive treatment. <br /><br />The institutional response to developing patient centered care has tended to skew its health care delivery to those closer to the latter patient's end of this spectrum. So we have and advertise "multidisciplinary teams" of specialists who meet and discuss a patient's tumor, for example, providing the illusion of providing both breadth and depth of knowledge when the therapeutic intervention was already predetermined by the staging already accomplished. <br /><br /> I recently had a patient whose wife was diagnosed with multiple myeloma. Although they lived 40 miles from a major academic medical center, on the advice of a physician family member they moved 800 miles away to be cared for in a center specializing in multiple myeloma treatment. They left their home and friends and lived there for two years while she was undergoing treatment by this institution's multidisciplinary team. <br /><br />And, to take melanoma as an example, are members of such multidisciplinary teams likely to publicly question the need for a sentinel lymph node biopsy around the table? This is more likely to get one disinvited to be a member of a team whereas as an individual practitioner they might counsel a patient being referred to a surgeon to ask explicit questions as to what exactly an SNL will do for him in his case. <br /><br />I agree that we do a marginal job of communicating with patients whatever their wants and needs in the realm of their own health care. But there are limits as to what patients can reasonably expect in the increasing demanding health care environment, especially if they are unwilling to compensate practitioners for their time—including the time to learn how to be effective communicators.CAMnoreply@blogger.com