Retail Clinics harassed by AMA

This is absurd:

CHICAGO (Reuters) – The American Medical Association said on Monday it will ask state and federal authorities to investigate retail health clinics such as those offered in CVS/Caremark stores, Wal-Mart Stores and Walgreen Co. for possible conflicts of interest.

They state that the retail stores are driving customers to their own pharmacies and waiving co-pays. All of that may be true. But finances are not the main issue, access to affordable health are is. But the primary issue is ACCESS!

I can’t tell you how many patients we see on a daily basis in the ER, with non-emergent conditions, who were unable to get a timely appointment with their PCP. The retail based clinics are able to see urgent cases offloading the lighter stuff from the ERs and free-ing up space and staff time for us to take care of the sicker, truley emergent patient conditions.

If you are waiting in the ER waiting room for 3 hours with abdominal or chest pain, I don’t think you’ll be thanking the AMA for making it harder for retail clinics to operate.

Another quote:

Doctors said the clinics do not offer comprehensive care and they disrupt the standard physician-patient relationship.

“Our concerns are very simple: safety and patient care,” said Dr. Rodney Osborn, president of the Illinois State Medical Society, who practices in Peoria, Illinois.

That’s exactly my concern as well. The clinics are being used so clearly the PCPs do not have enough times or space in their own schedule to see patients.

It’s not the fault of the PCPs in fact, they are frequently in the same boat as the ERs…but that does not stop many of them from advising their patients over the phone (or having the secretary advise them) “Go to the ER…”

Store based urgent care clinics may have a conflict of financial interested, but that should be easily solved by not allow them to waive co-pays, etc.

What the US needs is MORE access to primary care, not less. The AMA isn’t doing one any favors with this line of attack.

I guess everyone needs one of these nights

I thought I learned my lesson last week about not quitting until the end, so I gave this fast crit everything I had until the very end…or so I thought!

The Thunder, lightening and rain held off until about lap 3 of the womens race. The pre-race talk was that “if it thunders, we’ll ring the bell and the next lap will be it”.

So off we go, I was doing great! At lap 3(?4, 5) I heard the bell and moved up to the front half of the group. I drafted into the first turn, pulled out and got close(ish) to teh front. I was going the fastest I’ve ever gone so far on the track, I hit 30+ mph! I was stoked. I really poured on as much as I had left and was in 5th position, then had 2 women pass me at the finish line and I was totally spent…more spent that I’ve ever felt before. I coasted down the starting hill and aroudn the corner when the marshal starts yelling at me. “GET BACK ON!”

What? I thought that was the bell lap. But everyone was still racing. I had heard thunder even on our last lap. I had no chance of getting back in and pulled out of the race, pissed that i had spent it all on a prime lap. My quads were fried, I couldn’t even bend over to pick something off the ground b/c I felt like my legs would buckle.

The race continued for a total of 7 laps. One other women dropped out on my lap puking. Another woman dropped out on the 2nd to last lap, I’m not sure why.

Anyway, it was bogus that they continued the race under those conditions, especially when the termination of the race was unclear.

but I rode faster than I ever have before short of being on a downhill. 🙂

Red Octopus Measles

Red Octopus Measles


JOHN:
Doctor, I don’t know if this is a bad question, but I have to ask you. Have you ever heard of a medical term called Red Octupus Measles?

ME:
Umm, no. I’ve never heard of that.

JOHN:
How about the tick measles?

ME:
No, sorry.

JOHN:
Well than you don’t know very much, do you?

ME:
What is it you’d like to know about?

JOHN:
Well I’ve got them down there.

ME:
Where?

JOHN:
You know…down there
(rolls eyes downard towards crotch and points)

ME:
Oh, I see. Would you like me to take a look?

JOHN:
Yes please.

(I leave the room and ask a male nurse/police officer to act as my chaperone.)

NURSE:
OK, buddy, lets get those pants off. What are we looking for here.

JOHN:
(lays down looking straight up at the cieling)
You know, the red ticks. They’re hanging off there. I scratch them off all the time.

ME:
Where are they?

JOHN:
They’re down there, you’ll find them. You’ll see.

The Dream Catcher

Rocky Mountain Medic has done it again. Fabulous writing about difficult topics. Wonderful.

He pulled the dented car over onto the side of the highway. Rush hour traffic screamed by him in the other three lanes. Horns whistled as the irate drivers raced dangerously close to his driver’s side door, angrily flipping him off as he sat in his car weeping. The trashy small sedan reeked of cigarette smoke and the front windshield was stained with the yellow fog from every nicotine-laced exhalation. A dream catcher hung religiously from the bent rear view mirror. It hadn’t worked in years.

69 Corvette Stingray

69 Corvette Stingray

So my friend casually says, “Have you ever driven a corvette before?”

“No,” I reply.

“Well I think today’s the day!”

“Wha..?”

He takes the roof off, walks out, sits in the passenger seat and hands me the key.

All I can say is it was amazing. Even though he accused me of driving like an old lady, it was really, really amazing. I can’t even describe it but if you’ve driven one, you’ll know. And yes, compared to him, I drove it like an old lady.