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Move on out, sharks...From "The High Cost of Being Poor" by Barbara Ehrenrich, author of the book Nickled and Dimed:There are other tolls along the road well-traveled by the working poor. If your credit is lousy, which it is likely to be, you'll pay a higher deposit for a phone.If you don't have health insurance, you may end taking that feverish child to an emergency room, and please don't think (Source: to the teeth)
Source: to the teeth - August 20, 2006 Category: Family Physicians Authors: Anjali Taneja Source Type: blogs
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Reception Racism - Scandalousover the past six months my clinic has tried to find an answering service to take calls for us when we are closed or super busy. it's a common service for doctor's offices and other businesses and i had the impression that it would be a simple thing to find a company to answer the phones. how hard can it be? for my clinic, we have simple needs on that level - tell (Source: to the teeth)
Source: to the teeth - August 1, 2006 Category: Family Physicians Authors: andru Source Type: blogs
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Sustainable Economic Developmentabout a year ago we fundraised $35,000 from private donations and two small grants to purchase an ultrasound machine for the clinic. we bought a small, portable, sonosite Titan machine, brand new, and started using it during urgent care hours, mostly for early pregnancy dating and miscarriage. we also started a new business, called Access Ultrasound, run by two (Source: to the teeth)
Source: to the teeth - July 30, 2006 Category: Family Physicians Authors: andru Source Type: blogs
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FIBROMYALGIA - what the heck is this thing?last night i worked a shift in the hospital, admitting patients from the ER to the floor. a 55 yo woman came in with concerning symptoms of stroke. right sided facial, arm and leg numbness. her motor exam was normal and a CT of her head was normal, it didn't show any stroke, but CT's can be normal with a stroke so the standard of care is to admit (Source: to the teeth)
Source: to the teeth - July 24, 2006 Category: Family Physicians Authors: andru Source Type: blogs
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Clinic Vignettes July 2006yesterday we saw 23 patients, today (saturday) 15... we are too busy. patients are now waiting up to 2 hours to be seen, some are leaving before being seen. part of me feels bad, i hate for someone to have to wait so long, but at least here the prices are fair and we stay as long as we need to in each visit, ensuring the person is heard and cared for as best we can, once (Source: to the teeth)
Source: to the teeth - July 22, 2006 Category: Family Physicians Authors: andru Source Type: blogs
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Yes, I'd like a 7-layer burrito, oh wait hold up lemme check my PDAYesterday evening i spent some time trying to update the programs on my Sony Clie NX80 PDA to better assist me in the hospital. I was checking out some freeware and came across the taco bell calorie counter!Now I can switch up my order at the drive thru window after reflecting on how many calories my 7 layer burrito contains. Or (Source: to the teeth)
Source: to the teeth - July 21, 2006 Category: Family Physicians Authors: Anjali Taneja Source Type: blogs
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Medication Prescribing ErrorsInstitute of Medicine Issues Report on Medication ErrorsThe other day in the clinic a patient came in and told me he was recently in the ER with severe hypotension. He had a rough time, they poked him relentlessly to try to find a vein, wound up putting in a central line first in the artery by accident and then finally in the vein and after all that they wound up not (Source: to the teeth)
Source: to the teeth - July 21, 2006 Category: Family Physicians Authors: andru Source Type: blogs
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Delivering another message around OB...We've been caring for pregnant women at the office who fall thru the chasms in the system and have no affordable place to go. Most recently I cared for a woman who got caught in a crossfire between Medicaid and the Public Hospital. She was uninsured, working, earning too much to qualify for Medicaid, too little to pay for private insurance. By the time (Source: to the teeth)
Source: to the teeth - July 15, 2006 Category: Family Physicians Authors: andru Source Type: blogs
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In LaborI'm finally a second year resident in family medicine (yikes!). 2nd year started off with a bang -- I'm on week two of working at a hospital in downtown Los Angeles, doing obstetrics/gynecology. That means I'm triaging women who are possibly in labor early or in labor on time, admitting women to the Labor & Delivery section of the hospital, delivering babies (YAY!), assisting in (Source: to the teeth)
Source: to the teeth - July 10, 2006 Category: Family Physicians Authors: Anjali Taneja Source Type: blogs
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Gall Bladder Emergency;about a month ago a woman entered the clinic jaundiced and feverish. no abdominal pain, no vomiting. her vital signs were normal so we felt safe to order some lab tests and figure out what was going on. we did the usual liver and hepatitis tests. the results were very concerning for gall bladder disease. the patient was still relatively asymptomatic so we continued (Source: to the teeth)
Source: to the teeth - July 8, 2006 Category: Family Physicians Authors: andru Source Type: blogs
