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        <title>MedWorm Tags: frustrations</title>
        <description>MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'frustrations'.</description>
        <link><![CDATA[http://www.medworm.com/rss/search.php?qu=%22frustrations%22&t=%22frustrations%22&r=Exact&o=d&f=tag]]></link>
        <lastBuildDate>Sat, 03 Sep 2011 02:31:09 +0100</lastBuildDate>
        <item>
            <title>Should You Share Your Therapist With a Friend?</title>
            <link>http://www.medworm.com/index.php?rid=5062292&amp;cid=t_142611_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F07%2F25%2Fshould-you-share-your-therapist-with-a-friend%2F</link>
            <description>I have a friend who lives by this cardinal rule: She will never ever work with a friend. 
So when jobs surface in her company, or if she hears of an opening in her field, she only shares the information with non-friends. It’s just too messy, she explained to me the other day. 
Having experienced a situation not too long ago that became just that &amp;#8212; messy &amp;#8212; I can understand her logic and applaud her for sticking by that rule. I am now much more careful about sharing work opportunities with close friends&amp;#8230; in order to protect myself.
Should the same rule apply to therapy?

I never thought so. I mean, my psychiatrist told me the other day that I am her third biggest source of referrals, after a local cardiologist and a gynecologist. I don’t hesitate to share the numbers of...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
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            <pubDate>Mon, 25 Jul 2011 16:13:50 +0100</pubDate>
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            <title>Frustrated by Devices? Read the Manual</title>
            <link>http://www.medworm.com/index.php?rid=4968582&amp;cid=t_142611_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F06%2F23%2Ffrustrated-by-devices-read-the-manual%2F</link>
            <description>Handsome, well-made tools are a joy to use; confusing devices are a drain. So often, I find, things once easy to operate &amp;#8212; TVs, irons, dishwashers, alarm clocks, washing machines &amp;#8212; are now humiliatingly challenging.
Cognitive-science professor Donald Norman points out that when we expect a device &amp;#8212; like a toaster or video camera &amp;#8212; will be fairly simple to operate, and it’s not, we assume we’re at fault, instead of holding the object responsible. One Sunday afternoon, when I was frantically trying to synchronize the data on my laptop with my desktop, I kept getting strange error messages. In desperation, I asked my husband to take a look. “Oh. Our internet service isn’t working,” he announced after fifteen seconds on the computer. I’d assumed I was doing ...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4968582</comments>
            <pubDate>Thu, 23 Jun 2011 18:22:03 +0100</pubDate>
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            <title>9 Tips to Find a Fulfilling Work-Life Balance</title>
            <link>http://www.medworm.com/index.php?rid=4893558&amp;cid=t_142611_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F06%2F02%2F9-tips-to-find-a-fulfilling-work-life-balance%2F</link>
            <description>Recently, I had the pleasure of interviewing several amazing women on how they juggle all the responsibilities that come with their professional and personal lives. (Stay tuned for the article in our mental health library!)
In addition to sharing what works for them, they provided a slew of solutions for readers, too. Here’s what they had to say&amp;#8230;
1. Challenge society&amp;#8217;s standards. 
In our society, productivity is prized and praised. We reward workaholic ways, even though this is both emotionally and physically unhealthy.
As such, productivity coach Laura Stack, MBA, suggested “challenging the social acceptance — even society’s encouragement — of these common phrases:


‘Look how productive you’re being. You are accomplishing great things’
‘After all, you posses...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4893558</comments>
            <pubDate>Thu, 02 Jun 2011 12:07:08 +0100</pubDate>
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            <title>Best of Our Blogs: December 24, 2010</title>
            <link>http://www.medworm.com/index.php?rid=4287468&amp;cid=t_142611_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F12%2F24%2Fbest-of-our-blogs-december-24-2010%2F</link>
            <description>It&amp;#8217;s the day before Christmas and just a week until the end of the year. How are you holding up?
Are the festive melodies of Christmas music sounding like a broken record right about now? Is traffic getting to you? Are crowded shopping malls and pushy shoppers trying to get to the head of line pulling on your last strand of patience? Fed up with family obligations and obligatory gift giving?
Here is something to embrace.
Through the chaos, frustrations, grief and disappointments, there is and will always be peace.
It may not be delivered to you on a silver tray, shiny and easy, and beautifully wrapped like a present on Christmas morning. But the joy of everlasting peace regardless of circumstances is worth a whole lot more.
While you&amp;#8217;re dashing away toward your next event,...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4287468</comments>
            <pubDate>Fri, 24 Dec 2010 13:43:13 +0100</pubDate>
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            <title>Hawking Surgery</title>
            <link>http://www.medworm.com/index.php?rid=4001703&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FUKzqmtZKE3c%2Fhawking-surgery.html</link>
            <description>“Hawking” surgery makes me grumpy. Glossing over the risks involved with surgery to promote your product makes me grumpy. E! Reality Show is “hawking” plastic surgery as part of the prize package for brides in their new show “Bridalplasty.”&amp;#160; (Source: Suture for a Living)</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4001703</comments>
            <pubDate>Sat, 25 Sep 2010 11:45:00 +0100</pubDate>
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        <item>
            <title>Best of Our Blogs: May 25, 2010</title>
            <link>http://www.medworm.com/index.php?rid=3595646&amp;cid=t_142611_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F05%2F25%2Fbest-of-our-blogs-may-25-2010%2F</link>
            <description>Life is about beginnings and endings. As one season ends, for example, another one begins. While it&amp;#8217;s difficult to let go of our beloved television shows (Lost) and our favorite season (spring), there is always something new and exciting just around the bend. The challenge is to have a bit of faith as we make our way blindly through the unexpected and unseen twists and turns in our path.
One thing I&amp;#8217;ve been doing recently is rereading old journals and diaries. It has taught me is that the answers to my questions would reveal itself with time. All of my frustrations, goals, and uncertainties were just a handful of pages away. I just needed to stop fretting and start trusting that my needs would be met and my prayers would be answered.
As you head off into a brand new season of s...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3595646</comments>
            <pubDate>Tue, 25 May 2010 12:40:49 +0100</pubDate>
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            <title>Over Diagnosis of Breast Cancers</title>
            <link>http://www.medworm.com/index.php?rid=2594451&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FVsMJMg7pP3I%2Fover-diagnosis-of-breast-cancers.html</link>
            <description>Are breast cancers over-diagnosed?&amp;#160; If so, how often?&amp;#160; Those are the questions looked at by the systematic review of incidence reported data/articles done by Karsten Juhl Jørgensen &amp; colleagues.&amp;#160; Their results are published online in the June 9th issue of the British Medical Journal.&amp;#160;&amp;#160; Their review shows an estimated 52% over-diagnosis of breast cancer. The researchers’ objective was to estimate the extent of over-diagnosis.&amp;#160; Screening for breast cancer is meant to detect lethal cancers earlier.&amp;#160; Unfortunately it also detects harmless ones that will not cause death or symptoms. As it is not possible to distinguish between lethal and harmless cancers, all detected cancers are treated. Over-diagnosis and overtreatment are therefore inevitable.  They ...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2594451</comments>
            <pubDate>Mon, 13 Jul 2009 11:01:00 +0100</pubDate>
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            <title>Unused Prescription Medications</title>
            <link>http://www.medworm.com/index.php?rid=2523061&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2F2PdzdMNkoAE%2Funused-prescription-medications.html</link>
            <description>As regular readers of my blog know recently my family lost my mother (May) and my sister lost her husband (March).&amp;#160; Both times we were left with many unused prescription drugs at their respective homes.&amp;#160; What do you do with these?&amp;#160; What do you do with ones you or a family member have left when switched to another drug? &amp;#160; This topic was also brought up on twitter recently by&amp;#160; lesmorgan.     Handling a family request to donate dialysis meds after a death. Is it correct that Kaiser pharmacy has no post-death return policy?      @rlbates thanks for the comment. that's the usual answer, but some institutional systems do have giveback programs, unsure on Kaiser.      http://www.dhss.mo.gov/Drug... DHSS FAQ on medication donations in Missouri. Regulations vary by state.  ...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2523061</comments>
            <pubDate>Mon, 15 Jun 2009 11:01:00 +0100</pubDate>
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            <title>How Not to Do Buttocks Enhancement</title>
            <link>http://www.medworm.com/index.php?rid=2201325&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F543192617%2Fhow-not-to-do-buttocks-enhancement.html</link>
            <description>In this day and age when physicians are facing being rated like the local plumber or restaurant on Zagat, it astounds me that anyone would allow a non-physician to perform cosmetic enhancement “injections” in their home.&amp;#160; That seems to be what women in Florida have done to the detriment of their health (ABC Action News).   Two women who wanted cosmetic injections to enhance their bottoms are now recovering in a Town N' Country Hospital with severe infections.&amp;#160;   Deputies say Andrea Lee and Zakiya Teagle thought they were getting injections that were safe and would provide them with the appearance they wanted.&amp;#160; Instead, the person who injected them apparently is on the run and detectives want to find her.  Hillsborough County Sheriff's office says Sharhonda Lindsay of Tam...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2201325</comments>
            <pubDate>Thu, 19 Feb 2009 12:13:00 +0100</pubDate>
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            <title>9 Ways That Humor Heals</title>
            <link>http://www.medworm.com/index.php?rid=2190552&amp;cid=t_142611_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F02%2F17%2F9-ways-that-humor-heals%2F</link>
            <description>Of all my tools to combat depression and negativity, humor is by far the most fun. And just like mastering the craft of writing, I&amp;#8217;m finding that the longer I practice laughing at life—and especially its frustrations&amp;#8211;the better I become at it, and the more situations and conversations and complications I can place into that category named &amp;#8220;silly.&amp;#8221;
G. K. Chesterton once wrote: &amp;#8220;Angels can fly because they take themselves lightly.&amp;#8221; And Proverbs 17:22 says that &amp;#8220;a happy heart is good medicine.&amp;#8221; I&amp;#8217;d add that human beings can heal (at least partially!) from a host of different illnesses if they learn how to laugh. Here are just a few ways our bodies, minds, and spirits begin to mend with a dose of humor.
1.Humor combats fear.
I know this f...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2190552</comments>
            <pubDate>Tue, 17 Feb 2009 13:32:35 +0100</pubDate>
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            <title>Patient Question – Options for Payment/Coverage of Surgery</title>
            <link>http://www.medworm.com/index.php?rid=1955671&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F450638464%2Fpatient-question-options-for.html</link>
            <description>The same person who asked the questions here, had more questions regarding how to pay for (self/insurance) procedures that remove the excess skin after weight loss. &amp;#160; Insurance Coverage If you are “lucky” then you have insurance coverage, but as I wrote about here that is not likely.&amp;#160; For most (hesitate to say all, as I have not read all policy booklets), define cosmetic surgery this way:   Cosmetic Procedures -- services are considered Cosmetic Procedures when they improve appearance without making an organ or body part work better. The fact that a person may suffer psychological consequences from the impairment does not classify surgery and other procedures done to relieve such consequences as a reconstructive procedure.&amp;quot;  So without a medical reason (ie major skin iss...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1955671</comments>
            <pubDate>Wed, 12 Nov 2008 12:21:00 +0100</pubDate>
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            <title>Insurance/Healthcare Thoughts</title>
            <link>http://www.medworm.com/index.php?rid=1806670&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F396128585%2Finsurancehealthcare-thoughts.html</link>
            <description>I've been struggling to get a patient's insurance company to give consent for a panniculectomy. I have not been successful. I have appealed the initial reject. It was rejected a second time. There reasoning: Upon reviewing the submitted information, I have determined that at this time &quot;Excision, excessive skin and subcutaneous tissue; abdomen, infraumbilical panniculectomy&quot; is not a covered benefit under the benefit plan. This determination is based upon the following plan language, found on pages (s) 74 and 125 of the member's Certificate of Coverage or Summary Plan Description: &quot;Excluded ..... Cosmetic procedures, including cosmetic surgery expenses, supplies, appliances and drugs, except for reconstructive surgery to repair accidental injury Cosmetic Procedures -- services are considere...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1806670</comments>
            <pubDate>Thu, 18 Sep 2008 11:27:00 +0100</pubDate>
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            <title>Hospitals in Hands of Voters</title>
            <link>http://www.medworm.com/index.php?rid=1790643&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F391482724%2Fhospitals-in-hands-of-voters.html</link>
            <description>I posted this over at Med-Politics Blog and am now re-posting here with the outcome of the vote added at the end.  This is one of the headlines on the front of my local news. The article can't be read there without a subscription, but can be read here in full as it was reprinted on the AARP website.  Statewide, at least 11 small community hospitals receive some community support, typically in the form of sales taxes or millages, said Paul Cunningham, senior vice president for the Arkansas Hospital Association. Most of them have had local taxes approved within the last five or six years. Nationwide, community hospitals are struggling under the weight of low reimbursement rates, high levels of charity care, increasing demand from an aging population, and difficulties recruiting doctors and o...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1790643</comments>
            <pubDate>Sat, 13 Sep 2008 11:28:00 +0100</pubDate>
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        <item>
            <title>Going for a non-fertility related ultrasound</title>
            <link>http://www.medworm.com/index.php?rid=1909251&amp;cid=t_142611_177_f&amp;fid=38132&amp;url=http%3A%2F%2Fmyinfertilityblog.wordpress.com%2F2008%2F09%2F10%2Fgoing-for-a-non-fertility-related-ultrasound%2F</link>
            <description>Since I&amp;#8217;m currently on hiatus from the clinic while I recover from the ectopic pregnancy surgery I&amp;#8217;ve been taking care of other health issues that have been ignored the last couple of years. I went for a physical, had my teeth cleaned, and today had an ultrasound on a strange lump I noticed in my leg.
Turns out the lump is likely just a benign fat deposit and nothing to worry about. But going to an ultrasound lab 3.5 weeks after surgery to remove my pregnancy was painful. 90% of the people in the waiting room were pregnant women and their husbands/partners.
I can usually celebrate other peoples pregnancies without too much grief for myself but today I just couldn&amp;#8217;t do it. I had to sit in the waiting room for close to an hour while women showed off their ultrasound picture...</description>
            <author>My (in)fertility blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1909251</comments>
            <pubDate>Wed, 10 Sep 2008 03:05:39 +0100</pubDate>
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            <title>The doughnut hole threatens diabetcs- and I don’t mean the kind you eat</title>
            <link>http://www.medworm.com/index.php?rid=1729622&amp;cid=t_142611_134_f&amp;fid=36049&amp;url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FDiabetesNotes%2F%7E3%2Flpw8EOBy4N8%2F</link>
            <description>Here is another reason that we see so many admissions to hospitals due to diabetic complications&amp;#8230; the doughnut hole. Just what is this you ask? Medicare beneficiaries were responsible for pay as soon as they incurred costs of $2,400 among pharmacy costs. After a beneficiary then spent $3,850 out of their own pocket- coverage kicked in again. That coverage gap is commonly referred to as the doughnut hole. Mind you this doesn’t apply to low-income seniors who qualify for a subsidy.
It was found that 15% of those who hit the doughnut hole stopped taking their medication all together and another 1% cut back on their medication use&amp;#8230;while 5% switched medications. So darn scary. Just think what this does to an elderly persons diabetes. We need to come up with solutions to end these ...</description>
            <author>Diabetes Notes</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1729622</comments>
            <pubDate>Sun, 24 Aug 2008 00:07:26 +0100</pubDate>
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            <title>No, I’m not pregnant yet</title>
            <link>http://www.medworm.com/index.php?rid=1909254&amp;cid=t_142611_177_f&amp;fid=38132&amp;url=http%3A%2F%2Fmyinfertilityblog.wordpress.com%2F2008%2F08%2F22%2Fno-im-not-pregnant-yet%2F</link>
            <description>It has been months since I&amp;#8217;ve posted here on this blog. Life got crazy and busy and I ran out of energy for writing. But today I logged into my account and noticed this comment:
love your sense of humor. I am hoping you have been able to concieve. Please blog an update if you are indeed successful. Thank you rom an unknown older woman who ran across your post with the google question, “how long can sperm survive.
Maybe because it&amp;#8217;s Friday or maybe because for the first time in months I&amp;#8217;m hormone free (more on that later) but I felt like writing a post. So here it is. The post to say I&amp;#8217;m still here and I&amp;#8217;m still not pregnant.
Since March I&amp;#8217;ve done another 2 IUIs and finally in June we decided it was time to try IVF. It worked and for one short week I wa...</description>
            <author>My (in)fertility blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1909254</comments>
            <pubDate>Fri, 22 Aug 2008 22:26:57 +0100</pubDate>
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        <item>
            <title>A Surgeon's Outburst</title>
            <link>http://www.medworm.com/index.php?rid=1705112&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F363815056%2Fsurgeon-outburst.html</link>
            <description>I'd like to comment on the recent Boston Globe article on surgeons' outbursts and also on Maggie Mahar's post, Surgeons and Other Physicians: A Cultural Divide.&amp;nbsp; Both seem to be painting surgeons as the ogres or bullies of the medical community.&amp;nbsp; I'd like to think that I am neither.&amp;nbsp; There are better examples of surgeons than the Alex Baldwin character in the movie Malice.&amp;nbsp; I agree it is not good form or good for the patient for these outbursts to occur, but generalizing to the point that most of your readers would think that 90% or more of surgeons behave this way is wrong. I have never thrown any equipment and rarely gotten angry to point of raising my voice or screaming in the OR. Each time I did, the nurse told me I was right. I have witnessed some of the examples g...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1705112</comments>
            <pubDate>Wed, 13 Aug 2008 11:24:00 +0100</pubDate>
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        <item>
            <title>Inspiration…</title>
            <link>http://www.medworm.com/index.php?rid=1701168&amp;cid=t_142611_134_f&amp;fid=36049&amp;url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FDiabetesNotes%2F%7E3%2FwC3BM9ITwnQ%2F</link>
            <description>Sometimes I am proud of myself for making the right choices
Sometimes I am frustrated for having to
But it is all worth it!
&amp;nbsp;
&amp;nbsp;
Tags: choices, Diabetes, diabetic, family, feelings, frustrations, inspiration for people with diabetes, type-2-diabetesShare This (Source: Diabetes Notes)</description>
            <author>Diabetes Notes</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1701168</comments>
            <pubDate>Sun, 10 Aug 2008 13:13:21 +0100</pubDate>
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        <item>
            <title>The Right Thing</title>
            <link>http://www.medworm.com/index.php?rid=1686690&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F357328960%2Fright-thing.html</link>
            <description>I did a precertification for a patient. The precert was for breast reduction surgery. My office had reminded the patient prior to her initial visit that my office was not in her insurance network. We asked her to check her policy to see if she had out-of-network benefits as we didn't want her to get &quot;stuck&quot; with the bill, as it were. My office balance bills, but tries to be up front about costs. I did the initial visit, reviewed why she felt she needed a breast reduction, did the exam, took measurements and photos, and then after she left sent a letter with documentation (photos, etc) for the precertification. She received the letter (copied to my office) below which states that she meets her insurance requirements for the surgery. It then clearly states &quot;If Dr Ramona Bates performs the su...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1686690</comments>
            <pubDate>Wed, 06 Aug 2008 13:49:13 +0100</pubDate>
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        <item>
            <title>Medical Tourists</title>
            <link>http://www.medworm.com/index.php?rid=1538508&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F318045135%2Fmedical-tourists.html</link>
            <description>This article was condensed from: Jones JW, McCullough LB. What to do when a patient’s international medical care goes south. J Vasc Surg. 2007;46;1077-1079.) (Source: Suture for a Living)</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
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            <pubDate>Mon, 23 Jun 2008 11:40:32 +0100</pubDate>
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            <title>It Costs How Much?</title>
            <link>http://www.medworm.com/index.php?rid=1374007&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Frlbatesmd.blogspot.com%2F2008%2F04%2Fit-costs-how-much.html</link>
            <description>Do you remember this splint that I was told to wear (and did for a week) when I had acute olecranon bursitis? Well, I got my bill recently and was shocked by how expensive the splint was! If I had been told how much it was going to be, I swear I would have left without it. I would have used the &quot;soft&quot; elbow pad and made myself a plaster splint to protect my elbow from being bumped for that week. Here's the breakdown of the medical bill. For some reason, all of the charges had been billed to insurance EXCEPT the splint charge. I asked that it be submitted.ServiceDescription of ServiceChargeInsurance AllowedPatient to Pay99204Office/New Patient$229.02$140.38$140.3873070X-Ray Exam$73.92$33.12$33.1297760Orthotic (OT)Management$40.00$36.00$36.00L3763Rigid Elbow Splint$773.33?????? (Source: Sutu...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
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            <pubDate>Tue, 15 Apr 2008 13:25:00 +0100</pubDate>
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            <title>&quot;My Worst Nightmare&quot;</title>
            <link>http://www.medworm.com/index.php?rid=1261948&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Frlbatesmd.blogspot.com%2F2008%2F02%2Fworst-nightmare.html</link>
            <description>Recently I have had to deal with a patient who refers to herself as my &quot;worst nightmare&quot;. I knew she would be difficult before I ever did her surgery. She had warned me that she always had a lot of pain and it was difficult to control. I knew she would need more TLC than most patients. I always call outpatients the night of surgery. It helps me sleep better and hopefully them/their families too. The night of her surgery (and I have learned to double check phone numbers where they will be), I called three separate times over a 2 hour period to two numbers. No one answered any of them. I left a message that &quot;If there are any problems tonight, please, have me paged through the Medical Exchange at ****. I will check on you again in the morning.&quot; That night it was quiet.I called her the next mo...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1261948</comments>
            <pubDate>Wed, 27 Feb 2008 12:53:00 +0100</pubDate>
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            <title>Elbow (Olecranon) Bursitis</title>
            <link>http://www.medworm.com/index.php?rid=1191687&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Frlbatesmd.blogspot.com%2F2008%2F01%2Felbow-olecranon-bursitis.html</link>
            <description>Odd topic for a plastic surgeon. Maybe. Maybe not when it's the plastic surgeon who has the problem (olecranon bursitis). That's right, earlier this week, (truly out of the blue) I set my left elbow down on the desk while writing a note. I noticed it was kind of sore/tender. Ignored it, but as the day went on it became more so. I went to the full length mirror in one of the exam rooms so I could really look at it. Red, swollen, no breaks in the skin. I didn't recall any trauma to my elbow. None of that &quot;I hit my funny bone&quot; stuff that makes you take notice. I still ignored it for another day as I had no elevated temp. It got worse. I called up one of the hand surgeons I had done my fellowship with back in 1989-1990. He is an orthopedic trained hand surgeon. He worked me into his busy sched...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1191687</comments>
            <pubDate>Thu, 31 Jan 2008 16:57:00 +0100</pubDate>
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            <title>Suitability</title>
            <link>http://www.medworm.com/index.php?rid=1128920&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Frlbatesmd.blogspot.com%2F2008%2F01%2Fsuitability.html</link>
            <description>There are definable risks and benefits in every surgical procedure. This risk/benefit ratio is particularly important for the cosmetic or aesthetic patient. This patient starts out &quot;well&quot; and will be put into a temporarily &quot;unwell&quot; state to ultimately help them &quot;feel better&quot;. Most training programs do not teach &quot;patient selection&quot; and not everyone is born with the &quot;sixth sense&quot; that will help you know who might not be a good candidate for the procedure requested.  Patients I need to watch for when doing aesthetic proceduresInflated ExpectationsPatient tends to be &quot;deaf&quot; to any attempt to educate them as to what their surgery will entail. They seem to have difficulty digesting the fact that there any major procedure carries some degree of inherent risk. Will use the results of computer imag...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1128920</comments>
            <pubDate>Thu, 03 Jan 2008 16:45:00 +0100</pubDate>
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            <title>Breast Swelling as a Medication Side-effect</title>
            <link>http://www.medworm.com/index.php?rid=1109963&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Frlbatesmd.blogspot.com%2F2007%2F12%2Fbreast-swelling-as-medication-side.html</link>
            <description>A patient called last week upset that a drug, domperidone, she has been taking for her GI problems has enlarged her breasts. She had a breast reduction done several years ago (not one I did, I did some scar revision work for her), so this did not make her happy. She came in to talk about redoing her breast reduction. The enlargement is asymmetrical with one being much larger (about 1 bra cup bigger) than the other. This is not a complaint that plastic surgeons hear very often. I was not sure what to tell her regarding insurance. I told her that she will need a mammogram (her yearly is due anyway) to rule out something non-medication related. If the mammogram is normal, I think this will be a case where it would be good to do a pre-approval letter (or medical necessity letter) in advance un...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1109963</comments>
            <pubDate>Fri, 21 Dec 2007 13:20:00 +0100</pubDate>
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            <title>Review of Medical Expenses</title>
            <link>http://www.medworm.com/index.php?rid=1096363&amp;cid=t_142611_106_f&amp;fid=36682&amp;url=http%3A%2F%2Frlbatesmd.blogspot.com%2F2007%2F12%2Freview-of-medical-expenses.html</link>
            <description>My friend who incurred the self-inflicted gun shot wound to his right forearm has gotten his medical bills. I ask him to allow me to review them. I was interested in what was billed and what the insurance company actually allowed. Notice how long it has taken to get everything (well not everything--ambulance services still pending review) through insurance review (late August until today). Here is the breakdown.Service Rendered BilledInsurance AllowedPatient ResponsibilityAmbulance--ALS EmergencyMileage ALSPulse OximetryIV SuppliesDisposable Supplies $488.00$146.25$36.00$42.00$42.00* Still waiting* Still WaitingHospital ER $836.32$459.98$459.98X-Ray Reading $28.00$12.18$12.18Generic Pain Med $4.06$4.06$4.06   SecondaryWound Closure (done in office) $650not actually billed (maybe $356 on ho...</description>
            <author>Suture for a Living</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=1096363</comments>
            <pubDate>Fri, 14 Dec 2007 15:11:00 +0100</pubDate>
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            <title>Help Me Help Others During Diabetes Awareness Month</title>
            <link>http://www.medworm.com/index.php?rid=996607&amp;cid=t_142611_134_f&amp;fid=36049&amp;url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FDiabetesNotes%2F%7E3%2F177989857%2F</link>
            <description>Remember that tomorrow, November 1st kicks off Diabetes Awareness Month. Yee ha! So for the entire month of November, I am inviting y&amp;#8217;all to share your stories of &amp;#8220;diabetic living&amp;#8221; with me and your fellow readers. Send me your thoughts, frustrations, accomplishments and everyday feelings and gripes and with your permission I will post it for all to see. It is always nice to get a fresh take on things and see that others live with the same thoughts and worries that you do. So come on and send me something&amp;#8230; anything. I know you are out there, haha. Don&amp;#8217;t let me down!
Share This (Source: Diabetes Notes)</description>
            <author>Diabetes Notes</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=996607</comments>
            <pubDate>Thu, 01 Nov 2007 01:23:21 +0100</pubDate>
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            <title>Rebound from Overload</title>
            <link>http://www.medworm.com/index.php?rid=821658&amp;cid=t_142611_109_f&amp;fid=35677&amp;url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FBrainBasedBusiness%2F%7E3%2F147859599%2Frebound_from_overwhelmed_feeli.html</link>
            <description>&amp;ldquo;I can&amp;rsquo;t read books anymore because they overwhelm me,&amp;rdquo;&amp;nbsp; a frustrated worker said during a brain based institute. And he looked just as frazzled as his words sounded. &amp;nbsp;How do you rebound from panic or mental blocks when you hit a concrete wall at work? Overwhelmed feelings are a bit like panic attacks to your brain &amp;hellip; in that they pull the floor out beneath you. No wonder solutions flee for the moment. The panicked brain sends back messages that there is no place good to go &amp;ndash; and we tend to believe it. Luckily your brain is holds extraordinary talents for tackling problems that come from being overwhelmed. How so? 1. Overwhelmed with reading lately? Here&amp;#39;s a brain based solution that works quite well, and offers a takeaway from the printed page t...</description>
            <author>BrainBasedBusiness</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=821658</comments>
            <pubDate>Fri, 24 Aug 2007 21:44:42 +0100</pubDate>
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