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From science nerd to accomplished ballroom dancer: my story as a hospitalist
“Life is about taking chances, trying new things, having fun, making mistakes, and learning from them.” – Anonymous Early journey as a science nerd In high school, science was my thing. I wasn’t like the others. I wasn’t interested in teenage drama. The boys didn’t chase me, and I didn’t chase them. I was that Read more… From science nerd to accomplished ballroom dancer: my story as a hospitalist originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - February 1, 2023 Category: General Medicine Authors:
I recently asked my thousands of Facebook readers to describe the worst smell in the hospital in their own words.  They did not disappoint.  The hospital setting provides the perfect opportunity to experience a crisis of unimaginable olfactory proportions.  Some people thought the smell of rotting flesh was the most intolerable smell in the hospital.  Other folks said the unmistakeable smell of melena was the worst.  Walking off an elevator onto a floor or unit and experiencing the smells of nasal suicide is a sure fire way to create interesting conversation.  Simply ask anyone who's job is st...
Source: The Happy Hospitalist - October 19, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

If you are admitted to the hospital, will a specialist see you?
Most primary care physicians (PCPs) who admit patients to a hospital are family practitioners or internists. Since medicine becomes more complex each day, PCPs must remain up-to-date on the latest treatment related to drugs, surgery, procedures, risks, complications, and costs. This might require your PCP to be a quarterback bringing together a team of consulting specialists to guide you through your hospital stay. The economics of hospitalization are changing, and since you or your loved one upon admission are already challenged by the physical and emotional threat of illness, I bring you a cautious forewarning how your h...
Source: Kevin, M.D. - Medical Weblog - June 23, 2016 Category: Journals (General) Authors: Tags: Physician Heart Hospital Source Type: blogs

Verb Selection in Code Status Discussions: A Potentially Disruptive Hospital Innovation
This study identifies two methods of framing. In 68% of encounters, life sustaining treatments featured as the first topic of conversation. The order in which options are presented represents an important frame and a nudge towards the first option listed. The modal verb serves as the other vehicle by which the decision is framed. Have you ever heard a physician say something like, "If the mask you are on doesn't keep your oxygen level up, we might need to place a tube in your throat and hook you up to life support to keep you alive, but we want to know if you want that." Some patients will declare a longstanding preference...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 24, 2013 Category: Palliative Carer Workers Authors: Lyle Fettig, MD Source Type: blogs

Hospital observation status: The truth must come out
The observation status problem has continued to grow both larger and worse. My hospitalist colleagues and I are caring for patients in hospital beds in the exact same way as other patients in the hospital, but we are told that we must give them the designation called observation status.  CMS recognizes observation status as outpatient care, like seeing a patient in a walk-in clinic. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - October 31, 2014 Category: Journals (General) Authors: Tags: Physician Hospital Hospitalist Medical school Source Type: blogs

How Much Is One RVU Worth For Medicare Patients 2017? A Detailed Explanation.
UPDADTE 2017: One RVU is worth $35.8887 for 2017 according to thisAMA site.UPDATE 2016: According tothis document on Office of the Federal Registrar regarding CMS-1631-P (on table 60 near the bottom of the document) the corrected 2016 RVU conversion factor for one RVU is $35.8043, not the previously reported $35.8279. This RVU conversion factor is in effect from January 1, 2016 through December 31, 2016.UPDATE for 2015: According to CMS documents (Medicare Physician Fee Schedule Final Rulepage 534), the 2015 RVU conversion factor for one RVU is $35.8013 from January 1st, 2015 through March 31st, 2015.&n...
Source: The Happy Hospitalist - August 6, 2012 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs

Credibility & Prestige In Medicine: How Are They Measured?
In my last blog post I discussed how harmful physician “thought leaders” can be when they are dismissive of the value of other specialists’ care. I must have touched a nerve, because a passionate discussion followed in the comments section. It seems that physicians (who spend most of their time involved in clinical work) are growing tired of the leadership decisions of those who engage in little to no patient care. Clinicians urge lawmakers to turn to practicing physicians for counsel, because those who are out of touch with patients lack real credibility as advisers. Interestingly, the credibility questi...
Source: Better Health - January 21, 2015 Category: American Health Authors: Dr. Val Jones Tags: Opinion True Stories Academia Credentials Credibility healthcare KOLs Medicine Physicians Prejudice Prestige Thought Leaders Town Versus Gown Source Type: blogs

An R&B anthem on hospital readmissions. It captures what’s wrong so perfectly.
ZDoggMD was a hospitalist in a past life, so he knows all about hospital readmissions.  Here are his R&B stylings on the ridiculousness surrounding the issue. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - July 1, 2015 Category: Journals (General) Authors: Tags: Video Hospital Hospitalist Source Type: blogs

Did the unvaccinated just save my rural hospital?
It’s no secret that rural hospitals have been struggling. According to online data from the University of North Carolina, 137 rural hospitals have closed in the U.S. since 2010. In Appalachia, the rural hospital where I work, which is staffed by a single hospitalist, has been“in the crosshairs” since I arrived in 2016 andRead more …Did the unvaccinated just save my rural hospital? originally appeared inKevinMD.com.
Source: Kevin, M.D. - Medical Weblog - January 15, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/david-m-mitchell" rel="tag" > David M. Mitchell, MD, PhD < /a > < /span > Tags: Physician COVID Hospital-Based Medicine Source Type: blogs

Treating the influx of marijuana-associated hospital admissions
Welcome to Friday night as a hospitalist in the ultimate Green State, Colorado: Time to gear up for some marijuana-facilitated paranoia, memory loss, nausea and vomiting, and memory loss. I’m not a teetotaler, but I do find the new surge in cases of preventable disease a bit disheartening if not occasionally humorous. Prior to this past year, it wasn’t uncommon for me to encounter an occasional marijuana medical problem, but since ringing in the New Year and the new law, it’s become a bit of a habit to admit folks with marijuana-associated illnesses. Continue reading ... Your patients are rating you online: How to r...
Source: Kevin, M.D. - Medical Weblog - January 12, 2015 Category: Journals (General) Authors: Tags: Meds Hospital Hospitalist Medications Source Type: blogs

You won’t necessarily be admitted to the hospital. Here’s why.
When we take our sick or injured loved ones to the hospital, we often hope that they will be admitted. In many instances, this is a very reasonable request. When heart or lung disease are at work, when severe infections, dehydration, fractures or strokes occur, admission may well be the only option. However, sometimes our desire to admit our family members is a throwback to a simpler time in medicine; particularly where the elderly are concerned. I don’t know how many times I have heard this, or some variation: “Doc, I know you say she’s fine, and all the tests are normal, but if you could just put mama in for a ...
Source: Kevin, M.D. - Medical Weblog - August 19, 2015 Category: Journals (General) Authors: Tags: Physician Hospital Hospitalist Source Type: blogs

Wonder why your hospital is full?
Why is your hospital always full? Actually, it ’s more than full.  You have twenty boarders in the ED. You turned your postop recovery unit into an overnight surge center.  Every day administrators beg you to please, please discharge patients, if possible before 11 a.m.  You’ve hired an army of case managers, dissected the discharge proce ss, […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - February 12, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/steve-m-grant" rel="tag" > Steve M. Grant, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Hospitalist Pulmonology Source Type: blogs

My first year as a locum tenens physician
Locum tenens (literally “place holder”) is professional work done to fill in where help is needed. It is what I have primarily been doing for the last year, and has been an interesting ride.When I decided to leave my practice related to losing a couple of partners and wanting to update my knowledge base and re-evaluate my career, I decided to do locum tenens work. I had always thought that having the skills of a physician would be able to allow me to travel and interact with places and people in a meaningful way, have adventures, roll up my sleeves, get my feet wet, that sort of thing. It turns out that this is...
Source: Kevin, M.D. - Medical Weblog - February 18, 2013 Category: Family Physicians Tags: Physician Hospitalist Source Type: blogs