When the #ACA was implemented: there was no mandate established to ensure that #emr#ehr electronic medical records could communicate and physicians could obtain medical records from #doctors caring for the same patients at other offices or hospitals. 1/
What ensued was that the government forces practices to an incur most of the cost of buying expensive electronic medical records and forced them to use them or incur more financial penalties. In retrospect those who did not use #emr and #ehr benefitted 2/
It became impossible to afford an #emr#ehr in a private practice
costs include: 1. Computers 2. Network maintenance 3. Wi-Fi 4. Back-up systems 5. #emr#ehr Licenses 6. Cost of repairs 7. Reduction of time with patients 8. Increase typing-dictating time 9. Longer notes 3/
The #ACA law is at fault as it should have established provisions for a patient to give consent to interchange all their medical information across all systems -
This simple rule would have created a great #ehr#emr system 4/
The current #emr#ehr is a multi-billion dollars glorified typewriter 1. It does not communicate 2. Creates inefficiency 3. Costly 4. Time consuming 5. Dangerous to the patient 6. Created an #emr#ehr industry 7. Created the medical job of scribe 5/
A recent study showed that for every 8 hours a #doctor sees patients, he works on the #emr#ehr for 5 hours. The public pays tax dollars for this...
The #emr systems sell the information and profit from the data input by #healthcare workers 6/
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#Obesity is killing Americans #Obesity increases risk for death from #covid#covid19 #Obesity is a disease #Obesity is associated with over 200 other medical conditions #Obesity is usually & eventually unhealthy #Obesity & those with it should never be shamed or stigmatized
#Obesity is mostly dictated by #genetics & environment #Obesity is ignored by politicians #Obesity occurs in 42% of Americans #Obesity and people with it are ignored, shamed, humiliated, and discriminated against #Obesity may occur after psychological trauma 2/
#Obesity is worse because we do not address it as a society #Obesity is worse from eating unhealthy #food #Obesity is worse because we exercise too little #Obesity is worse because we create an environment that propagates obesity #Obesity is a political issue 3/
There are many questions about the @moderna_tx#vaccine now being distributed in the #USA I am happy to answer them
(My qualifications: board certified general surgeon, associate editor @SOARD_JOURNAL, I can read research data and understand it, I don’t confuse fact & opinion) 1/
The #vaccine helps us to build an army that is ready to fight the #coronavirus before it tries to infect us. The #vaccines are parts of the virus or #antigens that our body knows are foreign invaders (BUT can’t attack or make us sick). #mrna vaccines are different 3/
As a physician, I find it shocking that patients with all diseases are not treated with the same respect and concern as one another. The truth is that someone with a cancer or heart condition has a respected medical disease and something with #obesity does NOT. 1/
The #US nation is now afflicted with #obesity. 42% of Americans suffer from this disease and while the news has covered many stories concerning these facts, the disease continue to rise in its frequency. Individuals continue the same habits that help contribute... 2/
Scientists continue to write endless articles on the subject with basic science that confirms the origins of this disease we know as #obesity. The politicians express great concern, but commit to little action. The insurance industry avoids care as much as possible. 3/
After listening to a webinar from 5 Chinese #doctors in Wuhan, China who are in the middle of their outbreak - the following can be learned. 1/
Treatment: Much of the same medications and therapies are being used and developed worldwide with no dominant medication working the best. #Corticosteroids are being used, antivirals, #gammaglobulin, and #convalescentplasma 2/
#PPE is used with full gowns, gloves, n95 masks, and goggles for all #Covid19 patients- and hospital staff is housed by the government away from families 2/
This is a good summary but somewhat inconsistent to what we have been hearing on #twitter about #italy. The question about triaging those sick and above 60 yo was NOT answered directly. He said the goal was for everyone to get an ICU bed but was that successful? 1/
There are many pictures of hazmat suits which is somewhat different and more aggressive than the reports we have been hearing about #coronavirus in Lombardy 2/