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Doctor’s Diary October 12, 2017

(Snippets from the frontline)

What’s your DRG?

Upon admission to a hospital, Medicare and some insurances assign patients a DRG code (Diagnosis Related Group).  This complex system is based on your diagnosis and pays a flat fee to the hospital for the entire stay. 

For example, a pneumonia DRG pays about $7000, which covers 4 days.  If you stay two days, the hospital makes money.  If you stay longer than 4 days, they lose money.  It doesn’t matter how old or ill you are.

Therefore, the objective of a money-making hospital is to jettison patients as soon as possible even if you are still sick. 

This is why Medicare patients are being discharged into nursing homes to complete care (like IV antibiotics or for congestive heart failure) instead of in-hospital monitoring for improvement, or watching for complications.

Worse yet, some hospitalized patients are needlessly shepherded into end-of-life hospice, a separately paid benefit.

For those who are ill and vulnerable, hospitals have become merely a triage service.

Gene Uzawa Dorio, M.D.

 

 

Doctor’s Diary:  October 9, 2017

(Snippets from the frontline)

The stethoscope:  A symbol or a tool

The practice of medicine has become a lost art.

When assessing their patients, doctors commonly rely on technology in lieu of lessons taught in medical school.  Technology costs money, and using basic techniques takes time, both of which are incompatible with business interests now involved in medicine.

It starts from the initial encounter with your primary care physician.  There it is, around their neck...the stethoscope...a symbol of medical professionals.  This is the only tool they bring other than their experience and intellectual background.

A stethoscope listens to the neck, lungs, heart, and abdomen...vital areas where problems arise.  Sometimes its use may lead to a cause, if for instance an abnormal sound is heard in the neck that contributed to a stroke.

Observe your doctor during these initial moments.  If they don’t spend time talking and examining you using their stethoscope, then figure they will rely on technology to make a diagnosis.  Should this be the case, expect a hefty medical bill.  

Adding time and using a stethoscope could save you, and even business, money.

Gene Uzawa Dorio, M.D.

 

 

Doctor’s Diary:  September 30, 2017

(Snippets from the frontline)

Cancer:  The stop button

Body cells multiply allowing growth and development.  Some cells grow slowly, while others rapidly, all controlled by DNA.

When you cut your skin, a scab forms encasing the wound allowing cells to proliferate and heal from below.  The scab falls off and DNA tells the cells to stop dividing, completing the healing process.

Cancers are cells that continue to multiply out of control, forming tumor masses extracting nutrients and starving normal functioning cells.

Genetic engineering research is on the verge of finding the DNA “stop button” including the ones lost in cancer cells.  Cured.

But cancer treatment and prevention is a huge industry.  Could this technology be hidden or suppressed to sustain profits?  Please be mindful of this potential tactic.  

Hopefully one day our great grandkids will ask...”What was cancer?”

Gene Uzawa Dorio, M.D.

 

Comments:  http://scvphysicianreport.com/2017/09/29/doctors-diary-september-30-2017-cancer-the-stop-button/