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Medically wise, fiscally responsible

She passed away last week.  I didn’t know her, but for 6 years I would say hello as I visited patients at a Board and Care.They called her “Gramma” appearing to be in her 90s, and the caregiver said she was on hospice 4 years diagnosed with COPD.  Visits from the hospice agency were twice a week with supportive medical …

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Age discrimination

Some want to retire at 65, while others are forced, relegating many viable older adults to the trash heap.  This may be age discrimination.There is fear older workers might compete for jobs with whiz kids, yet both bring to the table different skill-sets needed in the 21st century.Why should anyone be forced to retire because they reach a certain concocted …

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Staving off suffering

I have patents who are in pain.Some had catastrophic events like motor vehicle accidents, or major illness resulting in immobility.  Many are bedridden requiring housecall visits.They have been on DEA Schedule II pain medication for years, but because of the opioid crisis, rules have been understandably tightened adversely affecting medical management.A written narcotic prescription requires high-security pads preventing counterfeit abuse …

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Medicare-for-all

Medicare Part D is a government prescription plan enacted to help seniors pay for medication, but was written by pharmaceutical lobbyists.  It is intentionally confusing with many pitfalls including “doughnut holes” to insure drug companies make their profit.  Legislators passed Medicare Part D, yet don’t live under the law.  As a matter-of-fact, Congresspeople don’t even live under Medicare when they …

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Aging and losing one’s drivers license

The restaurant was crowded, so we sat next to a couple while waiting.He noticed I was watching him tinker with his flip phone, then quipped “Bet you haven’t seen one of these in a while?  I like the speed dial so I don’t have to use my shaky fingers to call my girlfriend.”  We introduced ourselves and found they were …

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An effective doctor office visit for patients

Business interests have taken over healthcare, so most physicians are on a tight schedule.  For patients, time is not on your side, therefore being prepared is essential in making your doctor office visit effective: wear clothing that can easily be removed to take blood pressure and vital signs during a physical exam; bathe before coming in; go to the bathroom …

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An effective doctor office visit for physicians

Healthcare has changed in the past decade, making the doctor office visit integral in sustaining patient medical care. Here are suggestions to physicians caring for patients in their office: be familiar with the medical chart before seeing the patient; sit down; look at the patient more than the computer; don’t be in a hurry; listen; be respectful – as you might …