5 letters why HIPAA.  What is the single most concerning threat to a provider?  I think it is getting sloppy and inadvertently breaking the rules. My understanding is that emails and texts can be done properly in an office setting, but if done securely or without PHI transmitted.  I can control on my end, but … More Say no to #texting and #email!!!! Are you nuts???

Recently across the twitter feed, I have been reading about the nonsensical robotic machinations one goes through on a daily basis while coursing through the electronic record.  This automatonic endeavor, is darn near impossible if you choose to share your visit with an intruder.  Not a human scribe, but rather the fellow soul sitting before … More #ProjectedEHR individualizes care

First and foremost, the idea of starting a portal just for the meaningful use incentive reimbursement is most assuredly a recipe for disaster. The single best reason, is to spoil your patient rotten.  You treat your patient as you would your mother, and you have the most difficult step mastered. Keep it simple, only one … More The secrets of how to get a patient portal up and running

At the risk of desiccating the poem, this is how it came about.  I was on page 235 of part 2 of Hermetical and Alchemical writings of Paracelsus when I saw Dr. Zackary Berger’s intriguing tweet, “Which one poem represents the human interaction at the center of medicine?”  Arcade Fire was blaring in my ear … More The She Samaritan

Dr. Leana Wen wrote a fantastic piece I came across yesterday titled, “When Patients read what their Doctors write.”  I wish every doc currently seeing patients would read and take to heart her very last sentence. “It’s changed my practice and fundamentally transformed my understanding of whom the medical record ultimately belongs to: the patient.” … More Being rattled out of my slumber

My two volumes of Hermetic and Alchemical Writings of Paracelsus just arrived and thanks to Oli, I may even get some Schopenhaur and Epictetus in before I come out of hibernation. I think and hope, with some of the information generated, I have given you a glimpse of the fabulous things I have been involved … More Hibernation mode for awhile

My old concept of the patient’s chart, multiple pages of paper faxed, typed up, hand written notes bulging the manila casing to a max, stacked in multiple layered shelves stare at me constantly as I sit at my office desk. Eighteen years of practice easily encased and stored as a constant reminder that at this … More Who’s chart is it? What can it do?

I very much appreciate your well written article “The value in saying no to MU”.http://www.medicalpracticeinsider.com/news/value-saying-no-mu-attestation  I have found taking this path to be quite difficult, and thought of repercussions of my action, both pro and con, but had to do what I thought was best for my patient.  The decision if distilled down to its … More A thank you to Madelyn Kearns

It is going to cost me some money, buying a TV and wall mount.  I can’t hang the darn thing on the wall, don’t really have the space. Is the Chromebook even a good idea, I already have a desktop in every exam room or have an I pad for point of contact care. The … More Why should I even bother with #ProjectedEHR in office

The #HCLDR tweetchat was wild and furious, but being a newbie, found Colin’s blog “Are well designed health care apps just wishful thinking” immensely helpful. By reading his blog before hand and writing down on paper the T1-4 topics, I felt confident to participate.  The tweetchat was a bit like trying to keep up with … More Thanks Colin for the blog on #HCLDR