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re: More on Mike Maggio (geauxjudge)
Posted on 3/12/14 at 10:09 pm to Arkla Missy
Posted on 3/12/14 at 10:09 pm to Arkla Missy
quote:
who stays in their seat waiting for the doctor to come in?
Normal people. That's why you ask questions when he comes in. Might as well follow him to the computer...or hell google it yourself.
If your doctor relies on google then it's time to cut ties.
2
Posted on 3/12/14 at 10:17 pm to au21tigers
If your doctor doesn't use the amazing knowledge available in the internet then it's probably time to cut ties.
Either that or make sure your will is current.
Either that or make sure your will is current.
Posted on 3/12/14 at 10:22 pm to au21tigers
"they ask me to sit down? who is they, the people I'm paying?
quit being "nosy"? really, you are actually stating that? how young, naive are you? someone or some program has obviously been sustaining your existence and you either don't have kids, or they are still VERY young,.
if he's "gogglin", I should find another one? ok,, so you want to stick with those that were taught something and too hard headed to change their thinking or consult other people or sources, go right ahead.
and why would I want another one, I spent too many nights with him on the fraternity house couches sleeping off our misguided youth, about 45 years ago. I have a lot invested in my brother. Also, he is a graduate of LSU Med School, what else is there? (wink to DocHog)
Here's the deal, geubert, I said it tongue in cheek, and I didn't say it to you.
don't you need to get back to your down voting, don't want you to fall behind,, then you'd have to call your "boi".
quit being "nosy"? really, you are actually stating that? how young, naive are you? someone or some program has obviously been sustaining your existence and you either don't have kids, or they are still VERY young,.
if he's "gogglin", I should find another one? ok,, so you want to stick with those that were taught something and too hard headed to change their thinking or consult other people or sources, go right ahead.
and why would I want another one, I spent too many nights with him on the fraternity house couches sleeping off our misguided youth, about 45 years ago. I have a lot invested in my brother. Also, he is a graduate of LSU Med School, what else is there? (wink to DocHog)
Here's the deal, geubert, I said it tongue in cheek, and I didn't say it to you.
don't you need to get back to your down voting, don't want you to fall behind,, then you'd have to call your "boi".
Posted on 3/12/14 at 10:34 pm to au21tigers
Nah, normal people get up & wander around looking for new magazines, studying anatomical charts, & playing with the doc's office skeleton model.
My doctor googles in front of me on the desktops in the exam rooms. I ask tons of questions & if he doesn't know something, he just says, "lemme look it up real quick." Actually, he uses a website for physicians only, like any good doctor these days.
au21, why are you down voting every post on this board except for other fans AND YOURS? (with the exception of OG, of course)
My doctor googles in front of me on the desktops in the exam rooms. I ask tons of questions & if he doesn't know something, he just says, "lemme look it up real quick." Actually, he uses a website for physicians only, like any good doctor these days.
au21, why are you down voting every post on this board except for other fans AND YOURS? (with the exception of OG, of course)
This post was edited on 3/12/14 at 10:54 pm
Posted on 3/13/14 at 4:06 am to Arkla Missy
quote:
au21, why are you down voting every post on this board except for other fans AND YOURS? (with the exception of OG, of course)
I was wondering the same thing.
Posted on 3/13/14 at 9:06 am to Porky
Many of us are now on EMRs. I leave the room to input data into the damned computer. I think it is rude to bring a laptop into the exam room; your time with me is face to face
At times, I will look something up, but I tell the pt I'm doing that and bring the computer in the room and show the pt what I found.
At times, folks will come in with pretty goofy things they have found on the web. I'll let them search on my computer so we can see where they found the silliness and hopefully teach then how to "filter" what they've read.
EMRs have really been a disruptive intrusion into the way we take care of pts. And there is no data that supports that care is better for pts.
We know it is more expensive, increases doc frustration, and allows third parties to data-mine your charts(not a good thing usually ,) but that's about it
At times, I will look something up, but I tell the pt I'm doing that and bring the computer in the room and show the pt what I found.
At times, folks will come in with pretty goofy things they have found on the web. I'll let them search on my computer so we can see where they found the silliness and hopefully teach then how to "filter" what they've read.
EMRs have really been a disruptive intrusion into the way we take care of pts. And there is no data that supports that care is better for pts.
We know it is more expensive, increases doc frustration, and allows third parties to data-mine your charts(not a good thing usually ,) but that's about it
Posted on 3/13/14 at 9:46 am to DocHog
EMR is far faster than paper charts, reduces overall required staffing (increased efficiency), consumes less office space...
but so many clinics don't have the right EMR software for their practice, don't have proper equipment to run it, don't have proper training for themselves or their staff, and often don't fully embrace the system itself. Its no surprise either. It was such a fast, significant change to the way things are done, and much of it not by choice.
Hospitals have the same issues just on a larger scale.
That said, people have to figure out that just because they found something online that fits what they were looking for doesn't mean it applies to them, that the information is correct, or that they were even looking for the right thing. Actual doctor > yahoo answers.
but so many clinics don't have the right EMR software for their practice, don't have proper equipment to run it, don't have proper training for themselves or their staff, and often don't fully embrace the system itself. Its no surprise either. It was such a fast, significant change to the way things are done, and much of it not by choice.
Hospitals have the same issues just on a larger scale.
That said, people have to figure out that just because they found something online that fits what they were looking for doesn't mean it applies to them, that the information is correct, or that they were even looking for the right thing. Actual doctor > yahoo answers.
Posted on 3/13/14 at 10:10 am to Ole Geauxt
quote:
when my doctor steps out of the room during my appts, I peek out the door into his office. it always rattles me to see him on the computer, probly gogglin' something, before he comes back in!!
Jerry Seinfeld has an old joke about how doctors' offices are really just for them to escape and say things like "WTF was that!? That was gross."
Posted on 3/13/14 at 11:11 am to Russvegas Dan
quote:
More on Mike Maggio (geauxjudge) EMR is far faster than paper charts, reduces overall required staffing (increased efficiency), consumes less office space... but so many clinics don't have the right EMR software for their practice, don't have proper equipment to run it, don't have proper training for themselves or their staff, and often don't fully embrace the system itself. Its no surprise either. Is.
If you are a practicing physician, I'd be very surprised.
I don't care to have a spat, so I'll merely state that I disagree with much of what you wrote. As do many docs across the country.
And none of the caveats you mentioned apply to me or my practice, or the MD network I help manage, or the surgery center that I helped start, or the billing company I'm associated with.
It is what it is. We aren't going back. But it has been a very mixed bag; much of it dangerous for patient care as we transition
Posted on 3/13/14 at 11:14 am to DocHog
quote:
my practice
Why do you guys call it practice?
Do you you not ever get good enough to go pro?
"Sorry about leaving a utensil in you after surgery, but its just practice for me."
Posted on 3/13/14 at 11:55 am to DaleDenton
Posted on 3/13/14 at 11:58 am to Litigator
quote:
Litigator
I have a feeling you are in the law profession?
Have you ever told a client who just lost their case, "Hey, man, sorry about that. I want you to know I'm getting better at this and think we could win next time"?
I would. "Sorry you are going to prison for 5-10, but damn it I'm getting better at this".
Posted on 3/13/14 at 12:02 pm to DaleDenton
We get it, you are jelly of the legal and medical professions. Let it flow bro, let it flow.
Posted on 3/13/14 at 12:13 pm to Litigator
Prayer can solve many a thing, Lawyers and Doctors... Not so much!
J/K!
J/K!
Posted on 3/13/14 at 12:16 pm to Razorback Reverend
quote:
Prayer can solve many a thing, Lawyers and Doctors... Not so much!
I don't know why you pay someone to do what google can do for free.
Posted on 3/13/14 at 12:20 pm to DaleDenton
good lawyers know the law, great lawyers know the judge
Posted on 3/13/14 at 12:50 pm to DocHog
I'm not a physician but I am a clinical professional in radonc. EMR is indispensable in this field. I can't comment how it works for any other field. I wouldn't be surprised if it's unnecessary in some settings.
Radonc is just so technical that we couldn't get by without EMR.
edit: Radonc obviously worked fine before EMR, but the game has changed tremendously in the last 10 years and it's just not feasible now. We're handling many, many orders of magnitude more information than we did just 10 years ago. Treatments used to be planned using one or two films of the patient and a few calculations on a handheld calculator. Now we use CT, MRI, PET, and three-dimensional patient modeling software that performs billions of calculations for a single treatment plan.
edit: what a fricking derail
Radonc is just so technical that we couldn't get by without EMR.
edit: Radonc obviously worked fine before EMR, but the game has changed tremendously in the last 10 years and it's just not feasible now. We're handling many, many orders of magnitude more information than we did just 10 years ago. Treatments used to be planned using one or two films of the patient and a few calculations on a handheld calculator. Now we use CT, MRI, PET, and three-dimensional patient modeling software that performs billions of calculations for a single treatment plan.
edit: what a fricking derail
This post was edited on 3/13/14 at 1:31 pm
Posted on 3/13/14 at 1:43 pm to Litigator
Excellent doctors, attorneys, ministers, and hair stylists are necessities of life.
I kind of hate EMRs. I get what the advantages are supposed to be, but it annoys the shite out of me for my docs to be screwing around on the computers, concentrating on data entry or looking up my history instead of looking at & concentrating on me, so they don't do any keying in of data when I go in for an appointment. They do it the old fashioned way - with pen & chart - at least until I leave; then I guess they plug everything into it.
My doctors don't use laptops; there are desktops in each exam room that they log into for each patient. I was kinda joking about their "googling" but they do look up info about meds on the exam room computers when I ask, which I appreciate greatly. I wasn't joking at all about reading my charts or wandering around the exam room playing with my docs' "toys," though. Anything to keep me amused when the docs are running behind because of those damn EMRs.
Eta - I'm speaking strictly as a patient regarding EMRs, and we overwhelmingly hate them.
I kind of hate EMRs. I get what the advantages are supposed to be, but it annoys the shite out of me for my docs to be screwing around on the computers, concentrating on data entry or looking up my history instead of looking at & concentrating on me, so they don't do any keying in of data when I go in for an appointment. They do it the old fashioned way - with pen & chart - at least until I leave; then I guess they plug everything into it.
My doctors don't use laptops; there are desktops in each exam room that they log into for each patient. I was kinda joking about their "googling" but they do look up info about meds on the exam room computers when I ask, which I appreciate greatly. I wasn't joking at all about reading my charts or wandering around the exam room playing with my docs' "toys," though. Anything to keep me amused when the docs are running behind because of those damn EMRs.
Eta - I'm speaking strictly as a patient regarding EMRs, and we overwhelmingly hate them.
This post was edited on 3/13/14 at 1:45 pm
Posted on 3/13/14 at 1:51 pm to Arkla Missy
I'm trusting a surgeon with one of my owns life, right now. I don't care what type of computer he uses, what kind of Google, I have to trust him. I hope he's studied and consulted everything and everybody that he can.
Posted on 3/13/14 at 2:11 pm to Ole Geauxt
I'm sure everything will be just fine, OG. Your son's doctor is one of the best in the area, right? And I'm certain he's extremely experienced, skilled, & knowledgable. Much easier said than done, but try not to worry & leave it in God's & the doc's hands. Thoughts & prayers are most definitely with you & your son right right now.
This post was edited on 3/13/14 at 2:13 pm
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