Expansion of the Medicaid rolls under the Affordable Care Act has caused
more than one state to look at ways to cut healthcare spending. In
Washington State, the result has been a clash between physician groups
and state health agencies that could to be a sign of battles to come.
Randy Jotte is ready for a challenge. An emergency physician at
Barnes-Jewish Hospital and an associate professor at Washington
University School of Medicine in St. Louis, Jotte is competing for
Missouri’s vacated 2nd Congressional seat.
When Broadway composer Jonathan Larson collapsed the night before the opening of his magnum opus, Rent, it set in motion a series of errors and unfortunate ED encounters. The result was a multi-million dollar lawsuit and many lessons learned the hard way.
An Excerpt from Chapter 4 of Bouncebacks! Medical and Legal
What would you do? A new book dissects “bouncebacks” in the emergency department, turning nightmare ED scenarios into Holmesian teaching cases.
John McGoff, MD, is an emergency physician from Indiana who has spent
his career running a community emergency department, serving in the Air
Force National Guard, and serving in a variety of civic leadership
posts. In 2008, McGoff – frustrated by the poor leadership in his
district – attempted the Herculean task of unseating a 13-term
congressman from his own republican party.
Physicians are now receiving nearly $200 million in payments as a result
of a record-breaking settlement reached last January in a historic
court challenge led by the American Medical Association against
UnitedHealth Group. Under the settlement’s terms, UnitedHealth is paying
$350 million to help compensate patients and physicians for 15 years of
artificially low payments for out-of-network services.
The FDA-approved drug dabigatran is being marketed as a safe alternative
to Coumadin. But without a proven reversal agent available, it has the
potential to create a new set of complications, and send unsuspecting
patients right back to the ED.
I didn’t know what to expect. I was excited, curious, but also somewhat
apprehensive about being a woman in Saudi Arabia. The reason for my
visit was the ‘2nd Up to Date Emergency Medicine Practice’ conference,
sponsored by the King Fahad Medical City in Riyadh.
The emergency department (ED) is not an ideal place for patients with
depression to seek help. Waiting times, busy staff, and a greater
likelihood of a fleeting interaction with a physician coincide with the
reality that many emergency physicians do not receive training for
In a recent emergency medicine listserv exchange several posters
commented on the widespread abuse of emergency physicians made possible
by their lack of due process “rights.” Perfectly innocent emergency
physicians, nay even model citizens it was alleged, had been terminated
on the spot purely on the whim of some grumpy hospital administrator
with not a word of protest from the contract management group.