SOAP notes and 10 pt ROS – with a h/t @yejnes

Who developed the concept of 10pt ROS?  Can we have a formal shunning procedure and ban that person from the academy?

How should we define primary care?

I believe that most of my outpatient colleagues are closer to Dr. Baron’s model than the American Heritage primary care definition.

What should outpatient internists do?

So, in summary, I believe we should consider dividing outpatient internal medicine into two tracks – consultant and primary care.

Thoughts on documentation

Our strict documentation codes have no rational basis.  Only a bureaucracy could produce this paperwork travesty.

The hidden curriculum – not just in med schools

We have many defendants in the court of hidden curriculum.  Some of the defendants write comments on this blog.

My father – part 2

I saw him yesterday prior to flying home.  He is unfortunately confused, but remains comfortable.  The hospice team seems wonderful.

Palliative care, hospitalists and outpatient physicians

We admitted my 87-year-old father to the hospital last night.  He has what many physicians call the “dwindles”.

I like Don Berwick, but …

Will he make his decisions based upon analyzing pilot data or as Bob Wachter brilliantly wrote 2 years ago:

One more thought on weakness and confusion

I believe that the patient actually has two primary conditions – an increased anion gap acidosis and a respiratory alkalosis.

Sore throats – steroids and @medpedshosp

These articles do not include enough patients to really know about complications due to steroids masking worsening symptoms.