The Paradocs Podcast with Eric Larson

Latest Episodes:

Episode 037: A Rheumatologist Says No to the Joint Commission. Leaving the Third Party Pay System with Dr. Ellen McKnight. Feb 20, 2019

Show notes

I have spent a lot of time discussing innovative ways of delivering medical care on this show and it has primarily been based around primary care. However, those who are specialists who traditionally practiced using third party payors (Medicare, Medicaid, commercial) are also beginning to strike out on their own and switch to cash pay. The reason for this is that the cost of using insurance and the lack of access allows these specialists to find a market for the type of medicine they want to practice.

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Episode 036: Markets and Med Students with Dr. Beth Haynes Feb 14, 2019

Show notes

What is the difference between a first year medical student and a senior in college? A lot of debt and neither knows anything about medicine. Contrary to popular belief, medical students don't know the first thing about the health care system, how it is delivered in the United States, or what challenges face physicians in caring for their patients. So all of the popular opinions floating around in the general undergraduate student population are present upon their training.

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Episode 035: Changing the Emergency Room with Real Price Transparency. A Discussion with Dr. Christion Rice Feb 06, 2019

Show notes

For those who have encountered the health care system - the emergency room is the greatest mystery for charges. Although little of emergency care is truly emergency life threatening care (est. ~3%) the care is some of the most expensive in the hospital. Whether that it is imaging, laboratory, or professional services - patients and insurers are expected to pay the inflated costs. So how do we control costs and not break the bank for all of our patients when they are possibly at their most vulnerable?

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Episode 034: Is Direct Primary Care the Future of Medicine? A Discussion with Dr. Lee Gross of Docs 4 Patient Care Jan 29, 2019

Show notes

If there is one thing patients and doctors agree about when it comes to primary care it's that it isn't properly working for either one. Doctors have too little time to spend with patients, can only address one or two problems at a time, and spend most of the little face time they get staring at a computer screen than at their patient.

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Episode 033: Walking Away From It All. The FIRE Movement with Dr. Leif Dahleen Jan 22, 2019

Show notes

When it comes to working, we all have different goals on what to accomplish during our careers. However, almost everyone anticipates on retirement as the way they end their professional life. The FIRE movement is one which emphasizes achieving your financial independence and retirement at a younger than traditional age. With careful planning and goals in place at a young age, you can achieve the goal of financial independence with more time to control your life without worrying about financing living.

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Episode 032: Is Dead, Dead? Is Brain Death, Death? A Discussion With Dr. Alan Shewmon Jan 12, 2019

Show notes

One of the tasks assigned to physicians, and certainly not a task one thinks of when entering medical school, is to verify death. The first time you declare someone dead - for me, it was as a first year resident in the ICU - is a weird feeling because of the finality of it. As with anything you do as a physician for the first time there is some uncertainty that you aren't "messing up." But you don't need to be a doctor to declare someone dead because anyone can tell when someone or something is dead, right?

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Episode 031: Direct Primary Care for Pediatrics with Dr. Nitin Gupta Dec 11, 2018

Show notes

Direct Primary Care (DPC) is starting to gain some steam and popularity with established physicians, residents, and medical students. Patients are also beginning to learn about this alternative to traditional insurance based care. Instead of copays, deductibles, and limited visits and times with the physicians - DPC works as a monthly fee with unlimited access to the physician.

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Episode 030: The Epidemic of Physician Suicide with Dr. Pam Wible Dec 05, 2018

Show notes

Physician suicide is an epidemic. How else do you describe 400 physicians per year ending their own lives which is over twice the national average? Why do so many doctors feel that the only escape from their pain is suicide? How do we end this epidemic and begin to heal the healers?

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Episode 029: Overcharged - Why American Health Care is So Expensive with Prof. David Hyman Nov 21, 2018

Show notes

We can all agree - outside of a few overpaid pharma CEOs - that the American Health Care system is too expensive. In fact, one could argue that the system of delivering health care in America is designed to cost the most possible without any parts that can check its growth. If you were to try and design a more costly and inefficient system I dare say you would be unsuccessful.

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Episode 028: A Deep Dive Into Who Today's Doctors Are Nov 14, 2018

Show notes

Who is that man or woman in the white coat? What is he/she thinking as you are being examined or operated on? Is that physician burned out? Suicidal? Feeling optimistic about his/her profession? The future? There is a lot going on between the ears of that physician that isn't devoted to healing people. Today, I take a deep dive solo-style into the results of the comprehensive 2018 Survey of American Physicians by the Physician's Foundation.

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