The Paradocs Podcast with Eric Larson

Latest Episodes:

Episode 027: The Opioid Crisis and Who's to Blame with Dr. Howard Grattan Nov 08, 2018

Show notes

The opioid crisis has been in the news for a few years now and those to blame for it are many. Is it pharmaceutical companies who made easy to prescribe formulations of powerful pain killers? Is it physicians for over prescribing pain medicine for simple aches and pains? How about federal guidelines that encouraged the over treatment of pain? Or the creation of the fifth vital sign in the late 90's that treated pain as important as heart rate.

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Episode 026: Making Social Media Work for Docs with Dr. Corriel Nov 01, 2018

Show notes

Social media is ubiquitous in our lives and doctors have a less than average presence within that sphere. The reasons are many but probably partly related to concerns about medical liability, their employers, and reputations as physicians. Dr. Dana Corriel set out to change that. She created the #SoMeDocs which encourages physicians to engage the world more and bring their unique perspectives to patients and the public through the use of social media.

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Episode 025: Two Doctors Grieving the Death of their Son with Dr. Marcy Larson Oct 21, 2018

Show notes

Our discussion hopefully offers some insight into grief while being sincere with brief moments of humor. What to expect, what is comforting, what is not helpful, and how it has changed our lives. Specifically, we discuss the process of forgiveness, grace, and practical things you can do to help your family members or friends in dealing with the grief. My hope is that this episode will be a comfort or helpful for those in the grieving process or those helping a loved one go through the process.

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Episode 024: Are HMOs the Past and Present Too? A Discussion with Dr. Richard Reece. Oct 10, 2018

Show notes

Sometimes, the best way to understand your present is to view it through the lens of the past. HMOs (Health Maintenance Organizations) were a product of the 70's and exploded onto the scene in the early 80s. Specifically, he recounts the 'industrialization' of health care delivery where a cottage business of caring for the sick transformed into the business it is today run by large corporations.

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Episode 023: How HIPAA Destroyed Patient Privacy with Twila Brase, RN Oct 03, 2018

Show notes

HIPAA (or the Health Information Portability and Accountability Act) passed in 1996 and has been touted by legislators, physicians, patients, and health industry leaders as a law that protects patient medical data privacy. It turns out, as with the names of many laws that pass in Congress, the act does the exact opposite as what you might guess. The act allows for over 2.2 million entities in the US to trade, disperse, and sell your personal medical data without your consent.

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Episode 022: Are Hospitals Really Non-Profits? A Discussion with Dr. Craig Wax Sep 26, 2018

Show notes

Did you know that most hospitals (or hospital systems) enjoy a non-profit tax status? Despite revenues in the billions of dollars these entities operate within your city or community with a tax exempt status including all the medical offices, laboratories, imaging centers, and billing offices that they build and purchase. Does this give them an unfair competitive advantage over for profit imaging centers, laboratories, or physician private practices?

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Episode 021: Casualties in Public Reporting for Health Care with Dr. Anish Koka Sep 19, 2018

Show notes

Few are aware of the practice of public reporting for health care and on its face, it seems to be an obvious goal for policymakers. However, comparing health care systems, hospitals, or individual physicians is incredibly complex and probably impossible to do in any sort of meaningful way. Traditionally, patients relied upon local knowledge with their primary care physician to refer to the best few specialists.

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Episode 020: State of MOC Update with Dr. Meg Edison Sep 13, 2018

Show notes

Maintenance of Certification (MOC) continues to weigh down physicians encouraging early retirement, burnout, and financial strains leading to all sorts of other personal and professional problems. The private specialty boards (ABIM, ABA, ABP, etc) are under the auspices of the ABMS which sets many of the rules that are ruining physicians' lives.

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Episode 019: The Big CON. Certificate of Need Laws Are Killing Competition. Dr. Gejendra Singh is taking them on in court. Sep 05, 2018

Show notes

Certificate of Need (CON) laws are commonplace in the United States and affect every patient and physician who lives in one of the 36 states which have them in place. The laws stipulate that you need permission from one a government regulatory board proving a need in your community to open a competitive health care service like ORs, laboratories, imaging centers, or hospitals.

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Episode 018: Your Papers Please. Digitizing our Credentials with Dr. Leah Houston. Aug 08, 2018

Show notes

Everyone knows that one of your most important assets is your identity. Without that you will have difficulty getting anything accomplished. Most importantly, whoever holds the key to your identity will wield the ultimate power. Thankfully, today's digitized world and the emergence of block chains for public accounting and private security is bringing us to a place where you can store this information in a decentralized space allowing the individual to have the power.

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