Wednesday, November 26, 2008
SWEET!!!!
You ever heard the words Be Sweet , well in the South it can be tea or a goodbye, Be Sweet Ya'll! Dot a nice lady who I have known for over 20 years always tells me to be sweet when she leaves me but I never took it to heart. But now in this part of my existence I try everyday to make someone else feel like sugar because of Dot! Somedays it maybe only my dog but I try as hard as I can. Well today I left two young ladies at a nursing home who try each and everyday to make those folks existence something special and to them I say "you be sweet " as a compliment to their work! TIP OF THE DAY:Enjoy Fall color because it is as fleeting as youth!
Scramble
In golf there is an event called a scramble where you are usually playing for a charity with 4 friends and its a great afternoon. Basically you all come together as one, all four hit a tee shot than you take the best one and play again in the same format. The key is when you arrive at the putting green there will be 4 putts to make the 1 shot for birdie. Now is when the fun starts all four people look and listen and plan how they will play the shot but it as one . When you make the putt it is exhilarating and you feel satisfaction for both the player who made it and yourself. This is the feeling I want you personally and our country as a whole to strive for every day, believe me it is attainable when you help just one person you have "networked" your day to success. At this Turkey Day time of the year gobble a little louder for a friend or colleague.! The Movie Doc. TIP OF THE DAY: Nap this weekend its good for the soul!
Tuesday, November 25, 2008
Zollinger National Healthcare Proposal
1.Catastrophic $ umbrella{30 ,000$}2.HSA. Health savings accounts, that roll over with business matching funds3.Quality plans and best practices requirements4. Preventive plans starting early in schools and business{ will require generations] 5. Centers of excellence to minimize duplication of services ie. transplantation 6.Tort reform, this covers duplication of testing and the CYA practice of medicine 7.Immigration reform, state medicaid and tax base over stressed by "free" care/ERs 8.Solutions start at state level rather than federal 9.Deal with 3rd party payers and drug companies."If patient competes for best product at lowest price" costs will come down 10. Drug costs , compare to rest of world. R&D is not sole cost of USA, generics and substitutes. 11.Patient has to be educated CONSUMER. Would you give 20K and tell buyer to get you Chevy and he brings a pink 18 wheeler would you accept this. Well thats health insurance! 12.Brain drain issue, young folks are not choosing medicine , when they do its driven by life style issues. 13. Industries where technical people are highest wage earners do not exist, except in medicine. Too many chiefs and not enough indians or just leaders that others will follow and listen to. 14. The future will include rationing and have a tiered system I believe, higher taxes. 15. This is most important ! The IT penetration is horrible, we need EMR, in many places there are still PAPER trails hard to believe in some ways your own house is farther ahead of the technological curve than your hospital and Doctors office. This is a start.The Movie Doc TIP OF THE DAY: Hard water is good for osteoporosis due to mineral content.
Thursday, November 20, 2008
Blessing
The baby of the family, last child to come along can be a generational blessing. Like a southern snow storm you never know when or what you will get but it can be big or small. Forrest's Mom had it right! The best thing I have found beyond keeping you younger is that every child is unique and while some parenting rules are good to follow most require a halftime readjustment to be successful. I am frequently amazed to see the little things that you have no idea where they came from like artistic ability and musical skills but most scarifying and I know thats not a word, is the pieces of yourself that are on display each and every day. It is for this reason that I offer this blessing this time of year and that is God bless you Mom and Dad how in heck did you put up with me all those years..............the answer is easy absolute LOVE ! Thanks. The Movie Doc. TIP FOR THE DAY: To properly wash your hands its time not soap, so sing Happy Birthday twice while you wash and you will be spick an span!
Wednesday, November 19, 2008
Braindrain
Several years ago likely about 5 I predicted a massive brain drain on American medicine . Well it seems now it is coming to pass, you see all the news about family practitioners leaving the field with 99% dissatisfaction. The next generation has specific lifestyle goals and lowered expectations for success that send them toward different career paths. I find it interesting that it is reported these folks are choosing specialties because of higher pay while in the specialties there are decreasing numbers of qualified or interested candidates. The point here is the workforce is changing wether we like it or not and the consumer better learn to be a better purchaser of healthcare if he wants to survive both financially and physically! I think over time the specialties will prosper in the larger referral centers and the era of small community hospitals will pass. Preventive programs will be key to employers and their survival in the future,these include nutritional, genetic,exercise and importantly mental health. I do believe third part payers will have to go away or evolve and as with all our expenses we will have to be prudent shoppers. The Movie Doc
Dad
This week I read an article in GolfWorld a good read if you like the sport. In it there is a well written article about the evening Davis Love III 's Father who perished along with three other gentlemen in a small plane crash in Jacksonville, Florida. For me it gave me pause to appreciate the value of family, community and the human spirit especially at this time of year. My point is this as the baby boomers start to take care of their parents final days and years it can be a frustrating time and a difficult right of passage. Remembering that for many of us that by the time you figure out how to manage these different situations they are gone! There is no text book , no right or wrong way to do things. Let me just say this ENJOY those days and minutes for they are fleeting . As time passes I remember my parents at some time everyday but I miss those small moments as they aged , be kind as you see your future in their eyes! Movie Doc TIP OF THE DAY: Hug your kids and animals it lowers blood pressure!
Tuesday, November 18, 2008
Phones
Have you noticed how phones have changed, you have a cell, no booths, voice mail is already outdated, land line sounds like a weapon, kids do not speak on them,chat rooms are now text, caller ID is do not answer and we shall see, text and I will respond, 911 is used as gps, coming are voice activated responses to text messages that are returned in text form ......... Whooo nelly isn't that speaking , which requires personal interaction! I believe that the era of more and bigger is less and that those of us who understand service and personal touch will succeed again only larger with this new generation as they will crave those relationships. To me the best IT in the future is YOU. TheMovieDoc. TIP FOR THE DAY: 2 beers a day increases your HDL/ good cholesterol!
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