NEW LONDON, N.H.-Holding manila folders filled with pages of her handwritten reports, Dr. Anna Konopka insisted her system for keeping track of her patients´ medical conditions and various prescriptions works fine. But the New Hampshire Board of Medicine disagrees. It is challenging the 84-year-old New London physician´s record keeping, prescribing practices and medical decision making. Part of their concern is her remedial computer skills, which prevent her from accessing and using the state´s mandatory electronic drug monitoring program. The program, which the state signed onto in 2014, requires prescribers of opioids to register in an effort reduce overdoses. Konopka surrendered
The problem isn´t actually using the computers. The problem is that Medicare has mandated that we have to use computers to enter orders(thereby reducing physicians to become secretaries). Orders that used to take me less than one minute to write out now take 15 minutes minimum. We don´t get any extra money for doing this by-the-way. Not only that, we have to enter a bunch of useless "quality" measures for each patient otherwise we get a payment reduction.
In this doctor´s case, it is her patients who will lose.
#3, more importantly, the government does not have access to every detail of her patient´s medical record. That is important, how can the government control people if they do not know everything about them?
Part of the issue, though, is patients who doctor-hop in order to get access pain killers. A computerized database let´s a doctor know how much has been prescribed. If she keeps her records to herself, then she can be contributing to the problem because no doctor will ever know if she gave their patients prescription pain killers.
That’s an issue directly because of ignorant- assembly line doctors. Any doctor worth their salt would see the patient suffering from opioid addiction as soon as they came in. And NO doctor should be prescribing opioids for long term anyway because it points to a larger problem that they’re just trying to medicate away or get the regular $100 insurance copay for a 5 minute visit.
Doctor I used for 15 years decided to retire rather than digitize. He knew how to do it. But it was just too much work. My new doc when she takes my BP or temp immediately enters it into a wireless laptop. Surprised she doesn´t use her cell phone.
#9, the pharmacies know, the doctor doesn´t have to. In my line of work, I have to read treating medical records, and it´s of late it´s clear that the doctors´ reports are the result of just ticking off boxes on an iPad. (Yesterday I was reading the reports of a doctor who was treating someone for an infection and on four consecutive visits, all within a week, the doctor´s report said "counseled the patient on the importance of wearing a seatbelt." Sheesh.) Have you all noticed how your doctor hardly looks at you at all any more (´cause he or she is staring at his or her computer)? Not good medicine.
It appears the national anthem protest has trickled down to college basketball. Two of the four college basketball teams that participated in the Champions Classic in Chicago on Tuesday night participated in a national anthem demonstration before their game. (Video) While nobody took a knee, the players on each team wore t-shirts in an apparent demonstration in pre-game warm-ups and during the playing of the national anthem. Duke wore t-shirts with “Equality” written across the front whereas the players on Michigan State wore ones with the words, “We Talk We Listen.” The Blue Devils have been wearing the
President Trump suggested Wednesday that three UCLA players accused of shoplifting in China owed him public thanks after their release from confinement and return home. “Do you think the three UCLA Basketball Players will say thank you President Trump? They were headed for 10 years in jail!” the president tweeted early Wednesday, hours after he returned from a 12-day Asia trip. Trump said Tuesday that he had spoken to Chinese President Xi Jinping about the three athletes, who were taken into custody while in Hangzhou for a game against Georgia Tech. Their teammates left China after the game, but freshmen
People magazine named Blake Shelton its Sexiest Man Alive for 2017 on Tuesday, but it took some convincing by his girlfriend Gwen Stefani to get her guy on board. The country music superstar and coach on NBC´s "The Voice" hates being the center of attention, the magazine said. "She goes, ´Listen to me,´" recalled the 6-foot-5, Oklahoma-bred Shelton. "´You´re going to regret this for the rest of your life if you don´t take this gift and just live in the moment.´ I´ve been ugly my whole life. If I can be sexy for a year, I´m taking it!´" Bonus for
The Pentagon has paid for an infantry soldier to undergo gender transition surgery after a federal judge blocked President Trump´s ban on transgender service members last month. The soldier, who identifies as a woman, became the first active-duty service member to receive such an operation paid for by the Defense Department when she went under the knife on Tuesday. Vice Admiral Raquel Bono, head of the Defense Health Agency, which provides medical care to active-duty personnel, approved the waiver request for the surgery Monday, defense officials told NBC News. (Photo) The patient is an Afghanistan veteran who earned a Combat Infantry
The Food and Drug Administration has approved a smart pill that digitally tracks whether it is being taken as scheduled. Abilify MyCite (aripiprazole) tablets are antipsychotics primarily used in the treatment of schizophrenia, bipolar disorder, and episodes of mania. It has also been used as a an “add-on treatment in major depressive disorder, tic disorders, and irritability associated with autism.” Representing nearly $7 billion dollars in drug sales, it is a widely used treatment for very serious long-term mental health issues. Unfortunately, those who need it most are also more likely not to take it. Studies show that treatment “non-adherence,”
If ever there were an election that proved the importance of accurate voter rolls, it was Virginia’s on Nov. 7. With control of the General Assembly hanging in the balance, at least three Democratic candidates demanded recounts of their Republican opponents’ razor-thin victory margins. One candidate led by 106 votes, another by 86, and a third led by only 10. Another five races were decided by fewer than 900 votes. The Democrats need to flip only two more seats to take control of the lower chamber. Every vote counts, and every name listed on a voter registration roll can be
The popular party game Cards Against Humanity said they have purchased a piece of property along the Mexican border and will use it to prevent President Trump’s proposed wall. The game announced a holiday promotion on Tuesday that gives players a map of the border location along with other gifts for $15. “We’ve purchased a plot of vacant land on the border and retained a law firm specializing in eminent domain to make it as time-consuming and expensive as possible for the wall to get built,” the company said. Along with an “illustrated map of the land,” the game makers
CNN continued its pattern of reporting ridiculous factoids about President Donald Trump on Thursday when the liberal news network gave over two minutes of airtime to a segment about the inside of a dog’s ear that looks like Trump’s face. The segment featured on “Erin Burnett OutFront” analyzed the inside of a dog’s ear in the U.K. which the network compared to Trump’s face. The banner displayed on the show read: "A dog named Chief has an ear that looks like Trump´s face." After tracking down Jade Robinson, the dog´s owner, CNN learned that the discovery was made when she
California Democrats could be in trouble in 2018, with the latest USC Dornsife/Los Angeles Times Poll finding registered voters’ top concerns are the traditionally Republican issues of high cost of living, jobs, taxes, and illegal immigrants. The USC poll found that the most important concerns for voters are the high cost of living, at 21.8 percent; followed by jobs, at 9.9 percent; taxes and fees, at 8.9 percent; and illegal immigration, at 6.9 percent. Traditionally Democrat social justice issues tended to be near the bottom of poll concerns, with racism at 1.9 percent; education at 1.4 percent; poverty at 1.2
Up until one week ago, the worst thing one could claim about Judge Roy Moore was that he stood for the Ten Commandments as a judge and ticked off the ACLU. While arguments exist constitutionally around that particular matter, Moore´s actions in doing so were certainly not indicative of a man with a weak character who would exploit young ladies. In fact, he stood for something and risked losing a political position. Another matter that put Moore´s political post at risk was his stance on marriage. Again, he didn´t go along to get along. He stood for what he believes
CTH has attempted to stay away from talking about the Alabama ‘clown show‘, all of it, since we made our position clear long before the primary run-off race. Play stupid games, win stupid prizes etc. My concern with the Alabama mess was a very simple MAGA issue: riding horses to polling stations does not establish a connection to the man or woman who hit the necessary alarm clock at 5:15am to pay the bills. Those are MAGA people. That’s the essence of the Trump coalition. The MAGA coalition I know has never been predisposed to racism, sexism, nativism, or any
Famed engineer Marc Isambard Brunel lost a bid to design the US Capitol Building in Washington, DC, 224 years ago. Now, his design has been revealed after being tucked away in a large album in the Brunel family archive for more than 150 years. The drawing is tipped to sell at the auction in London on Wednesday for $19,600 (£15,000). Brunel, who went on to design the Thames Tunnel in London and was the father of Isambard Kingdom Brunel, submitted his plans to a committee which was appointed to choose the design for the Capitol Hill building in 1793. His
Former Vice President Joseph R. Biden told an NBC audience Monday that he wouldn’t worry much about a potential 2020 matchup against President Trump because he’s “Middle-class Joe.” A hypothetical election showdown between Mr. Biden, 77, and Mr. Trump was laid before a “Megyn Kelly Today” audience to start the week when the former vice president said blue-collar voters “love” him more than the president. He said that while he is still unsure about future plans, his connection with middle-class voters is not in doubt. (Snip) “I understand the Rust Belt. Donald Trump has no notion what those people are
A woman on Monday alleged that Roy Moore, the Republican nominee for Senate in Alabama sexually assaulted her when she was a minor. Beverly Young Nelson said Moore groped her and tried to force her to perform oral sex when she was 16 and she worked at a restaurant that Moore frequented. In a statement, Nelson said that Moore attacked her in his car after offering her a ride home. According to Nelson, instead of driving her home, Moore parked in a lot behind the restaurant. "Mr. Moore began groping me, putting his hands on my breasts. I tried fighting him off, while yelling
Monday on CNBC, former Gov. Jeb Bush (R-FL) said due to the sexual misconduct accusations leveled against former Alabama Supreme Court Chief Justice Roy Moore, he should step aside in his campaign for the U.S. Senate. Bush said, “This is not a question of innocence or guilt like in a criminal proceeding, this is a question of what’s right and what’s wrong. Acknowledging that you’re dating teenagers when you’re 32-years old as assistant state attorney is wrong. It’s just plain wrong.” He added, “We need to stand for basic principles, and decency has to be one of those.
Chelsea Clinton opted for classic black to take the stage at Glamour magazine´s Women of the Year Live Summit, and when it came to choosing heels to match her outfit, she turned to her favorite pair of damaged nude pumps. The 37-year-old, who was named Glamour Woman of the Year in 2014, donned a simple, yet elegant A-line dress featuring scallop detailing on the bodice and hem for the event that was held at the Brooklyn Museum on Monday. Chelsea accessorized her look with a delicate gold necklace and her favorite patent leather pumps, which looked incredibly torn up after
Republican Sen. Jeff Flake says he would rather see a Democrat win Alabama’s open Senate seat than accused teen groper Roy Moore — and compared the GOP candidate to former Ku Klux Klan leader David Duke. “If the choice is between Roy Moore and a Democrat, if I were in Alabama I’d vote for the Democrat,” the Arizona senator?, who recently announced he would not seek reelection,? said Monday. “There was a time when Republican senators would go and campaign for a Democrat rather than seat a Republican who would be so repugnant to the party and would diminish the party’s chances
Republican Sen. Lindsey Graham (S.C.) said on Friday that if the allegations against Alabama candidate for U.S. Senate Roy Moore are true, he should step aside, and “should be dealt with severely.” But Graham not only hasn’t called for Democrat Sen. Bob Menendez (N.J.), accused of having sex with underage prostitutes, to step aside — he also went to New Jersey on his own dime two weeks ago to testify as a character witness in Menendez’s corruption trial, telling the judge that Menendez is “very honest” and “honorable.” The Washington Post published a story on Thursday quoting a woman named
Known for his insightful take on politics, journalist and author Thomas Wictor believes Judge Roy Moore’s signature in Gloria Allred accuser Beverly Young Nelson’s yearbook is a forgery. (Photo) The sevens in 1977 to the right of “Christmas,” are very different from the sevens in the date (12-22-77) above “Old Hickory House.” “Look at the two versions of the number “7,” tweeted Wictor. “”12-22-77” and “Olde Hickory House” were written by a different person,” he added. Next, Wictor points out “the “R” and “y” in “Roy,”” are not written the same way. The inflection of the “Y” is more pronounced
In the past few weeks, I´ve been a woman of split personalities. On a good day, I´m elated — empowered and inspired by the many women who have courageously opened the floodgates to help end the shroud of silence and shame that surrounds victims of sexual assault and harassment. I shared my stories. I brought other women together to share theirs. We were giddy at the catharsis. It felt like a sea change. On a bad day, I´m despondent — devastated and angry that so many of the people who were rightly outraged over Harvey Weinstein and Kevin Spacey were utterly disbelieving
Sen. Cory Gardner, the chairman of the National Republican Senatorial Committee, said the Senate should vote to expel Roy Moore if the Alabama GOP Senate candidate wins the Dec. 12 election. "I believe the individuals speaking out against Roy Moore spoke with courage and truth, proving he is unfit to serve in the United States Senate and he should not run for office," Gardner wrote in a statement. "If he refuses to withdraw and wins, the Senate should vote to expel him, because he does not meet the ethical and moral requirements of the United States Senate." ORIGINAL STORY: Senate
On Monday, Keurig CEO Bob Gamgort issued a memorandum to employees denouncing his own company’s Twitter announcement that it had pulled advertising from Sean Hannity’s television program on Fox News. That advertising pullout came in the wake of an astroturfed campaign from Media Matters based on false allegations that Hannity expressed support for child molestation and had attacked sexual assault accusers. The pullout led to a massive backlash on Twitter, where Keurig owners began smashing their machines and announcing that they would boycott the company. Finally, Gamgort responded thusly: (Tweet) Gamgort acknowledged that normally they would “pause” advertising on a
Attorney General Jeff Sessions is said to be considering appointing a second special counsel to investigate issues related to former Democratic presidential nominee Hillary Clinton, former FBI Director James Comey, and the Obama administration. Sessions´ contemplation comes after the House Judiciary Chairman urged him to look into Comey´s handling of the FBI´s investigation into Clinton´s email use, the 2010 Uranium One deal, and the Clinton Foundation. Trump has repeatedly called Sessions a "weak" attorney general and pushed him to investigate Clinton and the Democrats as the FBI investigates Trump and his campaign for possible collusion with Moscow during the 2016
The ´socialist´ doctor charged with cracking Senator Rand Paul´s ribs in a crunching blindside tackle may have harbored a secret grudge against his GOP neighbor for spoiling his lakeside views and ´devaluing´ his home, DailyMail.com can reveal. Rene Boucher, 59, told Paul in the wake of the mauling that he hadn´t been able to sell his $740,000 house for ten years because the congressman´s trees were ´in the way´. It´s believed Boucher was referring to woodland at the back of Paul´s property that blocks the doctor´s views of the picturesque private lake that forms the centerpiece of their upscale gated