Friday, February 11, 2011
Thursday, February 10, 2011
A good reason for Heard health
We had another snow filled afternoon here in Tennessee, and given a light patient load, and sled some fun was in the making. Hubby and I had to check and feed the cattle at Diamond M Farms and since our babysitter was sick (aka my Mom "Gigi" who lives with us) we loaded up the kids and off we went.
Sledding, snowball fights, time with family friends and the loss of Ella's glasses rounded out the afternoon. But a picture is worth a thousand words, see my 2 year old eating snow. This is a prime reason that his Daddy spends so much time monitoring the health and immunization status of our cattle. He never knows when his doctor wife will get the bright idea to sled in the cow pasture, probably ruining some of his precious forage, and by so doing let the two year old eat snow from said pasture.
Agriculture impact can be found everywhere. Even in a two year olds handful of snow.
Sledding, snowball fights, time with family friends and the loss of Ella's glasses rounded out the afternoon. But a picture is worth a thousand words, see my 2 year old eating snow. This is a prime reason that his Daddy spends so much time monitoring the health and immunization status of our cattle. He never knows when his doctor wife will get the bright idea to sled in the cow pasture, probably ruining some of his precious forage, and by so doing let the two year old eat snow from said pasture.
Agriculture impact can be found everywhere. Even in a two year olds handful of snow.
Published with Blogger-droid v1.6.7
Thursday, February 3, 2011
Proposed TN care cuts - good or bad?
The new government in our state is facing tough issues in regards to our health care Medicaid program. I know that we are not alone in this plight and hope that some changes could be for the better. But I am deeply concerned when they plan on limited number of MD visits, little to no Physical Therapy, no hospice care, etc.
It seems like this is overkill in many places. Not all patients on TNcare are over using the system. As a working doctor in upper rural TN I already deal with treating multiple chronic diseases with only five scripts for medicine a month, with a few exceptions, and it takes my nurses an extra 20-40 minutes per prior authorization that we need.
Could we not make sensible changes instead of saying no MRI or limited visits, let's set up a copay system for these patients. This would cut down on unnecessary office visits and ED visits as well. I would even allow for a refund of fees if there were an emergency.
As a provider it seems to me that some not all of the Medicaid patients have no responsiblity to their end of their treatments.
How can we as a society fix healthcare cost without addressing this fundamental flaw?
So while I applaud the efforts for reform, further tieing my hands as a provider will only lead to trouble and more work with less time for actual patient care.
It seems like this is overkill in many places. Not all patients on TNcare are over using the system. As a working doctor in upper rural TN I already deal with treating multiple chronic diseases with only five scripts for medicine a month, with a few exceptions, and it takes my nurses an extra 20-40 minutes per prior authorization that we need.
Could we not make sensible changes instead of saying no MRI or limited visits, let's set up a copay system for these patients. This would cut down on unnecessary office visits and ED visits as well. I would even allow for a refund of fees if there were an emergency.
As a provider it seems to me that some not all of the Medicaid patients have no responsiblity to their end of their treatments.
How can we as a society fix healthcare cost without addressing this fundamental flaw?
So while I applaud the efforts for reform, further tieing my hands as a provider will only lead to trouble and more work with less time for actual patient care.
Published with Blogger-droid v1.6.6
Tuesday, February 1, 2011
Working Mom
But at the moment I have a few minutes while my kids are at music class to think and write. Just got a hug from nephew as Aunt Amy stopped by class.
And what I am thinking is I am glad that this rain and not snow. And I am glad that our cows can get in from the weather. This week I had to help work on an abcess of a calf. My husband still thinks I am a vet. And that I wish I had an iPad to work with... silly thoughts
Published with Blogger-droid v1.6.6
Subscribe to:
Posts (Atom)