At last, it’s Against Medical Advice…

…the show for the rest of us on the front lines of healthcare. We’re coming straight outta Studio Z and the first-ever LIVE AMA episode went off without a hitch. No one was more surprised than I, loyal Z-Pac.

This episode features an intro trailer and an opening monologue on Health 3.0, along with a piece on the HIMSS 2017 conference in Orlando, Dark Side Tonight with Doc Vader (doing medical news on such hot button topics as violence against nurses and, uh…man flu), and YOUR comments in a segment we call “Overtime.” Dr. Mike Sevilla already did a cool review of our first episode!

Please share widely, and hit us up if you are interested in sponsorship opportunities. The goal is nothing less than to be your voice and try to include all of the stakeholders in healthcare, so please give us feedback in the comments below!

And tune in next Sunday, 4p Pacific, 7p Eastern on Facebook for Episode 2!

Here’s the Facebook version, 140K views already…thank you Z-Pac!

4 Responses to “Making Medicine Great Again | Against Medical Advice 001”

  1. Epador

    This was interesting, but lots of Z and not lotsa others. I like the idea of what your ideals are and some goals, but here are a few notes:

    1) We don’t do Facebook. Its too partisan and intrusive.

    2) My Spouse, RN Tsuenami, was rather appalled at your skipping over the second to last comment by the nurse worried about the RN becoming extinct. It is a good thing you were not within reach, as a throat punch would have been the least of your worries at that point. Her death stare alone would melt Doc Vader’s mask. While this is a complex subject, and the RN who changes a bedpan is pretty much extinct already, we both remember when they weren’t endangered species.

    3) Making partisan shots at one side or the other in our currently polarized political situation is going to alienate at least ½ of your potential viewers/supporters; I know that as one raised on the Left Coast, this may seem a rather alien concept to you, but it is a concept you may need to embrace to reach a wide audience of medical professionals. Likewise, not all athenahealth users suffering under the inefficiencies of Jon Bush’s Streamlined upgrade would be so amused at you being all buddy buddy and then trashing everyone else at the convention. Another reason you should be glad RN Tsuenami did not have you within her reach.

    4) My vision of Healthcare in the US is tempered by a close up view of the US system from the 60’s and beyond, as well as participating in healthcare in hospitals and clinics in many countries in the Northern Hemisphere in first, second and third world environments. Your constructs of US HealthCare as 1.0, 2.0 and 3.0 may help simplify your arguments, but to hear you lump HealthCare 1.0 as a fee for service nightmare just erases the “pre-Medicare and Federal Employee Health Benefit programs” practice of medicine from history. Employer-based plans initially bloomed in 1940’s to dodge Federal wage controls. But they represented a small portion of patient health care. The greed that followed Medicare and the FEHBP, led to the abolition of Federal support for Medical School tuition in 1976, which led to doctors who otherwise would have had 10k in debt for 4 years of school to $150k, which led to more migration of doctors to highly reimbursed procedure based medicine, sacked the base of primary care physician support for our system, and is how we got to where we are today. When fee for service was directly between the physician and the patient, and charity was a common community activity for those unable to pay, healthcare was a different in a positive way compared to once third-parties intervened. Look at what and how St Jude’s does for Pediatric Cancer Care even today.

    Oh well, my battery is dying and there is no available power outlet. You’re spared more. Doc Epador Out.

    Reply
  2. DeAnn Marie Mullins

    Pharmacists are with you! Independent Community Pharmacists (front line care providers) are rising up and forming bottom up grassroots networks to provide enhanced pharmacy services through CPESN. CPESN pharmacies provide enhanced pharmacy services that go above and beyond conventional prescription dispensing and basic patient education. Enhanced services include interventions such as synchronization of a patient’s chronic medication fill dates, adherence monitoring and coaching, compliance packaging, and home delivery. We are part of the solution and we are rooting like maniacs for you…Thank you ZDOGG, we are excited to be working with you!

    Reply
    • ZDoggMD

      YES! This is what we’re talking about. Can’t wait for your conference DeAnn and thanks for the amazing work you do.

      Reply
  3. Barry P Chaiken, MD

    Doc,
    You do great work and have taken on a great cause, but putting down the likes of Dr. Phil, etc. takes away from your positive message. Clinicians are professionals and offering up negative comments takes away from the professional standing we all hold. I understand that it may not be fair that with this standing we are held to a higher standard, but responsibility comes with professionalism.

    As for the HIMSS conference, yes the floor was filled with technology focused on the wrong problems. But it is not their fault that they are focused improperly. This is due to perverse incentives that get these companies and the provider organizations to focus on the wrong things, revenue rather clinical outcomes.

    For more than 2 decades I worked as the clinical lead for HIT organizations. As a public health trained doctor, someone taught about quality by Heather Palmer, MB at Harvard back in the 1980s, I have used quality of care as the driving idea on how I looked at using technology. I tried to share this vision internally in these vendor organizations. As long as incentives are such that clinical outcomes, etc. are secondary, then we can’t expect provider organizations or vendors to do the right thing for patients. As you have said, if we change the incentives, good things will follow.

    Your show, videos, etc. have the chance to move the needle to help patients. I understand how your work must be entertaining but please never forget the professional standing you hold as a physician, clinician, and member of the care team. Staying in that slot will offer you the greatest and loudest voice possible.

    Cheers.

    Reply

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