• linkedin
  • Increase Font
  • Sharebar

    My proposal to change the American healthcare system for the better


    Even the video of cystoscopy was present on a thumb drive. I did not have to call anyone to obtain the records. Apparently, this is a tradition there that patients are in charge of their own records. It is called "file" (what we call a chart in USA). He also had all his previous records covering the last several years in his "file.” This made it extremely easy for me to review and obtain knowledge of his condition.


    TRENDING: My best idea to avoid physician burnout


    Subsequently, he suffered a heart attack while I was there. We took him to the hospital with his file. Things went smoothly, since physicians had all the information needed on hand. While in the hospital, he received a copy of every test done on the same day. Hospital physicians made daily visits, explained everything to the patient and family and his notes were short and concise.

    A consulting cardiologist gave proper explanations and entered brief, but precise, notes. Every day, a person visited the patient's room and asked for any grievances and complaints, which were all solved promptly. On day of discharge, a discharge note and instructions were given and entered into the file. During subsequent visits for different consultants, we carried the file and things went smoothly.

    Documents were reviewed from the file and new documents were entered. No faxing, no calling anyone, and it was a much more efficient and low-cost operation with much better patient care since all the needed information was readily available in the proper format.

    This entire process was in stark contrast with the chaotic environment we experience here in our clinics. Every time I'm looking in my office, someone is always making copies, spending endless amounts of time and wasting paper. When I get a pulmonary referral from other physicians, most patients arrive with hundreds of pages of documents which are impossible to review.


    RELATED READING: Why are EHRs still so terrible?


    Most of them are copy and pasted and repetitious. Every single day we get a barrage of requests for patients applying for disability and other various reasons, requiring my staff to make hundreds of copies. Every time my patient visits the emergency department or needs hospitalization, an average of 80 to 100 pages of records arrive with senseless information, and most of the time these records arrive after the patient has already left the office. My nurses are constantly sending records to the billing agency, insurance companies for prior authorizations and who knows where else.

    Next: 'We, as physicians, demand a change with a single voice'

    Kumar Yogesh, MD
    Practicing physician at Dresden Family Clinic for 24 years. Owner of practice, self-employed physician, medical director.


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • [email protected]
      I was diagnosed with ALS (amyotrophic lateral sclerosis) 15 months ago. At that time riluzole was prescribed. I found I could not tolerate it. did very little to help me. The medical team did even less. My decline was rapid and devastating. The psychological support from the medical centre was non-existent and if it were not for the sensitive care and attention of my primary physician, I would have died. There has been little if any progress in finding a cure or reliable treatment. My ALS got significantly worse and unbearable because of my difficulty catching breath. Last year, i started on a natural ALS Herbal therapy from Green House Herbal Clinic, i read a lot of positive reviews from patients who used the treatment and i immediately started on it. I had great relief with this herbal treatment. I am doing very much better now, no case of shortness of breath or difficulty swallowing,, my ALS condition is totally reversed. Visit Green House Herbal Clinic website ww w.greenhouseherbalclinic .com. This treatment is a miracle!!
    • [email protected]
      Four years ago I was diagnosed with chronic obstructive pulmonary disease (COPD). I have had asthma all my life. I have just been to the doctors and seen a senior nurse who has told me I no longer have COPD and Asthma. My breathing is great and I don't feel I need inhaler anymore,The COPD and Asthma herbal remedies i purchased online from Dr George (Good Health Herbs Home) worked perfectly just like a miracle,am living COPD and Asthma free now ,all thanks to Dr George God bless.... contact details (www .goodhealthherbshome .com) or drgeorge @goodhealthherbshome .com
    • [email protected]
      I have ADHD, OCD, depression, primary biliary cirrhosis (autoimmune disease) and ALS. I didn't have health care I just thought it was a stroke, but it started with my voice. When it started to get worse I went to a neurologist. and was diagonised with amyotrophic lateral sclerosis. i was able to walk with assistance nothing was really working to help my condition.I went off the riluzole (with the doctor’s knowledge) and started on amyotrophic lateral sclerosis herbal formula i ordered from Health Herbal Clinic, Just 7 weeks into the Herbal formula treatment I had great improvements with my slurred speech, this is a breakthrough for all amyotrophic lateral sclerosis sufferers, visit Health Herbal Clinic official website www. healthherbalclinic. net or email [email protected] healthherbalclinic. net.
    • [email protected]
      Chloe Ryan My dad was diagnosed with ALS. He does not have ALS anymore.ALS herbal remedies i purchased online from Dr Lauren (Good Health Herbs Home) cured my day ALS .pleases anyone out there with ALS,natural herbal remedy is the real things to use, No more toxic medication that clearly state 'lead to death'. Let real and natural herbal remedy be your medicine. Stay away from vaccines and frankenfood.contact Dr Lauren for your ALS cure (drlauren @ goodhealthherbshome .com), website www .goodhealthherbshome .com
    • [email protected]
      In 1988 I took over a retiring physician's practice in addition to mine. His nurse brought over several shoe boxes of records that were 3 x 5 cards stapled together like accordions. Whole families were on one record. I thought that these were useless. That was until our hospital went to Epic!
    • UBM User
      My patients can't even remember to bring their medication list or insurance card to their visit. What makes you think they are going to remember their thumb drive? "I had it out on the kitchen table to bring, and I just forgot it."

    Latest Tweets Follow