“Never doubt that a small group of thoughtful, committed, citizens can change the world. Indeed, it is the only thing that ever has.” – Margaret Mead My first Apogee practice experience was in a rural hospital in Southern Oregon. Practicing there, I became a better doctor. In rural hospitals with limited resources, the importance of … Read more
There was a time in our lives where all we can think about was dreaming, imagining, fantasizing about our role as health care professionals. I certainly remember mine vividly. I can pinpoint the day I decided to follow my call in medicine, I have no shame in admitting that I was at home, wearing a … Read more
Every hospitalist has had a patient leave AMA from the hospital at some point. What to bill depends on the service provided to the patient on the date of service that the patient left AMA. There are three main scenarios: When a hospitalist provides a face-to-face initial or subsequent visit service to a patient who … Read more
I’ve often thought that the US doesn’t have a physician shortage, it has a resource allocation problem. When I was living and working in Tennessee (TN), I had worked with Apogee on rolling out our Tele-Medicine platform… Apogee Doctor On Call (ADOC)™. One of the reasons we chose TN as a test state, was because … Read more
A 56-year-old man was admitted to the hospital with a small bowel obstruction. The patient is an alcoholic, who lives in the streets of your city. On day 6 of admission, internal medicine is consulted to take over his care, because electrolytes are being hard to control despite aggressive repletion. On your evaluation, you find … Read more