LEON REDBONE: “Nobody Cares if I’m Blue” from his album Red to Blue
LEON REDBONE: “Nobody Cares if I’m Blue” from his album Red to Blue
DON AZPIAZU: ”La Guajira”
The theme of this show at the National Portrait Gallery is “American Cool.” So, among the portraits are Debbie Harry, Jimi Hendrix, and Miles Davis. The exhibit will be shown until September 7, so if you are planning to be in D.C., this should be fun.
Robert Mapplethorpe (1946-1989) was from Floral Park, NY. He usually worked in black and white, and his work was often controversial. He specialized in celebrity portraits, nudes, homoerotic themes and flowers. He was a wonderful and original photographer whose images were usually very powerful. We posted one of his flower images on Blogfinger:
DEBBIE HARRY WITH THE GROUP “BLONDIE” and their 1980 hit “Call Me” from the movie American Gigolo. This was digitally remastered in 2002.
KAREN O. and EZRA KOENIG (From Vampire Weekend.) Academy Award nominee 2014. “Moon Song” from the movie “Her.” But this is a studio version duet.
Posted in Asbury Connection, Blogfinger Presents, Music from the movies, Photograph by Paul Goldfinger, Photographic Gallery: Ocean Grove, Photography: Nocturnal Ocean Grove | Tagged Returning from Asbury Park | Leave a Comment »
Forbes contributors say EMR’s leaving physicians with less time for real patient care.
In a Forbes (3/4) op-ed titled “Technology Is Interfering With Your Doctor’s Visit,” contributors Louis Goodman, PhD, president of The Physicians Foundation and the executive vice president and CEO of the Texas Medical Association, and Tim Norbeck, CEO of the Foundation, discuss “a recent Rand study commissioned by the American Medical Association” in which physicians “said being able to provide high quality healthcare is the primary driver of their satisfaction.” That study “also found the number of factors contributing to dissatisfaction is becoming almost insurmountable.” Goodman and Norbeck also point out that EMRs are not saving as much money as it was once believed that they would. According to Goodman and Norbeck, “Couple the burden and disappointment of inadequate EMRs with the added obligation of entering data to a patient record at the rate of 30-40 keystrokes per patient, and physicians are left with much less time for real patient care.”
Here’s a quote from that Forbes article: “Washington appears to be convinced that technology is the answer to better care, even when physicians will tell you that better care depends on listening to and examining the patient through their history and physical – albeit technology has a role in diagnosis and confirmation of findings.”
BLOGFINGER MEDICAL COMMENTARY by Paul Goldfinger, MD, FACC
The implementation of electronic medical records is a recent development, and I have had no personal experience using it, but I have spoken to practicing doctors, I have seen it in action, and I am aware of the theoretical benefits.
But let’s go back to basics. The medical record (patient file) is a key care component—a vital tool in the practice of medicine. It is the best way to contain all the pieces of a patient’s medical situation. It needs to be thorough, legible and organized. The doctor is the main player because he must make notes that describe what the patient said, what he found, what the assessment (i.e. diagnosis) is, and what the plans are. But also the record must contain test reports, nurses’ notes, consultation reports and any other relevant data.
In my practice we used to have a full time person who kept the files in good condition, properly filed, and who used to drive the charts all over Morris and Warren counties to catch up with the patient and his doctor, whether it meant taking charts to the ER, the hospital or to one of our satellite offices. It was very difficult, but we needed the chart to properly evaluate the patient. Inadequate documentation made the chart less valuable, and some doctors did a lousy job of that while others were meticulous. As for legibility, we had 3 full-time typists completing our dictated notes and pasting them into the medical record. Of course, if one of our patients wound up in a South Dakota ER, there would be no “old chart,” or data—-only the chance that the ER doc could speak by phone to the NJ doc, and that often did occur, but you can see the potential problems.
EMR’s should eventually make the medical record component of care much better. But, at this time, the technology is not as good as it will become. Your doctor may be able to access your labs from the local hospital, but that South Dakota doctor may still be out of luck because most EMR systems are locally based—eg Meridian’s EMR system may be available only to doctors on their staffs. And then, of course, the EMR’s are only as good as the data inputted by various sources.
However, the EMR is a piece of the pie, but most important is the traditional role of the physician. In this brief but very provocative Forbes article (click the link above ,) you can see that some doctors believe that EMR’s are compromising their goal of providing the best care to their patients.
I was seen by a local ER physician assistant last year who took my history while having his nose buried in his computer–and with his back to me. I could have been an egg plant with no arms or legs for all he knew. There was no doubt in my mind that the damn computer was an obstacle to my getting proper care. This all may get sorted out, but for now, don’t be too enamored by high tech EMR’s—in medicine the doctor-patient relationship is paramount, and it is a very old, tried and true concept which should not be sacrificed in the name of technology.
EDITOR’S NOTE: There is a movement afoot to change the name of the EMR to EHR (electronic health record.) The concept is to change the definition from a narrowly defined tool for doctors to use as they did a paper record in the past to an EHR which will encompass broader information from providers such as nursing homes, pharmacies or other entities involved in healthcare. It looks like EMR will be replaced by EHR.
See Joe’s comment where he mentions medical scribes. We also recently reported on the new concept of using scribes to help physicians deal with the “paper work” of EMR’s. These scribes are being trained to go into the examining room or hospital room to record data into the computer as the doctor focuses his attention on the patient interaction. This is a new idea, and is not implemented yet in most clinical situations, but it is a promising low-tech solution to a high-tech problem. —PG
1. Dr. Carol sent a comment regarding our post about the awarding of a contract to rebuild the middle boardwalk. She wondered why Neptune Township was awarding the contract instead of the OGCMA. Here is the answer we received from JP Gradone of the OGCMA on March 10:
“Since Neptune Township is issuing the Bond, they also are responsible for the project management and contract administration. Because of the great working relationship that we have with them, we will be working very closely with them, especially in the project management portion of the construction.
We will be the eyes at the sight on a day to day basis. It actually works to our advantage since the Township is so much more familiar with the FEMA processes for contract administration. “
2. Storytellers Mosaic at the library. From JoAnne Papaianni
First Thursday of Each Month. 2-4 pm at the Neptune Library. 25 Neptune Blvd, Neptune Township, NJ 07753
A program for adults of all ages. Share personal stories, folktales, and fables. Learn how to find good stories and tell them effectively.
AND: The Twitter-like program below, also for adults, sounds like fun: Third Sunday of Each Month. 2-4 pm at the Memorial Methodist Church. 101 W. Sylvania Ave, Neptune City, NJ 07753. (near the intersection of Hwy 35 and W. Sylvania Ave)
A Circle of Stories “Open Mic”
Come to listen or share. Stories limited to 3 minutes or less.
3. From Helen Slocum:
“Where can I get info about the All-town porch sale? I hope it is not too late for my friend to participate. I couldn’t find any info in the text of Blogfinger. Thanks for all the info you impart. Helen”
Hi Helen: No you are not too late. The Blogfinger Town-wide Yard Sale will occur on Saturday, May 10, Mothers’ Day weekend, from 9-4. We will add your name to the list which is only now being formed. We have no time limit. You can sign up right until May 10, but we need addresses in time to include them in maps and ads. We will send out details later this month. We will establish a special page on top of Blogfinger very soon. Eileen (Goldfinger) Editor @Blogfinger
4. For those of you who read the Township Committee minutes on line, they have not been posted yet for Jan and Feb, but they should be approved for posting at Monday’s meeting.
5. Feeling optimistic about the weather this month? Here’s Ken :
“WARNING! March has had some of the largest snowstorms on record.”