The Kane Scrutiny: Money and Medicine
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January 3, 2014

Another Doctor Botched the Case: Do You Tell the Patient?


You're seeing a new patient, and it seems clear from her symptoms, description of care, and medical notes, that her prior physician has made a harmful mistake; either missed a diagnosis, botched a treatment, or obviously caused the problem that the patient is seeing you for. There are several possible responses:

Hint But Don't Say: Eyes rolled, a sharp intake of breath while reading the medical record. The patient gets the idea that something is amiss, but you're not actually saying anything against another doctor.</span...

Posted By: Leslie Kane  

October 22, 2013

Does a 'Regular, Good Doctor' Really Need a Website?

Some of my favorite doctors don't have web sites.

My health insurance company provides a huge list of names of primary care doctors and specialists in my area. When searching for information about them, I've noticed that the majority of those in small to medium sized practices don't have a website.


Posted By: Leslie Kane  

October 7, 2013

Fixing Healthcare: Raise the Social Security Age?


George Will, Pulitzer-prize winning columnist, was the keynote speaker at the Medical Group Management Association's (MGMA) 2013 annual meeting in San Diego. His insights and recommendations were quite provocative and garnered many strong supporters and many naysayers.

Posted By: Leslie Kane  

August 9, 2013

Drug-Test Doctors? Drug-Test Everyone in America?


Medscape's video "Drug Testing for Doctors: Get Used to It" brought an almost record number of comments from readers. Some felt that random drug testing of doctors and nurses is an outlandish invasion of their privacy; others said it's necessary because many clinicians are too tempted by drugs that...

Posted By: Leslie Kane  

July 26, 2013

No Frivolous Lawsuits? Hmmm...

Medscape asked 1400 physicians who had been sued for malpractice: What happened when you got sued? What did it do to your life and your practice? Would saying "I'm sorry' have helped?

The results were surprising and in many cases, distressing. There's no doubt that doctors sometimes makes negligent or careless error...

Posted By: Leslie Kane  

June 12, 2013

Would You Really Be Happier in a Different Profession?

One sentiment we hear loud and clear is that many doctors are dissatisfied with healthcare and the medical profession. Politicians and administrators tell doctors how to practice; paperwork has become overwhelming; the doctor-patient bond is unraveling, and medicine has turned into a litany of mandated rules.<...

Posted By: Leslie Kane  

June 7, 2013

March 4, 2013

Doctors Help 45-Year-Old Brothers Die From Voluntary Euthanasia


In January 2013, two deaf 45-year-old identical twins in Belgium died peacefully from voluntary euthanasia. Born deaf, Marc and Eddy Verbessem had learned that they were now going blind due to a genetically caused form of glaucoma. They had always communicated with each other in a private language that relied on visual cues. They felt that once the...

Posted By: Leslie Kane  

February 13, 2013

The Truth About Malpractice Lawsuits


Finally, people are starting to get the drift that doctors' fear of being sued isn't all about money.  

For years, some healthcare observers have staunchly argued that defensive medicine and efforts to avoid lawsuits are sham excuses for doctors to rake in revenue. They point to the fact that in s...

Posted By: Leslie Kane  

February 6, 2013

Does Teamwork Make Doctors Passive?


A provocative article in the New England Journal of Medicine[1] talked about the bystander effect' in a hospital ICU: When many clinicians are involved in caring for a patient, each passively assumes that someone else will assume the ultimate decision-making responsibility. Results could be disastrous.

Posted By: Leslie Kane  

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About This Blog

Physicians are trapped between declining revenue, malpractice worries, and a desire to keep their practices emotionally and financially rewarding. The Kane Scrutiny will examine the business, legal, ethical, and practice challenges of today's doctors. We would be delighted to hear your thoughts, opinions, and any advice you think might help other doctors. Poll: If you believe another physician has made a harmful error on your patient, what is the first thing you're most likely to do? Say and do nothing|React or hint, but don't say anything directly about the results or care|Tell the patient you believe there's been a mistake in his care|Call the physician to ask for more information about what you've seen|Report the physician to a hospital, medical board, or organization|

  • Leslie Kane

    Leslie Kane is Editorial Director of Medscape's Business of Medicine site. She is the former editor-in-chief of Medical Economics magazine. Ms. Kane has served on the Board of Trustees of Valley Hospital in Ridgewood, NJ. She has a master's degree in clinical counseling. Ms. Kane has held corporate positions in marketing, business reengineering, and advertising.

    Leslie R. Kane, MA, has disclosed no relevant financial relationships.

The content of this blog does not necessarily reflect the viewpoints of Medscape.
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