Word: doctorings
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...house call is making a comeback. Not a decade ago, doctor visits to the home were declared a "vanishing practice" in the New England Journal of Medicine. Now experts predict that as time-strapped baby boomers age--and their parents survive to be superelderly--the demand for doctors who are as comfortable examining patients in the bedroom as in the office will soar. Medicare data show a 37% surge to more than 2 million home visits by physicians from 1995 to 2005. That is partly because Medicare changed the rules for reimbursement in 1998, making house calls an attractive model...
That would be a shame, because one of the fastest-growing segments of the U.S. population is those 85 and up. Many are, like Kurzweil's mother, frail and in need of multiple medications and frequent doctor's care. Since it's hard to get around, they often delay seeking treatment until an illness is full blown and then call 911. That becomes time consuming and costly and can lead to a family crisis. "When elderly patients go to the emergency room, doctors are very uncomfortable about sending them home" right away, says Dr. Joseph W. Spooner of Care Level...
Lyons, Irene Kurzweil's physician, started doing house calls six years ago. "This is the only thing that I found really satisfies my desire to be a doctor," he says. "I am involved in my patients' lives and get to know them as people." His black bag includes a Palm computer that has wi-fi for e-mail, a special database for patient histories and lab results, and a customized word-processing program. He also carries a battery-powered electrocardiogram (ECG) machine and portable lab kits to do finger sticks that test blood-glucose levels. The doctors often work with...
...savings are clear enough to Patricia Guiles, 74, of Palm Bay, Fla., whose husband Harold, 77 and in poor health, fell and couldn't get up. She called 911. But by the time the ambulance arrived, she had talked with her husband's house-call doctor by cell phone. She sent the ambulance away, and the doctor came, checked her husband's heart with an ECG, gave him a shot and adjusted his medication. The next day the doctor sent a technician with a portable electrocardiograph to check his heart. "This is much more intimate care," she says...
With Lost, he and Lindelof wrote a geeky mythology show with enough heart, humor and richness of character to appeal far beyond the Doctor Who convention set. There is Jack (Matthew Fox), a heartthrob doctor with unresolved father issues, and Locke (Terry O'Quinn), a paraplegic miraculously healed on the island. There is Hurley (Jorge Garcia), a likable sad sack who won the lottery playing a set of numbers--4, 8, 15, 16, 23, 42--that we learn have mystic significance. There is a fugitive (Evangeline Lilly), a wisecracking con man (Josh Holloway), a heroin-addicted has-been rock star...