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Texas Medicine

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https://read.qxmd.com/read/30995338/respecting-the-roles-tma-battles-another-round-of-scope-of-practice-bills
#1
Joey Berlin
When nonmedical professionals ask the Texas Legislature for the authority to practice medicine, TMA mounts a full-court press, letting lawmakers know why there are some roles only physicians can fill.
April 1, 2019: Texas Medicine
https://read.qxmd.com/read/30995337/aiming-to-save-lives-more-standardized-care-could-bring-down-texas-39-maternal-death-rate
#2
Sean Price
Texas' maternal death rate is still high, and public health officials are betting that more standardized care will bring it down with guidelines set up by the Alliance for Innovation on Maternal Health (AIM).
April 1, 2019: Texas Medicine
https://read.qxmd.com/read/30995336/medicine-s-monthly-bullhorn-first-tuesdays-at-the-capitol
#3
Joey Berlin
First Tuesdays are important not only for getting medicine's message across in the moment, but also for building and maintaining relationships that pay dividends in the future. The Vijjeswarapus experience it all as Texas Medicine follows them on the morning of this year's first First Tuesdays.
April 1, 2019: Texas Medicine
https://read.qxmd.com/read/30995335/borders-without-enough-doctors-el-paso-physicians-volunteer-care-for-asylum-seekers
#4
Sean Price
Dr. Gutierrez is part of a small group of El Paso physicians who provide volunteer medical care at the city's 18 shelters for asylum-seekers entering the United States through the Texas border. What started in October 2018 as a local, ad hoc way to address health care needs among the steady stream of immigrants is gradually turning into a statewide - even national - network of volunteer physicians.
April 1, 2019: Texas Medicine
https://read.qxmd.com/read/30995334/searching-for-a-better-online-reputation
#5
Sean Price
What people see on the internet can bring in - or drive away - patients. But most physicians are not trained in either communications or digital technology, and so have little understanding of the financial impact of search engines, social media, and review sites.
April 1, 2019: Texas Medicine
https://read.qxmd.com/read/30995333/talk-to-patients-about-tetanus
#6
Sean Price
Almost all U.S. tetanus cases occur among people who are unvaccinated or did not receive a booster shot, according to the U.S. Centers for Disease Control and Prevention.
April 1, 2019: Texas Medicine
https://read.qxmd.com/read/30995332/closing-a-loophole-medicine-works-to-clarify-moc-law
#7
Joey Berlin
It was an important law that gave physicians new life, greatly restricting the discrimination they can face based on their maintenance of certification status. And yet, opponents may have found a way to circumvent the 2017 legislature's Senate Bill 1148.
March 1, 2019: Texas Medicine
https://read.qxmd.com/read/30855697/out-in-the-cold-health-plan-blamed-for-major-prompt-pay-mess
#8
Joey Berlin
Molina Healthcare of Texas isn't the only insurer to give physicians prompt-pay problems, and it won't be the last. Some of the practices trying to recover payments blame not just the health plan, but also the extended response time from the state regulator overseeing insurance products and conduct: the Texas Department of Insurance, which says it's hiring staff and making other changes to improve that response.
March 1, 2019: Texas Medicine
https://read.qxmd.com/read/30855696/talk-to-patients-about-mumps
#9
Sean Price
More than 2,000 U.S. mumps cases occurred in 2018. That's down from 6,000-plus cases CDC reported in both 2016 and 2017, but a far cry from the hundreds reported in 2012. Texas is not immune. In 2018, mumps outbreaks occurred at Texas Christian University in Fort Worth, Texas State University in San Marcos, and a national cheerleading competition in Dallas. Mumps still spreads much faster and more dangerously among unvaccinated groups, and immunization remains the best protection.
March 1, 2019: Texas Medicine
https://read.qxmd.com/read/30855695/the-making-of-a-med-school
#10
Sean Price
Building more medical schoos might seem like an obvious answer to the doctor shortage, especially because medical schools can bring other benefits to a community beyond producing physicians, including prestige, high-paying jobs, and improved health care services. But not everyone is a fan of the idea, and starting one from scratch is complicated. Some have struggled more than others to get established, mostly because of funding.
March 1, 2019: Texas Medicine
https://read.qxmd.com/read/30855694/prescription-for-addiction-primary-care-plays-bigger-role-in-treating-substance-abuse
#11
Sean Price
When primary care physicians step in to fill this treatment voids for substance-use disorder, research shows that good things happen.
March 1, 2019: Texas Medicine
https://read.qxmd.com/read/30855693/breaking-up-is-hard-to-do-physicians-can-get-subpoenaed-in-divorce-cases
#12
Joey Berlin
Physicians subpoenaed to participate in a divorce case, whether to testify or simply to supply medical records to the court, could find themselves at the center of an acrimonious split. There are certain things they should know.
March 1, 2019: Texas Medicine
https://read.qxmd.com/read/30855692/an-in-your-face-confrontation-with-the-anti-vaccine-movement
#13
Steve Levine
Call it fate, karma, destiny. It was written in his stars, in his professional DNA. It had to happen. Houston pediatrician and microbiologist Peter Hotez, MD, PhD, just had to write Vaccines Did Not Cause Rachel's Autism.
March 1, 2019: Texas Medicine
https://read.qxmd.com/read/30817843/a-dedicated-professional-medicine-says-goodbye-to-former-tma-president-hugh-lamensdorf-md
#14
Sean Price
Like all physicians, former Texas Medical Association President Hugh Lamensdorf, MD, made notes when he saw his patients. But the Fort Worth urologist, who passed away at age 82 in October, took this standard practice a bit further.
February 1, 2019: Texas Medicine
https://read.qxmd.com/read/30817842/the-eight-years-war-court-sides-with-tma-in-long-running-chiropractic-case-on-vestibular-testing
#15
Joey Berlin
In a split victory, TMA once again prevailed in November 2018 when the Third Court of Appeals upheld a trial court's decision that chiropractors don't have the authority to perform vestibular-ocular-nystagmus testing (VONT). However, a recent change to state law caused the appeals court to find in the Texas Board of Chiropractic Examiners' favor on the use of the word "diagnosis" in the board's administrative rules - meaning chiropractors can diagnose, but only within their scope of practice.
February 1, 2019: Texas Medicine
https://read.qxmd.com/read/30817841/the-long-lost-speech-letter-offers-glimpse-into-19th-century-surgery
#16
Nancy Semin
The fifth floor of the Texas Medical Association building in Austin houses an archival collection of thousands of books, photographs, and artifacts documenting the rich history of Texas medicine. And there's always room for more. That's what unexpectedly happened in October, when TMA staff found an 1892 hand-written letter tucked away in the pages of an old medical journal. The speech gives modern-day physicians a look at the tools and techniques surgeons used more than 100 years ago.
February 1, 2019: Texas Medicine
https://read.qxmd.com/read/30817840/you-can-t-care-for-someone-you-don-t-understand-class-helps-med-students-see-care-from-patients-view
#17
Stephen Haff
Today's medical students want to be prepared to provide the best patient care. More than ever, that means understanding not only how to provide quality care, but also the patient's experience accessing that care. Students at UT Southwestern are addressing this deficiency in knowledge through an elective, Healthcare in Underserved Communities, offered to all UT Southwestern MD and physician assistant students in their first and second years of school.
February 1, 2019: Texas Medicine
https://read.qxmd.com/read/30817839/talk-to-patients-about-polio
#18
Sean Price
Polio once terrified Americans. In the late 1940s and early 1950s, the virus crippled around 35,000 Americans a year, according to the Centers for Disease Control and Prevention. Because polio often attacked abdominal muscles used to breathe, many died or permanently needed a respirator called an iron lung.
February 1, 2019: Texas Medicine
https://read.qxmd.com/read/30817838/q-amp-a-hard-hats-for-little-heads-advocates-alan-howell-md-and-martha-howell
#19
David Doolittle
Promoting public health initiatives in local communities can help physicians build relationships with the people they care for every day. Martha Howell and her husband, infectious disease specialist Alan Howell, MD, have taken that idea a few steps further with Hard Hats for Little Heads.
February 1, 2019: Texas Medicine
https://read.qxmd.com/read/30817837/echo-ing-across-texas-mentoring-in-specialty-care-could-be-a-teleconference-away
#20
Sean Price
For physicians in underserved areas, mentoring in specialty care could be a teleconference away with Project ECHO (Extension for Community Healthcare Outcomes), a teleconsulting and telementoring partnership between university-based specialists and physicians in rural and medically underserved areas.
February 1, 2019: Texas Medicine
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