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A better flu shot for the elderly? High dose flu vaccine as a breakthrough?

By Andy Lazris, MD
December 21, 2014

Should high dose flu shots be used in the elderly? The New York Times said it best, mirroring the chorus of praise in the press after a major study evaluated the efficacy of high dose flu vaccine in the elderly compared to standard dose: “Now a study, published recently in The New England Journal of Medicine, finds that Fluzone High-Dose does indeed prevent influenza in older adults, reducing cases of the flu by 24 percent compared with the standard version.”

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Should hospitals be part of the solution?

By Andy Lazris, MD
December 14, 2014

Recently someone shared with me an article, An Amazing Healthcare Revolution is Happening in Maryland, written by Brett Logiurato in Business Insider. The revolution, it seems, is triggered by changes in hospitals that are encouraging fewer admissions and better communication. Under Maryland’s Total Payment Revenue Budget Cap, Maryland hospitals are capitated by Medicare; they earn just as much if they do not admit patients than if they do.

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Why We Need the Do No Harm Initiative

by Meredith Niess, MD, MPh
November 24, 2014

During training, medical professionals travel the path from the ideal of medicine to the reality. This path is paved with many challenging lessons, among them, our system is broken and we can’t always cure our patients. Facing these hard truths can be disheartening at the least and soul-crushing at the worst. The sense of futility and powerlessness to improve these realities often left me even more discouraged. The Do No Harm Project provided me a lifeline of hope in this learning setting.

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My ‘Aha’ Moment: Profit Trumps Benefit Most Often

By David Martin, Esq., Vice President

November 13, 2014

We all experience ‘aha’ moments in life. That instant when a concept or solution you’d previously not grasped or fully understood suddenly becomes clear, and you nearly fall over from the realization that you finally understand something in a way that eluded you until then. It’s a great feeling although occasionally a harrowing one. Sometimes the clarity that comes after the moment is followed by a tinge of foolishness from having not seen the truth for so long.

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