Gabriel Lee, M.d., Joins Houston-bay Area Gastroenterology

Syed Jafri, Dr. Sezen Altug, Dr. Manish Rungta and Dr. Naveen Surapaneni. Dr. Lee obtained his medical degree from Baylor College of Medicine in Houston and completed a residency in Internal Medicine at the University of Texas Medical Branch in Galveston, before entering his fellowship programs in Galveston and Advanced training in San Antonio, Texas. He has native fluency in Spanish. Dr. Lee and his gastroenterology colleagues are part of Bay Area Gastroenterology in Clear Lake, which was the first Houston gastroenterology and endoscopy practice to offer office-based accredited Virtual colonoscopy screening. Specializing in the diagnosis and treatment of ailments of the stomach, intestines, colon, liver, gallbladder and pancreas, the group has offices in Clear Lake, Houston and Pearland. The group also offers virtual colonoscopy onsite at their accredited Imaging Center, in addition to onsite endoscopic procedures, colonoscopy and upper endoscopy at the Bay Area Houston Endoscopy Center.

company website http://www.marketwatch.com/story/gabriel-lee-md-joins-houston-bay-area-gastroenterology-2013-09-17

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Facts Contradict Physician’s View On Medical Malpractice: Meghan Connolly And Dennis Mulvihill

Kirchs most misleading claim is that Ohio courts are full of frivolous, baseless medical malpractice cases. He left out that in order to bring medical malpractice lawsuit in Ohio, the patient must first get permission from a physician. Under Ohio law, one cannot file a lawsuit against a doctor without first securing an affidavit, executed under oath, by a qualified physician, stating that each doctor named in the lawsuit was negligent and caused the patients injury. Without this affidavit, the lawsuit cannot be filed. The precipitous drop in lawsuits also disproves the idea that medical malpractice litigation has run amok in Ohio. The Ohio Supreme Courts 2012 Statistical Report shows a staggering decrease in medical negligence claims compared to ten years ago. The number of professional malpractice cases filed (against attorneys, doctors and other professionals) dropped from 2,683 in 2003 to 1,242 in 2012 (down 54 percent). There are no other statistics to suggest medical malpractice litigation has run amok. Medical malpractice lawsuits are rare in part due to Ohio laws favoring physicians. In addition to the affidavit requirement mentioned above, Ohios one-year statute of limitations keeps many cases out of court. No state in the union has a shorter period of time for patients to bring medical negligence claims. In many instances of medical malpractice, one year is not enough time for injured patients or their families to retain counsel, evaluate the case, and obtain permission to sue from a physician. After the one year expires, the courthouse doors are shut forever to that injured patient. Dr. Kirsch also complains about the number of doctors named in some malpractice cases. But because in most cases Ohio law prevents a physician from being added to a case later on, all potentially negligent physicians must be named up front.

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Physician takes top spot at St. Vincent’s

HHS first put a notice in the federal register saying that it would respond to Freedom of Information Act (FOIA) requests on this data as appropriate. Not all requests will be filled, but the public may soon have greater access to these data. The government had previously been barred from responding to such requests, however that injunction was lifted last May. Now as the debate over health care payouts unfolds against the backdrop of the Affordable Care Act (ACA), this data could shape those conversations. CMS has a blog post up detailing how it plans to handle the requests and what interested readers can expect from the data release. Going forward, CMS will evaluate requests for individual physician payment information (or requests for information that combined with other publicly available information could be used to determine total Medicare payments to a physician) on a case-by-case basis. The new policy released today will take effect 60 days after publication in the Federal Register. In addition, CMS will generate and make available aggregate data sets regarding Medicare physician services for public consumption, the blog post reads. The agency said that the release made sense for both transparency purposes and healthcare providers which are now looking for ways to collaborate on new health cost and payment requirements. Last week, CivSource reported on a move by the state of Maryland to modernize its physician payment models state officials there hope that work will serve as a national template. CMS backed the Maryland plan, and was present during an announcement made by the Governor and local officials.

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CMS to Open Up Medicare Physician Payment Data

Vincent’s Amanda Cuda View: Larger | Hide Dr. Stuart Marcus, currently president of St. Vincent’s Medical Center, has been named president and CEO of St. Vincent’s Health Services, which includes the hospital, behavioral health and other services. Dr. Marcus, a specialist in gastrointestinal cancer surgery, is the first physician to hold the job. Photo: Autumn Driscoll | Buy This Photo Dr. Stuart Marcus, currently president of St. Vincent’s Medical… Dr. Stuart Marcus, currently president of St.

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Walter Reed Medical Center Seeking Hiv-positive Patient Falsely Diagnosed As Negative In October

By Nina Golgowski / NEW YORK DAILY NEWS Friday, January 17, 2014, 3:28 PM Comment Pablo Martinez Monsivais/AP Walter Reed National Military Medical Center in Bethesda, Md., announced Wednesday that an HIV positive patient was mistakenly diagnosed as HIV negative in October. They are working to find that invidiual. Related Stories Antibiotics given to chickens may be linked to bladder infections in women Officials at the Walter Reed National Military Medical Center are desperately searching for an HIV-positive patient who was falsely diagnosed as HIV negative in October. The disturbing announcement comes several months after one of 150 routine blood specimens sent out to a contracted laboratory tested positive for HIV, the medical center announced Wednesday. RELATED: AIDS RESEARCHERS SAY THEY’RE GETTING CLOSER TO CURE The individual connected to the positive sample was called in to receive medical care involving two more verification tests, they stated, only to find out that those test results were negative for the virus. The Bethesda, Md., medical center now believes that the HIV-positive sample had been mislabeled with the wrong patient’s name. The medical center is now seeking to retest 72 of the 150 patients who have the same blood type as the one that tested positive. Letters sent out to all 72 informed them of the chance that they may be HIV positive. As of Thursday 68 of those patients have responded and are in the process of being retested, an official told ABC News. A spokeswoman for the medical center was unavailable for comment when contacted Friday.

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Florida Voters May Decide On Medical Marijuana In 2014

Ben Pollara, the campaign manager for United for Care, sent out an email to supporters that organizers have collected more than 1.1 million signatures. “This is an enormous achievement,” Pollara wrote. Organizers have until Feb. 1 to gather 683,189 voter signatures. So far election supervisors have certified nearly 458,000 signatures. Groups pushing a constitutional amendment typically gather more signatures than needed in case some are rejected. The collection of voter signatures isn’t the only hurdle left for medical marijuana supporters. In order to make this year’s ballot, the state Supreme Court must also approve the language that will go on the ballot. Attorney General Pam Bondi is challenging the wording, saying voters will be misled into approving widespread use of medical marijuana. Proponents say voters will clearly know they are deciding whether doctors can use their expertise to decide whether to prescribe the drug for debilitating conditions. The court heard arguments last month and has until April to rule. It will not rule on whether it approves of medical marijuana, but rather whether the 74-word ballot summary is misleading. Citizen initiatives are limited to 75 words when summing up a proposed constitutional amendment. Twenty states and the District of Columbia have laws allowing medical use of marijuana.

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Medical marijuana in Oregon: Post-prohibition liquor store in Portland now will deal in a new product

2, which went on to become Hollywood Liquors. Real estate agents typically ended the call once they heard Walstatters plans, he said. Walstatter found himself briefing the small handful of landlords who would hear him out on Oregons new dispensary law. He told them about studies that found dispensaries arent magnets for crime. And if prospective landlords worried about landing in the federal governments crosshairs pot remains illegal under federal law, after all Walstatter filled them in on the August 2013 memo from the U.S. Department of Justice, announcing the feds would take a largely hands-off approach to legal marijuana sales in Washington and Colorado. A Lewis & Clark Law School grad, but not a practicing attorney, Walstatter said he and his wife, an urban planner by training, were determined to leave a good impression. We took great efforts to not come across as a head shop, said Walstatter, as a commercial refrigerator was rolled into the shop. We wanted to come across as professional as possible. The couple knows theyre taking a risk by opening their doors before the state registry opens. But the shops hazy legal status has done little to slow the proliferation of dispensaries with their telltale green crosses — especially in Portland, where law enforcement has generally greeted the establishments with a yawn. Matthew Walstatter, whos got a marijuana business lawyer on retainer and has pored over 30 pages of rules for medical marijuana retailers, is certain the couples business will meet all of the states rules prior to opening. They figure theyll spend about $25,000 to meet the states security requirements alone. Those rules, for instance, call for cameras positioned at entry points to the building, in the room where marijuana is stored and in the area where transactions take place; the Walstatters said they plan to go even further. Were going to have the entire place on camera, he said. Today, the storefront at 3738 N.E. Sandy Boulevard offers no trace of its role in Oregons Prohibition history.

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New Mexico Doctors Can Help Terminal Patients Die, Judge Says

Doctors say pressure on ERs may rise, give US failing grade

STORY HIGHLIGHTS A state judge makes the ruling Monday The ruling could make NM the fifth state to allow doctors to prescribe fatal doses to terminal patients New Mexico’s attorney general is contemplating whether to appeal (CNN) — In a decision sure to cause debate, a New Mexico judge has ruled that terminally ill, mentally competent patients have the right to get a doctor to end their lives. The landmark decision Monday by New Mexico Second Judicial District Judge Nan Nash came after a two-day trial and could make New Mexico the fifth state to allow doctors to prescribe fatal prescriptions to terminal patients. The ACLU and Compassion & Choices, an end-of-life choice advocacy group, filed the lawsuit on behalf of two New Mexico doctors and cancer patient Aja Riggs. The judge was asked to consider whether the doctors should be allowed to write prescriptions for a terminally ill cancer patient who wanted to use drugs to end her life. ‘Heartbroken’ right-to-die advocate dies UK man fighting for the right to die Is assisted suicide ever OK? “This Court cannot envision a right more fundamental, more private or more integral to the liberty, safety and happiness of a New Mexican than the right of a competent, terminally ill patient to choose aid in dying,” the judge wrote. “If decisions made in the shadow of one’s imminent death regarding how they and their loved ones will face that death are not fundamental and at the core of these constitutional guarantees, than what decisions are?” New Mexico’s Attorney General’s office said it was analyzing the decision to see if it would file an appeal. Paralyzed after falling from tree, hunter and dad-to-be opts to end life Years of debate Most states ban assisted suicide, but aid-in-dying is permitted in Oregon, Washington, Montana and Vermont. The practice has been hotly debated since it was first adopted in Oregon in 1997. But Riggs, the 50-year-old terminally ill cancer patient named in the New Mexico lawsuit, says she’s glad she now has a choice. “I am really pleased that the court has recognized that terminally ill patients should have more choice in the manner of their death,” said Riggs. The cancer is currently is in remission, but Riggs says statistically her cancer is likely to return. “Most Americans want to die peacefully at home, surrounded by loved ones, not die in agony in a hospital,” she said.

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The decision could make New Mexico the fifth state to allow doctors to prescribe fatal prescriptions to terminal patients.

Marys and Charles counties. This year, the CAO is focusing on promoting awareness about the group. The most important thing is how we care for our patients, said Dr. Daniel Bauk, an orthopedic surgeon and partner at Southern Maryland Orthopaedics and Sports Medicine, which has seven doctors and offices in Leonardtown and Waldorf. The Center for Advanced Orthopedics, a separate practice, also has offices in Hollywood and Waldorf, with two doctors and is a member of the CAO. Private practice, Bauk said, gives the most quality, the most compassionate care and is most flexible to patients needs. But the controversy is complex. Newer physicians coming out of medical school may be seeking steady income and more regular hours. Doctors who have been in the game much longer often grapple with the increasing cost of doing business and recruiting new doctors. Some are opting to work in hospital or university systems where paychecks are steady, executives run the business side of things and resources are under one roof. American Medical Association researchers surveyed physicians in 2012 and found that 60 percent worked in practices fully owned by doctors. But there was a shift toward hospital employment, the AMA said. The problem is, Bauk said, intimate doctor-patient relationships seem to be becoming a thing of the past as patients in those larger systems are shuffled from one physician to the next. Doctors in the CAO have maintained their private practices and business models, but say their employees now fall under the CAO, their teams share resources, and theyve reduced overhead, which will allow them to study best practices, for patients and their businesses, over the long term. Joining forces, Bauk said, offers those physicians better bargaining power than they would have alone with insurance companies.

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Doctors face decision: work for hospital or private practice

Some health experts have predicted that increasing the number of insured patients should reduce pressure on hospital emergency rooms because access to regular doctor care will improve, something that is hoped would prevent chronic conditions from spiraling out of control or help catch other problems before they worsen. But insurance coverage could also lead those who might have held off going to the emergency room to seek care, said Jon Mark Hirshon, an emergency medicine doctor and researcher at the University of Maryland who oversaw the group’s report card. Newly insured people also may have a hard time finding a regular doctor who accepts their plan, he said. “On top of that, emergency departments are open 24 hours a day, seven days a week. If I have a primary care provider but it’s 9 o’clock at night on a Friday and they’re closed, then people come to the emergency department,” Hirshon told Reuters. The group is asking for congressional hearings to probe whether the law puts “additional strains” on emergency rooms. Already, beds for patients have fallen from a rate of 358 per 100,000 people four years ago to about 330 beds per 100,000 people now, the report said. Wait times have increased to a median of 4.5 hours compared to four hours in 2009. Despite the dismal U.S. grade given by the group, it noted that policies and infrastructure varied widely by state. States with the best emergency care include Massachusetts, Maine, Nebraska and Colorado, while Kentucky, Montana, New Mexico and Arizona rounded out the bottom, just above Wyoming. States are also still grappling with the uninsured. By law, hospitals must provide emergency care regardless of patients’ ability to pay.

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Canadian Medical Journals World Leaders In Drug Ads: Study

and Britain looked at the number of ads in six highly read journals from the three countries over a six-year period. Pharmaceutical ads took up almost as much space as peer-reviewed editorial content in the two Canadian publications the Canadian Medical Association Journal (CMJ) and Canadian Family Physician, they concluded in the online journal Plos One . That was several-fold more than the ratio of ads to articles in the U.K.s British Medical Journal and Lancet, and the U.S.-based New England Journal of Medicine and Journal of the American Medical Association, they said. At most, advertising in the non-Canadian journals represented about 20% of the space taken up by editorial content. Everyone was surprised by that finding, said Dr. Persaud. It did not come as a surprise, though, to Dr. John Fletcher, editor-in-chief of the CMAJ. Canadian journals have traditionally relied more on advertising than their counterparts in Britain and the U.S., even though the volume of ads has been declining, he said. The edited content of journals provides information about medications, which makes you wonder why we also needs ads Some of the added revenue also stemmed from a previous requirement that pharmaceutical companies include detailed prescribing information with their ads, which could sometimes occupy two or three pages at the back of the journal, said Dr. Fletcher.

source news http://news.nationalpost.com/2014/01/08/canadian-medical-journals-world-leaders-in-drug-ads-study/

Canadian doctors say fee cuts, pay inequalities will spur exodus

NP

The result was a major reshuffling of the pool of money paid to doctors, with some like radiologists seeing major drops in their fees and others such as neurosurgeons graced with increases. Perhaps the most-cited inequity involves fees for some eye operations, such as cataract removal. New technology makes them faster to carry out, but in many provinces the payment has stayed the same, resulting in something of a windfall for ophthalmologists. The reaction to the recommendations was swift. The losing specialties voiced outrage, predicting harm to patients and a mass flight out of the province. As had happened when B.C. and Alberta went through a similar process, nothing ever came of the report. Comparing Canada to other countries is tricky, given the different methods of paying doctors and varying costs of living. A 2009 report by the Organization for economic co-operation and development (OECD) tries to even it all out, relating doctor pay to each nations average worker salaries. It puts Canadian specialist doctors at 4.7 times the average wage, higher than all but Germany and Holland, with the U.K. at 2.6 times and France 3.2. The report does not include the U.S. Surprisingly, some figures suggest this country is now more generous. Ms. Matthews office cites statistics from the provincial Institute for Clinical Evaluative Sciences and the MGMA Physician Compensation Survey in the States that indicate Ontario family doctors make $143,000 more on average than U.S. counterparts, radiologists pull in $203,000 more and cardiologists $141,000 more.

her explanation http://news.nationalpost.com/2012/05/12/canadian-doctors-warn-fee-cuts-pay-inequalities-will-spur-exodus/

Australia Top Doc: Physician Assistant Use Too Risky

A plan to introduce some physician assistants to the country’s health system has Australian Medical Association president Rosanna Capolingua very upsetabout patient safety, of course. THE head of Australia’s peak medical body has criticised a plan to introduce US-style physicians’ assistants who would carry out less complex medical procedures, saying it puts patients at greater risk and could deny junior doctors training opportunities. Queensland Health Minister Stephen Robertson yesterday released the five sites for a pilot program to train doctors’ assistants, who would perform the procedures under the guidance of a qualified doctor. The pilot is based on a scheme developed in the US and has been trialled in countries including Canada and Britain. Australian Medical Association president Rosanna Capolingua said that, although assistants would work under a doctor’s supervision at all times, their use in surgical procedures could compromise patient safety. “The physician’s assistant understands how to do the task and they may be useful as a ‘tool’ but, for our own junior doctors, they need to have that holistic training and experience as well,” she said. “Patient safety must always be our first priority, not just the delivery of a service to a patient.” Doesn’t sound like Dr. Capolingua is going tomake a great teammate. The nurses aren’t thrilled, either. Beth Mohle from the Queensland Nurses Union said the Government should spend the money expanding the role of existing nursing staff. “They’re not actually testing physicians’ assistants against positions like nurse practitioners,” she said.

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Health Workforce Australia report gives the nod to physician assistants

A number of concerns were raised by some respondents about introducing a new health professional, such as the competition of training placements for junior doctors and medical students, and potential competition with the existing nurse practitioner role. It is interesting to note that the report could not find any evidence that supported either of these two arguments. One thing the report alludes to is that the acceptance of the Physician Assistant role is based on the level of understanding. The greater the respondent understood the role of the Physician Assistant that more likely it was to be accepted. What does this report mean for Australian Physician Assistants? Firstly, it will stimulate a great deal of discussion, both positive and negative. The report clearly outlines positive impact that the physician assistant will have on the Australian health workforce and the overwhelming support of the rural and remote health sector. To date, most opposition to the Physician Assistant role has been based on a poor understanding of this model of healthcare, which this report confirms. The contents of the report provide a clear and detailed description of the role of Physician Assistant, which should lead to a greater understanding of the position. So, what is the next step? Well the next step is in fact already happening and as can be seen from the recent events in Tasmania, there is a desire in some states to commence the introduction of a Physician Assistant. Whilst the work being conducted in individual Australian states should continue, the Physician Assistant should also be considered at the national level. This report echoes the sentiments of the Australian College of Rural and Remote Medicine (ACRRM) that the profession should be registered nationally under AHPRA, and likely administered by the Australian Medical Board. With much of the professional registration requirements having already been developed and the professional oversight of ACRRM ensuring the validity of Physician Assistant education and continuing professional development programs, national registration can be commenced almost immediately. There are at present over 30 Australian Physician Assistant graduates, with a new cohort of students having commenced this year. As the HWA report identifies, the Physician Assistant will have a positive impact in the health workforce, so now it is time to get started and introduce this new health professional.

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Corpak Acquires Merck Serono’s Uk Gastroenterology Sales And Distribution Operation

“The acquisition of the Merck Serono gastroenterology business strengthens our presence in Europe and our direct operation will support high levels of customer service and continued growth,” says Tom Kuhn, President of CORPAK. “I would like to thank the employees at Merck Serono for their support in building the CORPAK business in the UK and Republic of Ireland.” “The gastroenterology business is a strong and growing operation in the UK and Ireland, but Merck Serono has made a strategic decision to focus on our core pharmaceutical business,” explains Charles Dring, Commercial Director of Merck Serono Limited. “We have been working very closely with CORPAK to make the transition as seamless as possible for our customers.” There will be no change to the product range and all CORPAK products will continue to be available on the current codes and prices. The acquisition keeps relationships with existing sub-distributors unchanged. “We are especially pleased to be able to welcome the gastroenterology employees from Merck Serono to the CORPAK family,” says Jeff Blair, CEO of CORPAK. “We are confident that the UK and Ireland team will continue the history of excellence and dedication that has benefitted our customers in the past.” “This acquisition represents an important step in expanding our international presence and we look forward to continuing to provide our innovative, quality products to the European market,” added Eric Larson, Chairman of the CORPAK Board. CORPAK MedSystems UK ( http://www.corpakmedsystemsuk.com ) Tel: +44 (0) 129 380 4769 Fax: +44 (0) 129 380 4770 E-mail: info@corpakuk.com About CORPAK MedSystems, Inc. ( http://www.corpakmedsystems.com ) CORPAK MedSystems, Inc. is a leading developer, manufacturer, and marketer of innovative medical devices focused on the enteral-feeding and bedside-location markets, including the company’s flagship CORTRAK computer-guided system that enables real-time visualization of the feeding-tube tip during placement. The company has established the leading market position in premium branded, adult, long-term nasogastric feeding tubes and offers a broad portfolio of other high-quality enteral products, including gastrostomy feeding tubes, gastric-pressure relief devices, and enteral-feeding safety devices. Founded in 1979, CORPAK was acquired by Linden Capital Partners in August 2008 from Cardinal Health.

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Locum Consultant Gastroenterologist, N.Ireland

copy of your UK or EU passport or relevant work permit or visa). If applicable, registration with the relevant UK governing body (e.g. the Health and Care Professions Council, General Pharmaceutical Council, General Medical Council etc). Relevant experience of the role you are applying for. You will also be required to complete the following prior to any offer of work: A Disclosure and Barring Service (DBS) check (formerly CRB check), Mediplacements can assist you with this process (please note this is not applicable for Medical Lab Staff). Full occupational health clearance regarding immunisations etc. in the form of a valid ‘fitness to practice certificate’ as per current Government Procurement Service (GPS) standards (e.g. an occupational health report stating dates of your last TB, Hep B immunisations etc.). Please enter your full name: Please enter your email address: Please enter your phone number: Please attach your CV: Genuine specialist suppliers with a proven track record We only recruit for the medical sector and during our 18 years trading history we have established long term relationships with most Hospital trusts and healthcare organisations. In-depth knowledge of the Doctors sector We have real knowledge and understanding of every individual medical specialty we supply in to and endeavour to place every candidate into jobs which will best match their skills and experience. Government Procurement Service (GPS) Approved Mediplacements are delighted to confirm our inclusion on the latest NHS National Framework Agreements (NFA) for the provision of Allied Health Professionals, Health Science Services Staff and Hospital Doctors. Your own dedicated consultant that only covers the Doctors profession Every medical sector we recruit for has there own team of consultants only supporting that medical specialty.

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