Alvin B. Lin, MD, PLLC

12/14/2018

Another classic pokes fun : Parachute use doesn’t prevent death when jumping from aircraft: PArticipation in RAndomized trials Compromised by widely Held beliefs aboUt lack of Treatment Equipoise (PARACHUTE) trial

Objective To determine if using a parachute prevents death or major traumatic injury when jumping from an aircraft. Design Randomized controlled trial. Setting Private or commercial aircraft between September 2017 and August 2018. Participants 92 aircraft passengers aged 18 and over were screened fo...

12/03/2018

New AAFP recommendations re , , screening for & TesticularCancer plus when (not) to transfuse http://ow.ly/ruyZ30mPmhA This is

The American Academy of Family Physicians (AAFP) has added 5 new recommendations to its Choosing Wisely list, http://www.choosingwisely.org/societies/american-academy-of-family-physicians/, which highlights medical tests, treatments, and procedures that may be unnecessary and should prompt discussio...

11/29/2018

Here’s another good one: secondary insurance processed bill/invoice on 7/24/18 and just sent me $10.23 for $130 worth of services provided 12/3/17 (that’s right, almost a year ago!). How does continue to survive in this environment? AAFP

11/29/2018

To add injury to insult, CMSGov decided that my March 2018 $120 service as was really only worth $39 so they only had to pay $31. Thank goodness for that $8 from the secondary insurance! How does any other company stay in business under these conditions

11/29/2018

I just finished my 2nd year in as a limited to home-bound residents who receive . I billed CMSGov $120 back in March for services rendered & just received a check for $7.90 from supplemental insurance!!! Really?!?! Imagine any other business...

11/28/2018

Take time to read this story in an attempt to gain understanding where it can’t be found http://ow.ly/Tu9430mMMWs ***de Reach out to your , your family & friends, or contact National Su***de Prevention Lifeline 800-273-8255

My mom’s su***de changed everything. Here’s how I found hope again.

11/28/2018

This is known as b/c you don't want to face your w/your http://ow.ly/Fz8C30mM4Vs If we don't know your then how can we best help you? Esp when you don't want to die in an institution

PURPOSE Clinical practice guidelines recommend incorporating long-term life expectancy to inform a number of decisions in primary care. We aimed to examine older adults’ preferences for discussing life expectancy in a national sample.

11/27/2018

Please remember that just b/c something is doesn't make it & are natural but I wouldn't want to wipe it over my body! Now U.S. FDA finding in

FDA scientists have found heavy metals including lead and nickel at levels not considered safe for human consumption in some kratom products.

11/14/2018

New recommendations for to screen for excessive aka unhealthy use just promulgated by US Preventive Services Task Force https://jamanetwork.com/journals/jama/fullarticle/2714537 Big thanks to Forbes for summary http://fortune.com/2018/11/13/new-guidelines-doctors-adults-alcohol/

This 2018 Recommendation Statement from the US Preventive Services Task Force recommends screening for unhealthy alcohol use in primary care settings in adults, including pregnant women, and providing brief behavioral counseling to reduce unhealthy alcohol use (B recommendation) and concludes that.....

11/14/2018

Oh How do I despise thee? Let me count the ways! http://www.medicaleconomics.com/ehr/2018-ehr-report-card With thanks to Elizabeth Barrett Browning

Physicians rated their systems on key areas, including system capabilities, customer service and impact on patient care and practice finances.

11/06/2018

Ever wonder what’s causing in your ? Set aside some time to read Atul Gawande essay on how have altered patient & physician relationship and added http://ow.ly/Xnn530mw8A7

Digitization promises to make medical care easier and more efficient. But are screens coming between doctors and patients?