Ebola in Dallas

Vic Nicholls nichollsvi2 at GMAIL.COM
Wed Oct 8 11:58:00 UTC 2014

One of the best reasons to cut the # of admin in half, cut those 
salaries that are more than the average of the doctors on staff, dump 
1/4 of the lawyers, and put that into doctors (some pay for on call 
would be nice) and more nurses. Front line patient care.

The other is how to create a job where someone is taught enough medicine 
or enough specialist medicine that a doctor could have someone that 
thinks to do a lot of the paperwork for them. That includes some of the 
insurance "I need more paperwork to approve" stuff. I dont see scribes 
as being the answer because there may or may not be enough medical 
knowledge to do that.


On 10/8/2014 7:42 AM, Shapiro, Barbara wrote:
> You are correct. But so far society has shown us that nobody is 
> willing to give us the resources we really need. It's cost benefit. 
> What more needs to happen before society wakes up and we, as 
> physicians, start getting the resources we need. I'm guessing the ER 
> docs in Texas just didn't have the time to think through the situation 
> - they certainly knew this was a febrile man who had just come from 
> Liberia - my ten year old would have figured this out! But in the 
> busy, crazy fog of the ER, they basically missed it.
> Barbara E. Shapiro, M.D.,Ph.D.
> University Hospitals Case Medical Center

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