We’re So Busy – Why Aren’t We Making Any Money?

We’re So Busy – Why Aren’t We Making Any Money?

Medical Practice Management for Poor Profits During a recent medical practice management consultation, I listened to an  owner of a hybrid family medicine/urgent care practice lamenting – “We’ve been open for 4 years.  After about the first 2 years...
Three Ways to Lose Your Occmed Clients

Three Ways to Lose Your Occmed Clients

Successful Occupational Medicine Programs As with many other industries, in order to run a successful occupational medicine program, “service” has to be delivered from the customer’s perspective.  You’ve set up your center and trained your staff for drug screens,...
3 Classes of Traumatic Brain Injury Determine Driver Certification

3 Classes of Traumatic Brain Injury Determine Driver Certification

Traumatic brain injuries (TBI) can have lasting effects on a driver’s memory, reasoning, sensation, communication and understanding, and cause emotional issues including depression, anxiety and personality changes. I have examined a driver who has history of auto...
Cardiovascular Issues in DOT Commercial Drivers

Cardiovascular Issues in DOT Commercial Drivers

Cardiovascular questions that come up on DOT exams: With history of unrepaired aortic aneurysm or thoracic aneurysm, am I to require ultrasound at the yearly recert?  what about echocardiogram every 2-3 years with aortic valve replacement? With an unrepaired aortic...