ICD-10

In the fall, the World Health Organization will review the revisions to the eleventh “International Statistical Classification of Disease and Related Health Problems” (ICD-11), and while the title alone can lull you to sleep, it is a document that few have heard of but that carries quite a bit of weight globally, especially in the US. The ICD-11 (although we are currently on version 10) catalogs all of the known diseases of humankind and form the basis for payment for health services, subsequently underpinning 18% of our GDP. One of the questions raised was whether we should consider aging a disease and give it a code within ICD-11.

The definition of disease, per WHO is a “state of complete physical, mental and social well-being, not merely the absence of infirmity.” It is long...

Finally, some worthwhile data.  

In our current culture —especially in the medical sphere, acquiring data for data’s sake has become its own illness whose insidious contagion serves further to fracture and fragment our health care delivery.  

Though I don’t routinely find good news in the topic of death, being the skeptical optimist that I am enables me to see the potential in a new study published in JAMA detailing the mortality rates for major causes of death from 1980-2014.  

Why the cheer?  Because the report is documenting United States county-level trends.  Recognize it is a tempered one, but cheer nonetheless.  Until we start to recognize that policy decisions and implementation...

  Welcome to my first in a new series entitled:  The Shackling of the Physician.  It was that or “limitless inane continuous regulations and impositions imparted on the doctor against his/her will without his/her input that serve to embattle him/her and detract from patient care and personal well-being.”  The former seemed more effective with respect to search engine optimization, but the latter is what emanates from my soul.

  Since this topic, alone, is boundless in possibilities, I will focus the discussion today on absurd, oops, I mean illogical and impractical and often utterly hilarious and completely inefficient costly diagnostic coding measures - a sampling of which is at the end of this article.  Yes, it is intellectually edifying to know how many get struck by macaws...