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And if denial of that service leads to death?  bodily harm?  or permanent
disability?  Part of what defines us as a profession is that we have a duty
to act, not for money, but because it's the moral and ethical thing to do.
 I will leave this profession if that mindset prevails....sorry!
Mike

On Sat, Jun 30, 2012 at 3:06 PM, Marty Herman <[log in to unmask]> wrote:

> ANdrew, If a service is not covered then we shouldn't provide it. I would
> not complain that "you can bill all you want, it's still not going to get
> paid".  So if the law prevents a physician form billing for a service tha
> tis not covered, ie most government programs , then those patients just
> don't get offered the service. THose who decide to pay and are allowed to ,
> would then abe able to get a service, otherwise denied to others. That is
> life..
>
> Marty
> Martin Herman, M.D.
>
> Pediatric Emergency Medicine
> Sacred Heart Children's Hospital
> FSU @ Sacred Heart, Division of Pediatrics
> 5153 N. 9th Ave, 6th Floor Nemours Bldg
> Pensacola, FL 32504
> Ph: 850 416 7658(office)
> Ph: 901 219 9202 ( cell)
> Fx: 850 416 7677
> Email: [log in to unmask]
>
> CONFIDENTIALITY NOTICE:
> This email message and any accompanying data or files is confidential and
> may contain privileged information intended only for the named
> recipient(s). If you are not the intended recipient(s), you are hereby
> notified that the dissemination, distribution, and or copying of this
> message is strictly prohibited. If you receive this message in error, or
> are not the named recipient(s), please notify the sender at the email
> address above, delete this email from your computer, and destroy any copies
> in any form immediately. Receipt by anyone other than the named
> recipient(s) is not a waiver of any attorney-client, work product, or other
> applicable privilege.
>
>
>
>  > Date: Tue, 26 Jun 2012 17:45:43 -0400
> > From: [log in to unmask]
> > Subject: Re: Technology!
> > To: [log in to unmask]
> >
> > You can BILL all you want, it is just that insurance, especially
> > government "insurance" will not PAY.
> >
> > Andrew
> >
> > On Tue, Jun 26, 2012 at 5:08 PM, Dr. Adam Friedlander
> > <[log in to unmask]> wrote:
> > > Who's to say you can't bill for the interaction?  Psychiatrists,
> lawyers,
> > > accountants...they all bill for phone interactions, and more and more
> > > physicians across the country are doing the same - especially those
> > > physicians with their nice little boutique practices that don't accept
> > > insurance.  A general pediatrician should DEFINITELY bill for
> telemedicine,
> > > which is what this is.
> > >
> > > As the dual trained (EM and Peds) guy in my practice, many peds cases
> are
> > > funneled to me when I am working, and there a quite a few kiddos who
> could
> > > have easily stayed home if mom had sent us a photo, or had a FaceTime
> > > interaction.  Nobody should suggest, however, that the advice should be
> > > free, or that there shouldn't be appropriate informed consent for
> > > telemedicine interactions...
> > >
> > > Adam D. Friedlander, M.D.
> > > Nothside-Forsyth Emergency Department
> > > Northside Emergency Associates
> > >
> > >
> > >
> > > On Tue, Jun 26, 2012 at 4:55 PM, Darrell Looney <[log in to unmask]>
> wrote:
> > >
> > >> I think a lot of the hostility is coming from the fact that more and
> more
> > >> of us recognize that patients are held to no standard and therefore do
> > >> whatever they want, while we as medical professionals are constantly
> > >> buffeted by winds of changing regulation. Whether from the tempest of
> Press
> > >> Ganey or the throws of litigation, it's hard to place confidence on
> > >> technology or thought processes which utilize diagnostic acumen of
> those
> > >> who seek to hold everyone else responsible for any bad outcomes
> associated
> > >> with its use.
> > >>
> > >> The technology in and of itself = good
> > >>
> > >> The technology in the hands of those using it with impunity = misuse,
> > >> abuse, poor decision making and poor outcomes (in other words, bad)
> > >>
> > >> Amazing that such a potentially useful gadget could have such great
> social
> > >> benefit in a place like the African outback, while representing
> significant
> > >> liability here in the US.
> > >>
> > >> DLooneyMD
> > >>
> > >> *****************************************************
> > >> Shape your musical landscape! Add some funky violin jazz to your vibe!
> > >> Da Phatfunk Clique
> > >> DPC on Jango!
> > >> DPC on Myspace!
> > >> DPC on Facebook!
> > >>
> > >>
> > >> > Date: Tue, 26 Jun 2012 15:41:54 -0400
> > >> > From: [log in to unmask]
> > >> > Subject: Re: Technology!
> > >> > To: [log in to unmask]
> > >> >
> > >> > Wow, lot of hostility to technology!!  It's simply a tool like a
> > >> > stethoscope, US, an otoscope, and is only helpful when used right.
>  But
> > >> it
> > >> > can be very helpful: they are using cell phone, pictures and text
> > >> messages
> > >> > in parts of Africa to expand the MD/RN coverage it to areas that
> are hard
> > >> > to reach but are covered by cell service.  From what I have heard,
> it is
> > >> > very useful and may even save a few lives.  The same thought has
> been
> > >> used
> > >> > to radically change farming practices and banking in the Developing
> > >> world.
> > >> >
> > >> > Perhaps, we should look at how we can work with technological
> advances
> > >> like
> > >> > this, and the others that are coming (know 3 people personally, who
> are
> > >> > working on similar cell technology as in Africa to be used here in
> North
> > >> > America), for every one's benefit?  Might make life better for all
> of
> > >> > us....just a thought!
> > >> > MIke Falk.
> > >> >
> > >> >
> > >> > On Tue, Jun 26, 2012 at 10:45 AM, Marty Herman <
> [log in to unmask]>
> > >> wrote:
> > >> >
> > >> > > I wouldn't use this to prescribe. Maybe the FDA should just make
> every
> > >> > > drug over the counter. Then people could just self diagnose and
> treat.
> > >> If
> > >> > > they are right, great, terrific, they save money. Butif they
> screw up
> > >> , and
> > >> > > need a physician to straighten out their health, well my fee wold
> be
> > >> very,
> > >> > > very high..and cash only!
> > >> > >
> > >> > > Marty
> > >> > > Martin Herman, M.D.
> > >> > >
> > >> > > Pediatric Emergency Medicine
> > >> > > Sacred Heart Children's Hospital
> > >> > > FSU @ Sacred Heart, Division of Pediatrics
> > >> > > 5153 N. 9th Ave, 6th Floor Nemours Bldg
> > >> > > Pensacola, FL 32504
> > >> > > Ph: 850 416 7658(office)
> > >> > > Ph: 901 219 9202 ( cell)
> > >> > > Fx: 850 416 7677
> > >> > > Email: [log in to unmask]
> > >> > >
> > >> > > CONFIDENTIALITY NOTICE:
> > >> > > This email message and any accompanying data or files is
> confidential
> > >> and
> > >> > > may contain privileged information intended only for the named
> > >> > > recipient(s). If you are not the intended recipient(s), you are
> hereby
> > >> > > notified that the dissemination, distribution, and or copying of
> this
> > >> > > message is strictly prohibited. If you receive this message in
> error,
> > >> or
> > >> > > are not the named recipient(s), please notify the sender at the
> email
> > >> > > address above, delete this email from your computer, and destroy
> any
> > >> copies
> > >> > > in any form immediately. Receipt by anyone other than the named
> > >> > > recipient(s) is not a waiver of any attorney-client, work
> product, or
> > >> other
> > >> > > applicable privilege.
> > >> > >
> > >> > >
> > >> > >
> > >> > >  > Date: Mon, 25 Jun 2012 23:13:27 -0500
> > >> > > > From: [log in to unmask]
> > >> > > > Subject: Re: Technology!
> > >> > > > To: [log in to unmask]
> > >> > > >
> > >> > > > Very cool device.
> > >> > > >
> > >> > > > The manufacturer claims it could reduce the cost of healthcare
> by
> > >> > > reducing office visits. So your doctor sees you over the Iphone
> but
> > >> > > insurance won't pay for a phone encounter. All the liability, no
> > >> payment.
> > >> > > Maybe the patient could send the image to the nurse call line from
> > >> their
> > >> > > insurance provider who might not even be in the USA and get a
> > >> prescription
> > >> > > sent from Mexico.
> > >> > > >
> > >> > > >
> > >> > > >
> > >> > > > Jason Foland, MD
> > >> > > > Clinical Associate Professor of Pediatrics
> > >> > > > Florida State University COM
> > >> > > > Medical Director, Pediatric Respiratory Therapy
> > >> > > > Pediatric Critical Care Physician
> > >> > > > Sacred Heart Children's Hospital
> > >> > > > Pensacola, Florida
> > >> > > >
> > >> > > > Sent from my iPad
> > >> > > >
> > >> > > > On Jun 25, 2012, at 8:21 AM, "Radhika Vijayan" <[log in to unmask]
> >
> > >> wrote:
> > >> > > >
> > >> > > > > Have any of you heard of this new device aparently being
> tested in
> > >> Bay
> > >> > > area.
> > >> > > > >
> > >> > >
> > >>
> http://www.technologyreview.com/news/428197/parents-could-skip-the-doctors-office-with-this/
> > >> > > > >
> > >> > > > > One of my collegues came across this article.
> > >> > > > > Sounds like a new wave in health care
> > >> > > > > Radhika Vijayan
> > >> > > > > HackensackUMC
> > >> > > > >
> > >> > > > >
> > >> > > > >
> > >> > > > >
> > >> > > > >
> > >> > > > >
> > >> > > > >
> > >> > > > >
> > >> > > > >
> > >> > > > > Build yourself a Temple of Peace, which no man can take away,
> no
> > >> power
> > >> > > can
> > >> > > > > destroy, With a life of Harmony, find your joy in Yourself,
> exactly
> > >> > > where you
> > >> > > > > are now.
> > >> > > > > Swami Chinmayananda
> > >> > > > >
> > >> > > > > For more information, send mail to
> [log in to unmask]
> > >> > > the message: info PED-EM-L
> > >> > > > > The URL for the PED-EM-L Web Page is:
> > >> > > > >                 http://listserv.brown.edu/ped-em-l.html
> > >> > > >
> > >> > > > For more information, send mail to [log in to unmask]
> > >> the
> > >> > > message: info PED-EM-L
> > >> > > > The URL for the PED-EM-L Web Page is:
> > >> > > >                  http://listserv.brown.edu/ped-em-l.html
> > >> > >
> > >> > > For more information, send mail to [log in to unmask]
> > >> the
> > >> > > message: info PED-EM-L
> > >> > > The URL for the PED-EM-L Web Page is:
> > >> > >                 http://listserv.brown.edu/ped-em-l.html
> > >> > >
> > >> >
> > >> > For more information, send mail to [log in to unmask] the
> > >> message: info PED-EM-L
> > >> > The URL for the PED-EM-L Web Page is:
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> > >>
> > >> For more information, send mail to [log in to unmask] with
> the
> > >> message: info PED-EM-L
> > >> The URL for the PED-EM-L Web Page is:
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> > >>
> > >
> > > For more information, send mail to [log in to unmask] with
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> > > The URL for the PED-EM-L Web Page is:
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> >
> > For more information, send mail to [log in to unmask] with the
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>
> For more information, send mail to [log in to unmask] with the
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> The URL for the PED-EM-L Web Page is:
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>

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