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In 1990 Jim McClanahan and Maurice Adkins founded a business called Hi-
Over the past few years, many firms have realized the advantage of a well-
Marketing for a practice is just as important as a retail store or online business. With patients having the ability to choose their general practitioners and their specialists alike, it's more important than ever to….
Have you begun your business planning for 2018? If you’re looking for a few places to start, I’d like to offer some recommendations. The process of putting together a detailed plan is what I refer to as The 2018 Business Imperative.
For years, the given way a physician grew a practice was through referrals from colleagues and associations with certain hospitals and/ or insurance plans. The environment is changing.
Content driven marketing is a form of marketing focused on creating, publishing and distributing content for a targeted audience in niche magazines, local publications, with your website, and with social media for the specific purpose of educating the….
One of the most important aspects of a business sale is the due diligence process that the buyer and perhaps her/his advisors undertake. The buyer due diligence process serves to verify information represented by the seller and to also gain….
Defining resilience: The American Psychological Association (APA) describes resilience as “the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress, such as family and relationship problems, serious….
I recently saw one of my favorite patients whom I had not seen in 10 years. I have thought of her often since the hospital took over my Estill County practice in Irvine and I moved to Lexington. Wanda always lifted my spirits.
Behavioral medicine research confirms the value of mind-
Former Surgeon General Vivek Murthy MD has sounded the alarm regarding our country’s epidemic of stress. He calls for a serious national effort to mitigate the corrosive effect of chronic stress on every organ system.
Modern life is taking its toll on our nation’s mental and physical health. Physicians and their patients both suffer from stress-
The American Psychological Association (APA) recently documented a worrisome increase in stress in the U.S. population (Stress in America https://www.apa.org/news/press/releases/stress). Uncontrolled stress can cause or worsen anxiety, depression,..
The National Institutes of Health (NIH) has put itself firmly on record as being deeply concerned about our national epidemic of stress at the individual, organizational and societal levels.
This new patient was a desperate, mid-
Marta Hayne, MD practices radiation oncology at Baptist Health in Lexington. She knew she wanted to be a doctor as early as kindergarten. Growing up in Charleston, West….
Mike Anstead MD is an adult and pediatric pulmonologist at UK and a cystic fibrosis specialist. Growing up in Covington and attending Northern Kentucky University, he worked as a lab tech at St. Elizabeth Hospital. He enjoyed being part of….
Pediatrician Stephanie Stockburger MD majored in music/French horn performance at Eastern Kentucky University. As she walked across campus one day, she had “a God moment” and realized she wanted a job where she could make….
Traci Westerfield MD treats and teaches patients struggling with addiction and chronic pain. One of her most effective therapeutic and educational tools is her powerful and compelling personal story. For that reason, I will share her story here in her own words….
William O. “Bill” Witt, MD chaired the UK Department of Anesthesiology for thirteen years, during which time he created a chronic pain service, a full-
Danesh Mazloomdoost, MD has inherited a tradition reflected in his name itself. In his family’s native Iran, Mazloomdoost means “friend to those who are ailing.” His life in medicine seems almost preordained by his family history.
It seems so fitting that Carol Cottrill’s medical specialty is the hearts of children -
Growing up on a busy farm in rural Virginia, milking cows before and after school every day, Cary Blaydes assumed he would grow up to become a farmer. When his father convinced him to consider medicine instead, his goal was to go back home as a general….
The quality of our family life has a major impact upon the quality of our work life. Family discord and conflict often seeps its way into the workplace, which can result in reduced concentration, increased mistakes, and a greater susceptibility to burnout. Strong physician families actually provide a….
Our spouses keep long hours. They miss out on a lot of family time and kids’ extracurricular activities. So, when they manage to get vacation time, our spouses generally pack (or get packed for), walk out the door, and enjoy the vacation. They might do a little “Monday morning quarterbacking” on the….
I had the privilege of consulting to the Stewart Home & School (SH&S) 2 decades ago. John D Stewart II MD was practicing general and vascular surgery in Lexington at that time while working part time at the family business in Frankfort.
I have known Lexington plastic surgeons Woody, Andy and Mike Moore most of my medical career. Woody and I often hunted quail with other medical colleagues. During our hunting expeditions, Woody would tell me “Moore Stories” (my emphasis). I vowed someday to tell a short story of this….
On August 30th, 2009 I was sitting in my college dorm room when I received a call that would change my life forever. I was told my dad had been in a tragic accident and I should find a way to the hospital immediately. I hurriedly packed and my best friend drove me to the hospital three hours away.
When I reflect on the sacrifices that I’ve made to study medicine, I also note that my mother has altered her life for me to realize my potential. Being diagnosed with autism spectrum disorder could have been a life-
I have a small black planner from Japan that has chronicled my life for the past year. It is a compact and sturdy little book I carry back and forth to work. Since the beginning of my residency, I have had several of these, archived in a striped banker’s box once the year is up. If someone were going to be….
Here I am turning into the alley I know so well. I spot the neighborhood holy man and beggar with his alms bowl. The restaurant he sits alongside is bustling. The matron calls out to me from behind her steaming peanut and palm nut soups. Next door to her I pass the charcoal seller. I smile and jump over the….
Finally—I was so blessedly close to sleep. So far, my eyelids had been closed for the first four hours of our sixteen-
Were the sacrifices you made to become a physician worth it? This is a question that I get asked at least couple of times every month, mostly by well-
With constantly evolving technology and increasing national exposure, the field of prosthetics has finally begun to garner the attention it has long deserved. While many now know more about prosthetics than ever before, the clinical and technical process involved in designing and creating….
The water erupted soon after his fly landed near the riffle’s foam line. “She’s got spirit,” my son roars, gathering extra line. “Watch and learn old man.” The Roaring Fork is a freestone mountain river that rages in torrents in the early summer while washing over boulders and fallen trees. Our Western drift boat is….
One of the major challenges in healthcare is reconciling the tremendous gap in patients’ access to physicians. This is particularly true for our patients who reside in Eastern Kentucky. The Appalachian Regional Commission recently issued a very somber report showing that the Appalachian region has…
Due to the obvious shortages in psychiatric manpower, more and more patients requiring psychiatric care are being seen in primary care as part of a “patient-
Physicians and other medical professionals are often on the front line due to their accessibility to elderly patients. Sometimes being the only individual to see an elder other than their caregiver, the ability to recognize the signs of abuse is vital.
The journey a new amputee takes can be long and difficult to navigate. The staff at Hi-
Chiang Mai is Thailand’s second largest city and a peaceful alternative to Bangkok. The capital of Northern Thailand is known for its temples and its markets, and it is one of the main centres for learning traditional Thai massage. Chiang Mai is surrounded by mountains, forests and national parks that are perfect for….
People frequently think that pain is a purely physical sensation. However, pain has biological, psychological and emotional factors. Pain can cause feelings such as anger, disappointment, hopelessness, sadness and fear, to name a few. “While medical treatments, such as surgical interventions, physical therapy....
I had the opportunity to interview Steven Stack, M.D. regarding opioid issues confronting emergency department physicians. Steve is well known to many of us, as he is a very recent president of the American Medical Association and currently is employed as....
Not a day passes without some story in the media about the devastating opioid epidemic in this country. Often the item concerns the latest government statistics that show an ominous worsening of some indicator of the crisis – such as a CDC report that estimates….
America’s first epidemic of opioid addiction occurred in the 1840s. Mothers dosed themselves and their children with opium tinctures and opioid containing medicines. Soldiers in the U.S. Civil War treated their injuries and diarrhea with morphine (“the Army disease”).
When a new amputee is tasked with getting back to their life after losing a part of their body, it involves more than simply creating a prosthetic device to surrogate what was lost. The process is a deeply personal and psychological journey that involves a lot of community, love, and support. Hi-
The Pain Treatment Center of the Bluegrass is the largest freestanding facility in Kentucky dedicated to the treatment of pain. It hosts 11 physicians of varying specialties and sub-
A link between exercise and mental and physical well-
This quarterly edition of KentuckyDoc features LMS physicians and their hobbies. Two LMS members, William Wheeler M.D. and David Bensema, M.D., have chosen woodworking as a hobby. As with most physicians who choose hobbies, Bill and David came to their hobbies by different routes. ....
Horseback riding is exactly what it sounds like – riding a horse. There are a many different types. The two basic horseback riding styles are English and Western, the saddle is the biggest difference between the two. I started out as a hunter jumper.
For many physicians, the question is not “if,” but, “when” you will experience burnout. A recent systematic review and meta-
Like many medical students, my interest in medicine arose during high school anatomy courses. Unlike many medical students, I did not begin my collegiate studies at a university. I went to high school in a suburban town Northwest of Detroit called Clarkston. It was my junior year between 2008-
The back of my head lies flat as a pin board. In the orphanages of South Vietnam, darker babies carried the stigma of the war, bearing a physical resemblance to the ruthless soldiers from the north. I was one of those children. Because of my skin tone, the caregivers’ prejudice prevented them from picking me up to play.
It all began with bagels and orange juice. I was seven, and my dad had promised we would go to lunch as soon as he finished making rounds in the hospital. My stomach grumbled, though, so Dad plopped me in the doctors’ lounge, snacks in hand, and promised he would be back in an hour.
The unfortunate truth about life is that the unexpected will happen. Some of us learn from it, some of us change because of it and some of us find our life’s calling because of it. The latter was the case for me. After our dad picked us up from middle school, we spent that afternoon like we had every afternoon that month.
I remember him. I remember the man in the dark blue sarong the same way I remember the lines on back of my own hand. He was hunched over next to a column on a dirty platform at a railway station in Calcutta, India in the middle of the harsh summer sun. His hands were withered, his fingers and toes looked like tiny….
I studied insects in college; my favorite insects were the bees (I found them diligent and so helpful to humankind). One of my favorite classes was about medical diseases caused by insects. My professors noticed my interest in the medical side of things and connected me with a professor who did clinical research.
Early on a cool, crisp autumn morning, Dr. Paul Kearney addresses his fellow surgeons and other volunteer medical professionals just before they embark on a busy day at the Lexington Surgery Center (LSC). Many of them have already been preparing the facility since before sunrise as a part of the monthly ritual known as....
Compassion does not know city limits or county lines. Neither state nor international borders can contain such acts of altruism. For the last four years two surgeons and one nephrologist have travelled to Honduras to perform living donor kidney transplantation thereby....
From humble beginnings as a curtained-
As Americans most have been secure in our needs for food, housing, safety and health. Health care has become more of a right than a privilege and has become more accessible thru expanded Medicaid, Medicare and the more recent Affordable Care Act.
Dr. Privett has practiced medicine in Lexington since 1973. After finishing his residency, he spent two years in the United States Army from 1971 to 1973 at Fort Bragg, North Carolina. He returned to Lexington thereafter to begin his neurology practice. He practiced clinical neurology for 15 years, from 1973 until....
Who played a significant role in your journey to becoming a physician? My senior year of high school I applied to participate in a University program for rural students. During this process I had the opportunity to converse with an amazing woman, Carol, who is passionate about helping others and dedicated....
For as long as I can remember, I’ve always wanted to become a doctor. However, I did not realize all the challenges I would have to face in order to make my dreams come true, and I also did not know who I was going to meet along the way to help me become a successful medical student.
It was reported in a 2015, in the US, by the Pew Research Centre that 24 percent of teens go online “almost constantly,” facilitated by the widespread availability of smartphones. With all the social media platforms out there, it is estimated there will be 2.67 billion social network users by 2018 reported....
Being a Physician, you can be asked to treat symptoms effecting your patient you would not expect. Your patients that are elderly believe they have a very special relationship with you, like a beloved and trusted niece or nephew. You are the wise counsel for all that matters, the Doctor knows best.
Mentoring is an art form developed in the United States in the 1970s within large private companies and corporations and is used to support junior staff. Since the 1990s, mentoring programs have emerged in various medical professions, most frequently in the field of nursing though, rather....
Despite the availability of other satisfying or more lucrative career opportunities for the bright and altruistic, admissions to medical schools remain desirable and competitive, thanks largely to an influx of talented and qualified female and minority applicants.
Most of us have personally experienced the impact of electronic health record (EHR) and required clinical documentation, which have resulted in decreased productivity and decreased job satisfaction. Physicians and nurses have traditionally used clinical documentation to record and convey.....
The American Medical Association published in JAMA (May 15, 2017) a recent article by Dr. Dabora and Dr. Turaga, two Harvard Business School professors (MD, MBA), who are joined by Dr. Shulman (MD) of the Duke University School of Medicine. The following is a summary of this article.
When it comes to practice growth new faces of patients is a good thing, but not when those new faces are staff members. The constant revolving door of office and medical staff is killing more practices now than ever before. The success of today’s medical practice is not only measured in the accounts receivables.....
As physicians, we are required to master changes on a daily basis. Very shortly, we will have to deal with changes in the Accountable Care Act. At some point, we will be required to deal with changes in our electronic health record system. Medical organizations are struggling with the demands of physicians....
Monday mornings on the unit are always a little chaotic. Even though during pre-
It is not often you get the chance to meet a celebrity in the emergency department, especially at 2 a.m., and when that opportunity arises you must seize it. When Iron Man strolls through the door notice is taken. As a child I was fascinated by superheroes.
When my dad went in for heart surgery, I never expected that he wouldn’t wake up. Not to say that I was worry-
“So if you don’t mind me asking, why did you make the switch?” I get that question quite often. I honestly never grow tired of answering it because that’s always when I launch into what rekindled my spark for being a physician. I still remember running down the hallway, balancing on one foot,.....