News

Posted on November 22, 2014

THE GREEN BINDER: Raymond Rupert MD. MBA. Rupert Case Management Inc.

The patient’s outcome depends on how well organized the medical records are. If the medical records are well organized, then the quality of the decision making is better and the outcome will likely be better.  That’s why we use the GREEN BINDER. After we have gotten all the patient’s medical records, we organize them with […]

Posted on November 22, 2014

HOW DO YOU GET TO THE RIGHT PERSON IN A HOSPITAL IF YOU ARE TRAPPED IN THE ER? Raymond Rupert MD. MBA. Rupert Case Management.

When a patient is in hospital gown on a gurney in the ER,  the feeling is one of being powerless. Here’s an approach that just might help you someday. Case Study: Virginia is a delightful 57 year old consultant. She has a complex past history. She woke up early one morning and was short of […]

Posted on November 22, 2014

HOW TO ADVOCATE FOR A PATIENT NEEDING APPROVAL FOR A SPECIALTY DRUG? Raymond Rupert MD. MBA. Rupert Case Management

When a patient or an advocate assumes that all is hunky dory, with their application for approval of an expensive specialty drug and that there is no need to check on the application, then a big nasty surprise is likely to occur. Here’s A Case Study Of A Big Nasty Surprise: Stan is a 28 […]

Posted on November 20, 2014

DON’T CALL ME A PATIENT: I WANT TO BE A CUSTOMER OWNER.

There is a quality movement in healthcare that is replacing the word patient with the words “customer owner”. The healthcare system should be focused on serving the needs of the customer owner. The healthcare system should be accountable for actions taken to serve the customer owners. The healthcare system is owned by the customer owner. […]

Posted on November 16, 2014

AVOID DUMB AND DUMBER:

When a patient first learns that they have a serious healthcare problem, they seem to lose their ability to think. Cognition fails as fear hijacks their brains. To avoid this problem of dumb and dumber, I always suggest that a patient bring along a friend or relative or advocate.  They can depend on this person […]

Posted on November 16, 2014

I HAVE SEEN THE FUTURE OF HEALTHCARE AND IT IS GOOD:

Dr Brenda Zimmerman is the director of the Health Industry Management Program (HIMP) at Schulich’s business school.  The program just celebrated its tenth anniversary. Brenda is a very impressive academic leader who is training the next generation of Canada’s healthcare leaders. Her HIMP/MBA graduates are young, intelligent, energetic and committed to improving Canada’s healthcare system. […]

Posted on November 1, 2014

WHEN NO ONE IS DRIVING THE BUS, PATIENTS ARE UP THE CREEK WITHOUT A PADDLE:

Veronica was  a very complex young lady. She was 32 and had type 1 diabetes. She had a serious motility (motor) disorder of her colon. Her gut did not move food contents along from top to bottom, in the way that it should. This lead to a number of serious complications including persistent vomiting and […]

Posted on November 1, 2014

HOW TO GUIDE YOUR DOCTOR INTO THINKING MORE DEEPLY ABOUT YOUR PROBLEM:

Doctors, albeit very intelligent, can get stuck in patterns of thinking that are rigid and do not allow for integration of new information.  Doctors use heuristics or rules to make life easier. The problem is that reality is more complex than the simplifications that result from using heuristics. We have devised a strategy that patients […]

Posted on October 20, 2014

NEW TECHNIQUES TO GET RID OF PAIN: Raymond Rupert MD. MBA. Rupert Case Management Inc.

Pain management is an art. Finding sophisticated doctors who have refined their tools and techniques can be the difference between a life filled with pain or a life of contentment. Here’s A  Case Study: Stan is a 51 year old employee of a local utility. He had cluster migraine type headaches that were at least […]

Posted on October 12, 2014

A NEW TREATABLE BRAIN DISEASE:

Gluten can cause celiac disease, an autoimmune disease of the gut. Now we are surprised to learn that the same auto-antibodies produced to gluten  can also cause diseases of the brain. Cases are starting to accumulate. A patient with epilepsy and white spots of his MRI, improves once he stops eating gluten. A professor with […]

Posted on September 20, 2014

SHARED DECISION MAKING IS TRENDING:

SHARED DECISION MAKING  is a collaborative process that allows patients and their providers to make health care decisions together, taking into account the best scientific evidence available, as well as the patient’s values and preferences. SHARED DECISION MAKING honors both the provider’s expert knowledge and the patient’s right to be fully informed of all care options […]

Posted on September 19, 2014

THE HISTORY OF HEALTH INSURANCE IN CANADA AND HOW ONE PERSON’S STORY CHANGED HEALTHCARE IN CANADA:

In the 1920’s and 1930’s, the farmers got it right. They organized healthcare cooperatives to finance healthcare in their communities. There was no government involvement. This solution worked well for the community. Unfortunately, healthcare cooperatives did not scale up in Canada. In Spain, healthcare cooperatives started in the 194o’s and 1950’s. They did, however, scale […]

Posted on August 25, 2014

NEW LAB TESTS CONTINUE TO AMAZE:

There are new lab tests that are available that can prove to be very important in ruling cancer in or out. Case Study: T.M. is a 52 year old who presented with a spike in his PSA. It had spiked to about 4. Six months previously it had been about 1.0. After the PSA spiked […]

Posted on August 14, 2014

BE CAREFUL WHEN PICKING A SUBSTITUTE DECISION MAKER!

This is an odd situation, but that is what our day is filled with. Case Study: A 63 year old male was admitted to a locked psychiatric unit with severe mental health problems. He had delirium and psychotic thinking. Previously, he had selected his younger brother to be his substitute decision maker for decisions relating […]

Posted on August 14, 2014

WHEN A SICK TRAVELLER NEEDS A 2ND OPINION:

When you or  family member gets sick while travelling, you want the best advice possible. Here’s a case study: Dermot is a 25 year old Dublin native. He was vacationing in the Greek islands when he developed a painful abdomen. He was flown to Athens. The surgeon operated and found a portion of small bowel […]

Posted on July 26, 2014

EVERYONE IS DOING TELEHEALTH. HERE’S WHY! Raymond Rupert MD. MBA. RUPERT CASE MANAGEMENT Inc.

Tele-health has been around for a long time. In the 1950’s the first doctor-patient tele-health intervention occurred. To accomplish this, two TV studios had to be built for the doctor and for the patient at the cost of millions of dollars.  Things have changed.  Today, two $30 webcams will do the job. I just attended […]

Posted on July 20, 2014

THE ROLE OF THE FAMILY WHEN A NEW DISEASE IS DISCOVERED:

Case Study Of A New Disease And What A Family Can Do To Help: Bertrand is a 7 year old born with an unknown disease. He had widespread damage to his nervous system. He had odd behaviours such as staring into space, grinding his teeth and wringing his hands. He had many seizures that required […]

Posted on July 20, 2014

DENTAL ADVOCACY AND CASE MANAGEMENT- WHAT’S THAT?

Often when a patient with a complex dental problem gets into trouble, they do not know where to turn for help.  That is why we have started to advocate for patients who have no solution available for their dental problems. Here’s a case study: P.J. was a 17 year old teen who was playing field […]

Posted on June 13, 2014

FINDING THE WANDERING PATIENT: TRY LOLA

The wandering patient is a vexatious problem. So when you come across a simple cost effective solution, you want to shout it out. So here goes. Case Study: Stan is 60. He has significant dementia. It started in his mid 50’s.  He is at home with his wife. She is an attentive care giver and […]

Posted on June 2, 2014

EMPLOYEE BURNOUT NEEDS TO BE PREVENTED: Raymond Rupert MD. MBA. @ Rupert Case Management Inc.

Just 30% of employees feel engaged at work. And of 72 senior executives who were studied, nearly all showed signs of burnout. No wonder, people hate their work. A large survey by Tony Schwartz (CEO of the Energy Project) and Christine Porath ( associate professor at Georgetown University) showed that employees are vastly more productive […]

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