News

Posted on June 1, 2014

IMPROVING THE PATIENT EXPERIENCE WHILE TRAVELLING: Raymond Rupert MD. MBA

When someone gets sick while travelling, it can be very frightening, confusing and disconcerting. The usual resources: parents, siblings, relatives, family doctor and local emergency department are not there. The call to the 800 number on the back of the travel health insurance card does seem to be the logical start.  It does initiate a […]

Posted on May 25, 2014

THE HUMAN BODY USES ELECTRICAL IMPULSES TO CREATE DISEASE:

The idea that the nerves conduct electrical impulses that create disease would be considered nonsense if it weren’t for the work of Kevin Tracey a neurosurgeon. Dr Tracey’s experiments on the inflammatory reflex have proven that there is a close and causal connection between nerve connections and the immune system. There are inflammatory diseases caused […]

Posted on May 19, 2014

HEALTHCARE CO-OPERATIVES: BRING BACK THE OLD

About a decade ago, I was at a dinner for various  managers of co-operatives.  There was an old timer sitting next to me at dinner. He had been a farmer. When he found out that I was a medical doctor, he told me about how he and a group of neighbouring farmers had formed a […]

Posted on May 17, 2014

FOOD PROPAGANDA MAKES US SICK:

Food politics and food propaganda is making us sick. From the early days of margarine in the 1950’s to the paleo diet of today, we are being lead by astray by food propaganda. An article by Margaret Wente (May 17 2014) in the Globe and Mail points out the absurd logic upon which our food […]

Posted on May 11, 2014

A HEALTHCARE SYSTEM GONE AWRY:

Controlling costs is essential for all healthcare systems.  How costs are controlled is key. Here is a case study of a healthcare system gone awry in its efforts to control costs. Case Study: Bill is a 69 year old Israeli citizen. Originally from Ohio, he came to work in Israel about 35 years ago. He […]

Posted on May 10, 2014

DOCTORS AS COST GENERATORS: THE POWER OF THE SUB-TOTAL IN OUR EXPERIMENT OF N=1

Last week, I was walking down Howland Avenue in the Annex on a sunny spring day. There on the sidewalk were some books put there for strangers. So I glanced at the titles. One that struck me was ” Doctors’ Decisions and the Cost of Medical Care”. So I took it. The first part that […]

Posted on April 24, 2014

HEALTHCARE’S BIG QUESTION: VALUE OR COST? RAYMOND RUPERT MD. MBA.

There is a revolution occurring in healthcare spending. The focus is on value for healthcare dollars that are spent.  Healthcare systems want to pay for value and not for volume. When Professor Michael Porter, strategy professor at Harvard Business School, analyzed healthcare systems about a decade ago, he concluded that competition was highly dysfunctional. He […]

Posted on April 9, 2014

WHISTLER GETS HEALTHCARE SERVICE RIGHT! Raymond Rupert MD. MBA.

When there is an opportunity to deliver focused healthcare services many times, then the customer service can be exceptional. Here is a case study: Mr R.C. is a 52 year old business executive who was skiing near the top of Whistler. He is a very competent skier. Unfortunately, he fell and injured his left shoulder. […]

Posted on April 6, 2014

MEDICAL CODING OF ALL HEALTH PROBLEMS TO CREATE THE MASSIVE ICD-10: The Washington Post- Wonkblog- Feb 14, 2014

With 14,000 medical codes, the old collection of codes – the ICD-9- seems puny by comparison. The new manual for ICD-10 explodes that code set to 68,000 much more granular and detailed terms to define — very exactly what health problems can occur. The ICD-10 manual is thick, about the size of a phone book. […]

Posted on March 30, 2014

INCREASING POPULARITY OF CONCIERGE MEDICINE PROVIDED BY FAMILY OFFICES: Raymond Rupert MD. MBA.

The Appeal Of Family Office Services Private Wealth Publication MARCH 21, 2014 • RUSS ALAN PRINCE The number of advisor firms claiming to be multifamily offices or providers of family office services is growing. Moreover, all indications are that the desire among advisors to be providers of family office services is going to intensify. In a survey […]

Posted on March 22, 2014

DON’T LEAVE CANADA WITHOUT IT! Raymond Rupert MD. MBA.

Before you travel outside of Canada purchase travel health insurance.  Because if you get sick and end up in hospital without travel health insurance, it could bankrupt your family. I am not kidding. Here Is A Case Study: Mr and Mrs S. are snowbirds who have a home in Florida. Mr S. is 81. His […]

Posted on March 12, 2014

INSIDE THE CULINARY MEDICAL PROGRAM AT TULANE UNIVERSITY- A GREAT WAY TO INTRODUCE MEDICAL STUDENTS TO HEALTHY EATING- FROM BON APPETIT ONLINE

Inside the Culinary Medical Program at Tulane University from Bon Appetit Magazine WRITTEN BY GINA SHAWPHOTOGRAPHED BY CHARLES MASTERS Medical student David Ly struggled with his knife. It was his first day in class, and the blade felt awkward in his hand. But with an experienced instructor guiding his strokes, Ly’s slices soon became smooth and fluid. Ly wasn’t […]

Posted on March 11, 2014

ACTIVIST PATIENTS ARE CHANGING HEALTHCARE FOR THE BETTER- by Dr. James Aw. Medical Director Medcan. National Post

Patients who question their doctors are changing the face of medicine – and physicians are embracing the shift Republish Reprint     Dr. James Aw | March 11, 2014 11:58 AM ET Activist patients, those who take matters of their health into their own hands, are changing the medical landscape. Last week I was in California […]

Posted on March 9, 2014

THE SYSTEM FOR PROVIDING MENTAL HEALTH CARE IS BROKEN:

The system is broken- big time. That premise is proven each time a seriously ill patient does not receive care or receives inadequate or inappropriate care. Here are a few case studies that provide the evidence. case study 1:  A 26 year old schizophrenic decided to stop taking his medications. He was lost to followup. […]

Posted on March 8, 2014

EMPLOYERS WORRY ABOUT HEALTHCARE COSTS & MENTAL HEALTH- Morneau Shepell’s insightful workplace study.

Employers worry about healthcare costs, mental health Controlling healthcare costs is the top benefits priority of Canadian employers for 2014—along with addressing mental health issues, a survey reveals. This year, as many as 68% of companies worry about healthcare costs for 2014, up from 45% last year, according to Morneau Shepell’s annual survey on compensation […]

Posted on February 10, 2014

If Sherlock Holmes was a doctor, this is what it might be like:

Sherlock Holmes is the master of the science of deduction. He can just figure stuff out. He gets a letter in the post. He knows that the paper is from Eastern Europe. The letter was written by a woman using a Parker iridium nib using royal blue Parker ink. The phone inside the letter has […]

Posted on January 23, 2014

WHAT TO DO WHEN AN EMPLOYEE IS CONFUSED AND FORGETFUL?

Today, there is a much higher likelihood of aging employees developing dementia. Mandatory retirement is out. There are more older employees choosing to work. Dementia in the workplace presents a complex scenario for all participants: employees, family members, employers and insurers. Here’s a CASE STUDY: Stan was a cracker jack chief financial officer of a […]

Posted on January 9, 2014

MENTAL HEALTH FRAUD:

Up to 1,000 retired police officers and firefighters in New York city were involved in mental health fraud. They were coached in how to fake mental health testing and how to appear confused and distraught. They received pensions and other payouts of over $400M dating back to 1988. Investigators discovered their facebook pages that told […]

Posted on January 5, 2014

GOING LOW TECH WITH PAPER MEDICAL RECORDS + PHONE CALLS:

We are advocating a very low tech solution for patients. Patients should keep paper copies of their medical records in a 3 ring binder. They should take the binder with them every time that they go the doctor’s office. They should allow their doctor to look at the records, photocopy pages but must not give […]

Posted on December 28, 2013

ONE VISIT, ONE PROBLEM- What Do You Think Of This Rule?

The new rule that sets the agenda for a doctor-patient meeting is ONE VISIT, ONE PROBLEM. The ONE VISIT, ONE PROBLEM rule seems to work for the new doctors going into practice and for the walk in clinics that employ them. However, using this rule is akin to a stockbroker churning his/her client’s accounts. What […]

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