Archive For The “Medical Ethics” Category

Unethical Pain Management Practices: Fee Splitting and Duplication

By | October 19, 2012

A combination of the last two problems we discussed, the use of surgery centers and the use of sedation and anesthesia for nerve blocks actually gives rise to one of the cleverest fee splitting schemes that I have heard of in years. The plan starts with two anesthesiologists one of whom pretends to be the […]

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The Best Pain Clinic in LA: A Doctor You Can Trust

By | June 20, 2012

Patients looking for the best pain clinic in Los Angeles are faced with many choices including size, proximity, technology and services rendered. But when all is said and done, the most important determinant of quality in a pain clinic or any form of medical care is a doctor you can trust. I would go so […]

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Personal and Medical Ethics: Because I Am Your Friend

By | June 15, 2012

Questions that begin or end with the phrase “because I am your friend”, raise red flags in my office. It implies that there is standard service and superior service and that I consciously choose who will receive which. This is simply not true. I made the decision long before I opened Schlesinger Pain Centers, that […]

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Personal and Medical Ethics: How is Jane?

By | June 14, 2012

Friends often come up to me at the club and ask how Jane is doing. Not a few of them are surprised and sometimes a bit put off when I respond to their seemingly innocent question by telling them that I really can’t say. Even after I explain about HIPPA and Jane’s right to privacy […]

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Personal and Medical Ethics: I Will Not Sell Snake Oil

By | June 13, 2012

I remember 5 years ago when I was making my decision to leave the hospital and open Schlesinger Pain Centers, the look of horror some of my friends faces and their suggestions that I reconsider going into such a disreputable field. I countered that my business model in private practice would be the same as […]

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Personal and Medical Ethics: Keep Your Opinions to Yourself?

By | June 12, 2012

Steve’s case is typical of the kind of conversations I have almost every weekend at the club. Even people that I hardly know will come up to me and tell me about their medical problems. Sometimes they are asking for advice. Other times they are seeking validation for decisions that they have already made. Yet […]

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Personal and Medical Ethics

By | June 11, 2012

I met a friend who was looking for a game yesterday as my daughter and I headed for the first tee. Steve (not his real name) has never been a patient of mine at Schlesinger Pain Centers, but in the course of the first couple of holes, he told me that he was excited about […]

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You Deserve the Best – For Whose Benefit Is This Being Done?

By | May 10, 2012

In evaluating whether or not George got the care he deserved, I would like to start with his question immediately after the injection. George is an intelligent man and after his injection at Schlesinger Pain Centers, he knew immediately that the surgery center and the anesthesiologist had been unnecessary. While George had luckily not suffered […]

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