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Check out the posts from Charlie Vargus –

he also does acupuncture.

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

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P.O.

Box 7275

Woodland

Park, CO 80863

From: [mailto: ] On Behalf Of Evan H. Hirsch

Sent: Monday, November 20, 2006

5:27 PM

To:

Subject:

newbie-2 questions

Howdy y'all,

I'm an FP resident ready to graduate and have been on the listserve for

about a week. Thanks for all of the great conversation! I'm about to transition

to going solo from resident madhouse practice and wanted to send a transition

letter to my patients. Anyone out there have a letter they're willing to share?

Many thanks.

Also, in starting up a practice, I see references to AAFP, AMA and

Medical Economics magazine information. Any recommendations which " Start

Up " is the best reference/resource?

Further, haven't heard any mention of practitioners filling a

" niche " like Integrative, Holistic Medicine. Don't forget that adding

some knowledge on Natural Medicine and supplements can be both Evidence

Based Medicine and financially advantageous. The populace spent

almost $100 billion last year on Complementary and Alternative medicine.

If you have an interest, now's a great time to get in.

Best,

Evan

wrote:

Practice

Transformation

Messages

In This Digest (3 Messages)

1.

Re:

chest xray From: practiceimprovement1@....com

2.

Re:

ending micropractice - Cryosurgery and office surgery equipment From:

Greaves

3.

Re:

Branching Out From: Brady, MD

View

All Topics | Create

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Messages

1.

Re:

chest xray

Posted by: " practiceimprovement1@....com "

practiceimprovement1@....com

ettwobrutus

Sun Nov 19, 2006 10:42 pm (PST)

A 10/26/06 article in the New England Journal of

Medicine

http://tinyurl.com/ya8zx3 showed

benefit of doing a spiral CT for screening

in patients at risk (i.e. smokers, etc.). I would certainly recommend doing

a CT over a CXR.

Dan

chest xray

OK, all you smart people out there.

I have a 72 patient who wants his screening CXR (non smoker, by the

way). I'm looking for a succinct piece on this subject to forward to

him.

Back

to top

Reply

to sender | Reply

to group | Reply

via web post

Messages

in this topic (4)

2.

Re:

ending micropractice - Cryosurgery and office surgery equipment

Posted by: " Greaves " mariasgreaves

mariasgreaves

Sun Nov 19, 2006 11:27 pm (PST)

Hello ,

I'm sorry to hear that it has not worked out for you - I really hope that you

are happy and satisfied with your new endeavor.

I know you didn't have it on your list but any chance you have an audiometer

you want to part with? If not, does anyone have any idea where you can get a

reasonably priced, good quality used audiometer?

Thanks for the help.

Good luck.

ending micropractice - Cryosurgery and

office surgery equipment for sale

Hello! I have tried running a micropractice this year, but it is not working

out in Wisconsin.

Sigh. . . I am going to go back to an employed position and I have some

equipment in nearly

brand new condition that I would be happy to sell. I am sorry to use the site

for an " ad " but

hope I might save someone else some money since I do not need these items.

I have a bunch of stuff for skin procedures - forceps, scissors, needle holders,

a few boxes of

sutures, dermabond, autoclave sterilizer bags, new in box nebulizer with box of

tubing/

masks, Welch Allyn vaginal speculum illuminator set, and Brymill cryo

equipment. The cryo

stuff is the 20 Liter longlasting dewar, Cry-AC 3 with spray tips, a pair or

medium cryo

gloves, the withdrawal tube, and a wheeled coaster that holds the dewar so that

you can

move it for cleaning the floor.

If you are interested in anything, send me an e-mail: rachelandjohn@ mac.com

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From Drain, Oregon, My school had Letters they send out to everyone when someone leaves. Does yours? Joanne"Evan H. Hirsch" wrote: Howdy y'all, I'm an FP resident ready to graduate and have been on the listserve for about a week. Thanks for all of the great conversation! I'm about to transition to going solo from

resident madhouse practice and wanted to send a transition letter to my patients. Anyone out there have a letter they're willing to share? Many thanks. Also, in starting up a practice, I see references to AAFP, AMA and Medical Economics magazine information. Any recommendations which "Start Up" is the best reference/resource? Further, haven't heard any mention of practitioners filling a "niche" like Integrative, Holistic Medicine. Don't forget that adding some knowledge on Natural Medicine and supplements can be both Evidence Based Medicine and financially advantageous. The populace spent almost $100 billion last year on Complementary and Alternative medicine. If you have an interest, now's a great time to get in. Best, Evan wrote: Practice Transformation Messages In This Digest (3 Messages) 1. Re: chest xray From: practiceimprovement1@....com 2. Re: ending micropractice - Cryosurgery and office surgery equipment From: Greaves 3. Re: Branching Out From: Brady, MD View All Topics | Create New Topic Messages 1. Re: chest xray Posted by: "practiceimprovement1@....com" practiceimprovement1@....com ettwobrutus Sun Nov 19, 2006 10:42 pm (PST) A 10/26/06 article in the New England

Journal of Medicinehttp://tinyurl.com/ya8zx3 showed benefit of doing a spiral CT for screeningin patients at risk (i.e. smokers, etc.). I would certainly recommend doinga CT over a CXR.Dan-----Original Message-----From: [mailto:.at.yahoogroups.compracticeimprovement1 (DOT) at.dg.mailshell.com] On Behalf Of GuinnSent: Sunday, November 19, 2006 4:54 PMTo: Subject: chest xrayOK, all you smart people out there.I have a 72 patient who wants his screening CXR (non smoker, by the way). I'm looking

for a succinct piece on this subject to forward to him. Back to top Reply to sender | Reply to group | Reply via web post Messages in this topic (4) 2. Re: ending micropractice - Cryosurgery and office surgery equipment Posted by: " Greaves" mariasgreaves mariasgreaves Sun Nov 19, 2006 11:27 pm (PST) Hello ,I'm sorry to hear that it has not worked out for you - I really hope that you are happy and satisfied with your new endeavor.I know you didn't have it on your list but any chance you have an audiometer you want to part with? If not, does anyone have any idea where you can get a reasonably priced, good quality used audiometer?Thanks for the help.Good luck. ending micropractice - Cryosurgery and office surgery equipment for saleHello! I have tried running a micropractice this year, but it is not working out in Wisconsin. Sigh. . . I am going to go back to an employed position and I have some equipment in nearly brand new condition that I would be happy to sell. I am sorry to use the site for an "ad" but hope I might save someone else some money since I do not need these items.I have a bunch of stuff for skin procedures - forceps, scissors, needle holders, a few boxes of sutures, dermabond, autoclave sterilizer bags, new in box nebulizer with box of tubing/masks, Welch Allyn vaginal speculum illuminator set, and Brymill cryo equipment. The cryo stuff is the 20 Liter longlasting dewar, Cry-AC 3 with spray tips, a pair or medium cryo gloves, the withdrawal tube, and a wheeled coaster that holds the dewar so that you can move it for cleaning the floor. If you are interested in anything, send me an e-mail: rachelandjohn@ mac.com <!--#ygrp-mlmsg {font-size:13px;font-family:arial,helvetica,clean,sans-serif;}#ygrp-mlmsg table {font-size:inherit;font:100%;}#ygrp-mlmsg select, input, textarea {font:99% arial,helvetica,clean,sans-serif;}#ygrp-mlmsg pre, code {font:115% monospace;}#ygrp-mlmsg * {line-height:1.22em;}#ygrp-text{font-family:Georgia;}#ygrp-text p{margin:0 0 1em 0;}#ygrp-tpmsgs{font-family:Arial;clear:both;}#ygrp-vitnav{padding-top:10px;font-family:Verdana;font-size:77%;margin:0;}#ygrp-vitnav a{padding:0 1px;}#ygrp-actbar{clear:both;margin:25px 0;white-space:nowrap;color:#666;text-align:right;}#ygrp-actbar .left{float:left;white-space:nowrap;}.bld{font-weight:bold;}#ygrp-grft{font-family:Verdana;font-size:77%;padding:15px 0;}#ygrp-ft{font-family:verdana;font-size:77%;border-top:1px solid #666;padding:5px 0;}#ygrp-mlmsg #logo{padding-bottom:10px;}#ygrp-vital{background-color:#e0ecee;margin-bottom:20px;padding:2px 0 8px 8px;}#ygrp-vital #vithd{font-size:77%;font-family:Verdana;font-weight:bold;color:#333;text-transform:uppercase;}#ygrp-vital ul{padding:0;margin:2px 0;}#ygrp-vital ul li{list-style-type:none;clear:both;border:1px solid #e0ecee;}#ygrp-vital ul li .ct{font-weight:bold;color:#ff7900;float:right;width:2em;text-align:right;padding-right:.5em;}#ygrp-vital ul li .cat{font-weight:bold;}#ygrp-vital a {text-decoration:none;}#ygrp-vital a:hover{text-decoration:underline;}#ygrp-sponsor #hd{color:#999;font-size:77%;}#ygrp-sponsor #ov{padding:6px 13px;background-color:#e0ecee;margin-bottom:20px;}#ygrp-sponsor #ov ul{padding:0 0 0 8px;margin:0;}#ygrp-sponsor #ov li{list-style-type:square;padding:6px 0;font-size:77%;}#ygrp-sponsor #ov li a{text-decoration:none;font-size:130%;}#ygrp-sponsor #nc {background-color:#eee;margin-bottom:20px;padding:0 8px;}#ygrp-sponsor .ad{padding:8px 0;}#ygrp-sponsor .ad #hd1{font-family:Arial;font-weight:bold;color:#628c2a;font-size:100%;line-height:122%;}#ygrp-sponsor .ad a{text-decoration:none;}#ygrp-sponsor .ad a:hover{text-decoration:underline;}#ygrp-sponsor .ad p{margin:0;}o {font-size:0;}.MsoNormal {margin:0 0 0 0;}#ygrp-text tt{font-size:120%;}blockquote{margin:0 0 0 4px;}.replbq {margin:4;}-->__________________________________________________

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I liked

the AAFP’s book on starting a practice from the ground up. Also, what

exactly are you referring to in regards to “integrative, wholistic medicine?”

That is more of a catch phrase or canned phrase & has a lot of different

meanings to a lot of people. The trouble you will find in practice in regards

to that stuff is that most insurance will not reimburse any of it, and unless you

are in a fairly affluent area or can somehow achieve “guru” status,

many people simply will not pay for it out of pocket. For example, I have

considered adding acupuncture. However, the gold standard course (Helms Medical

Institute/UCLA) costs around $5,000, insurance will not cover acupuncture, &

people in my community would only want it if it is covered by “an office call”

(ie, I accept whatever insurance pas for the day’s E/M visit (99213, etc)

& do not charge the patient directly. I’m sure things are

different some places but not here in rural Midwestern towns.

chest xray

OK, all you smart people out there.

I have a 72 patient who wants his screening CXR (non smoker, by the

way). I'm looking for a succinct piece on this subject to forward to

him.

Back

to top

Reply

to sender | Reply

to group | Reply

via web post

Messages

in this topic (4)

2.

Re:

ending micropractice - Cryosurgery and office surgery equipment

Posted by: " Greaves " mariasgreaves

mariasgreaves

Sun Nov 19, 2006 11:27 pm (PST)

Hello ,

I'm sorry to hear that it has not worked out for you - I really hope that you

are happy and satisfied with your new endeavor.

I know you didn't have it on your list but any chance you have an audiometer

you want to part with? If not, does anyone have any idea where you can get a

reasonably priced, good quality used audiometer?

Thanks for the help.

Good luck.

ending micropractice - Cryosurgery and

office surgery equipment for sale

Hello! I have tried running a micropractice this year, but it is not working

out in Wisconsin.

Sigh. . . I am going to go back to an employed position and I have some

equipment in nearly

brand new condition that I would be happy to sell. I am sorry to use the site

for an " ad " but

hope I might save someone else some money since I do not need these items.

I have a bunch of stuff for skin procedures - forceps, scissors, needle

holders, a few boxes of

sutures, dermabond, autoclave sterilizer bags, new in box nebulizer with box of

tubing/

masks, Welch Allyn vaginal speculum illuminator set, and Brymill cryo

equipment. The cryo

stuff is the 20 Liter longlasting dewar, Cry-AC 3 with spray tips, a pair or

medium cryo

gloves, the withdrawal tube, and a wheeled coaster that holds the dewar so that

you can

move it for cleaning the floor.

If you are interested in anything, send me an e-mail: rachelandjohn@ mac.com

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Joanne,

Yes, they do. However, it is up to us to let our patients know what

our plans entail. Evan

> Practice Transformation

> Messages In This Digest (3 Messages)

> 1.

> Re: chest xray From: practiceimprovement1@...

> 2.

> Re: ending micropractice - Cryosurgery and office surgery

equipment From: Greaves

> 3.

> Re: Branching Out From: Brady, MD

> View All Topics | Create New Topic

> Messages

> 1.

> Re: chest xray Posted by: " practiceimprovement1@... "

practiceimprovement1@... ettwobrutus Sun Nov 19, 2006 10:42 pm

(PST) A 10/26/06 article in the New England Journal of Medicine

> http://tinyurl.com/ya8zx3 showed benefit of doing a spiral CT for

screening

> in patients at risk (i.e. smokers, etc.). I would certainly

recommend doing

> a CT over a CXR.

>

> Dan

>

> chest xray

>

> OK, all you smart people out there.

>

> I have a 72 patient who wants his screening CXR (non smoker, by

the

> way). I'm looking for a succinct piece on this subject to forward

to

> him.

>

>

>

>

> Back to top

> Reply to sender | Reply to group | Reply via web post

> Messages in this topic (4)

>

> 2.

> Re: ending micropractice - Cryosurgery and office surgery

equipment Posted by: " Greaves " mariasgreaves@...

mariasgreaves Sun Nov 19, 2006 11:27 pm (PST) Hello ,

> I'm sorry to hear that it has not worked out for you - I really

hope that you are happy and satisfied with your new endeavor.

> I know you didn't have it on your list but any chance you have an

audiometer you want to part with? If not, does anyone have any idea

where you can get a reasonably priced, good quality used audiometer?

>

> Thanks for the help.

> Good luck.

>

>

> ending micropractice - Cryosurgery

and office surgery equipment for sale

>

> Hello! I have tried running a micropractice this year, but it is

not working out in Wisconsin.

>

> Sigh. . . I am going to go back to an employed position and I

have some equipment in nearly

>

> brand new condition that I would be happy to sell. I am sorry to

use the site for an " ad " but

>

> hope I might save someone else some money since I do not need

these items.

>

> I have a bunch of stuff for skin procedures - forceps, scissors,

needle holders, a few boxes of

>

> sutures, dermabond, autoclave sterilizer bags, new in box

nebulizer with box of tubing/

>

> masks, Welch Allyn vaginal speculum illuminator set, and Brymill

cryo equipment. The cryo

>

> stuff is the 20 Liter longlasting dewar, Cry-AC 3 with spray tips,

a pair or medium cryo

>

> gloves, the withdrawal tube, and a wheeled coaster that holds the

dewar so that you can

>

> move it for cleaning the floor.

>

> If you are interested in anything, send me an e-mail:

rachelandjohn@ mac.com

>

>

>

> <!--

>

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>

> __________________________________________________

>

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,

You are right. Different strokes for different folks. I am in

Olympia, Washington, where there are lots of naturopaths and

patients interested in complementary therapies. I plan on a cash

practice with discounted rates for Medicare/Medicaid. I wouldn't

consider myself a " guru " but have done some trainings to advance my

knowledge of acpuncture and natural medicine.

By Integrative Holistic Medicine, I mean the best of conventional

and natural medicine with a focus on patient centered mind, body and

spirit.

Thanks for your comments!

Evan

>

> Practice

>

<http://groups.yahoo.com/group/;_ylc=X3oDMTJkdXBy

MWU1BF9

>

TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwNoZHIE

c2xrA2h

> waARzdGltZQMxMTY0MDI2NjE1> Transformation

>

>

> Messages In This Digest (3 Messages)

>

>

> 1.

>

> Re:

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63597_

>

2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=yes & y

5beta=y

> es & order=up & sort=date & pos=0#1> chest xray From:

> practiceimprovement1@...

>

> 2.

>

> Re:

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63597_

>

2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=yes & y

5beta=y

> es & order=up & sort=date & pos=0#2> ending micropractice - Cryosurgery

and

> office surgery equipment From: Greaves

>

> 3.

>

> Re:

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63597_

>

2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=yes & y

5beta=y

> es & order=up & sort=date & pos=0#3> Branching Out From: Brady, MD

>

> View

>

<http://groups.yahoo.com/group//messages;_ylc=X3o

DMTJmYX

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> 1.

>

>

> Re:

>

<http://groups.yahoo.com/group//message/10015;_yl

c=X3oDM

>

TJyY29oc2dsBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMz

I3BG1zZ

> 0lkAzEwMDE1BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzExNjQwMjY2MTU->

chest xray

>

>

> Posted by: " practiceimprovement1@... " practiceimprovement

> <mailto:practiceimprovement1@...?Subject=%20Re%3A%20chest%20xra

> y> 1@... ettwobrutus

<http://profiles.yahoo.com/ettwobrutus>

>

>

>

> Sun Nov 19, 2006 10:42 pm (PST)

>

>

> A 10/26/06 article in the New England Journal of Medicine

> http://tinyurl. <http://tinyurl.com/ya8zx3> com/ya8zx3 showed

benefit of

> doing a spiral CT for screening

> in patients at risk (i.e. smokers, etc.). I would certainly

recommend doing

> a CT over a CXR.

>

> Dan

>

> chest xray

>

> OK, all you smart people out there.

>

> I have a 72 patient who wants his screening CXR (non smoker, by

the

> way). I'm looking for a succinct piece on this subject to forward

to

> him.

>

>

>

> Back

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63597_

>

2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=yes & y

5beta=y

> es & order=up & sort=date & pos=0#toc> to top

>

> Reply

> <mailto:practiceimprovement1@...?Subject=Re%3A%20chest%20xray>

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<http://groups.yahoo.com/group//post;_ylc=X3oDMTJ

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> E1BHNlYwNkbXNnBHNsawNycGx5BHN0aW1lAzExNjQwMjY2MTU-?

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> 5> via web post

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c=X3oDM

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>

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AwMDg->

> in this topic (4)

>

> 2.

>

>

> Re:

>

<http://groups.yahoo.com/group//message/10016;_yl

c=X3oDM

>

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I3BG1zZ

> 0lkAzEwMDE2BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzExNjQwMjY2MTY->

ending

> micropractice - Cryosurgery and office surgery equipment

>

>

> Posted by: " Greaves " mariasgreaves@

> <mailto:mariasgreaves@...?Subject=%20Re%3A%20ending%

20micropractice%20

> -%20Cryosurgery%20and%20office%20surgery%20equipment> yahoo.com

> mariasgreaves <http://profiles.yahoo.com/mariasgreaves>

>

>

> Sun Nov 19, 2006 11:27 pm (PST)

>

>

> Hello ,

> I'm sorry to hear that it has not worked out for you - I really

hope that

> you are happy and satisfied with your new endeavor.

> I know you didn't have it on your list but any chance you have an

audiometer

> you want to part with? If not, does anyone have any idea where you

can get a

> reasonably priced, good quality used audiometer?

>

> Thanks for the help.

> Good luck.

>

>

> ending micropractice - Cryosurgery

and

> office surgery equipment for sale

>

> Hello! I have tried running a micropractice this year, but it is

not working

> out in Wisconsin.

>

> Sigh. . . I am going to go back to an employed position and I have

some

> equipment in nearly

>

> brand new condition that I would be happy to sell. I am sorry to

use the

> site for an " ad " but

>

> hope I might save someone else some money since I do not need

these items.

>

> I have a bunch of stuff for skin procedures - forceps, scissors,

needle

> holders, a few boxes of

>

> sutures, dermabond, autoclave sterilizer bags, new in box

nebulizer with box

> of tubing/

>

> masks, Welch Allyn vaginal speculum illuminator set, and Brymill

cryo

> equipment. The cryo

>

> stuff is the 20 Liter longlasting dewar, Cry-AC 3 with spray tips,

a pair or

> medium cryo

>

> gloves, the withdrawal tube, and a wheeled coaster that holds the

dewar so

> that you can

>

> move it for cleaning the floor.

>

> If you are interested in anything, send me an e-mail:

rachelandjohn@ mac.com

>

>

>

>

> <!--

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Here is the one we sent out. It went

mostly to people who had already told Elise that they wanted to follow her.

Ernie

From:

[mailto: ] On

Behalf Of Evan H. Hirsch

Sent: Monday, November 20, 2006

4:27 PM

To:

Subject:

newbie-2 questions

Howdy y'all,

I'm an FP resident ready to graduate and have been on the listserve for

about a week. Thanks for all of the great conversation! I'm about to transition

to going solo from resident madhouse practice and wanted to send a transition

letter to my patients. Anyone out there have a letter they're willing to share?

Many thanks.

Also, in starting up a practice, I see references to AAFP, AMA and

Medical Economics magazine information. Any recommendations which " Start

Up " is the best reference/resource?

Further, haven't heard any mention of practitioners filling a

" niche " like Integrative, Holistic Medicine. Don't forget that adding

some knowledge on Natural Medicine and supplements can be both Evidence

Based Medicine and financially advantageous. The populace spent

almost $100 billion last year on Complementary and Alternative medicine.

If you have an interest, now's a great time to get in.

Best,

Evan

wrote:

Practice

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Messages

In This Digest (3 Messages)

1.

Re:

chest xray From: practiceimprovement1@....com

2.

Re:

ending micropractice - Cryosurgery and office surgery equipment From:

Greaves

3.

Re:

Branching Out From: Brady, MD

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Messages

1.

Re:

chest xray

Posted by: " practiceimprovement1@....com "

practiceimprovement1@....com

ettwobrutus

Sun Nov 19, 2006 10:42 pm (PST)

A 10/26/06 article in the New England Journal of

Medicine

http://tinyurl.com/ya8zx3 showed

benefit of doing a spiral CT for screening

in patients at risk (i.e. smokers, etc.). I would certainly recommend doing

a CT over a CXR.

Dan

chest xray

OK, all you smart people out there.

I have a 72 patient who wants his screening CXR (non smoker, by the

way). I'm looking for a succinct piece on this subject to forward to

him.

Back

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Reply

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Messages

in this topic (4)

2.

Re:

ending micropractice - Cryosurgery and office surgery equipment

Posted by: " Greaves " mariasgreaves

mariasgreaves

Sun Nov 19, 2006 11:27 pm (PST)

Hello ,

I'm sorry to hear that it has not worked out for you - I really hope that you

are happy and satisfied with your new endeavor.

I know you didn't have it on your list but any chance you have an audiometer

you want to part with? If not, does anyone have any idea where you can get a

reasonably priced, good quality used audiometer?

Thanks for the help.

Good luck.

ending micropractice - Cryosurgery and

office surgery equipment for sale

Hello! I have tried running a micropractice this year, but it is not working

out in Wisconsin.

Sigh. . . I am going to go back to an employed position and I have some

equipment in nearly

brand new condition that I would be happy to sell. I am sorry to use the site

for an " ad " but

hope I might save someone else some money since I do not need these items.

I have a bunch of stuff for skin procedures - forceps, scissors, needle

holders, a few boxes of

sutures, dermabond, autoclave sterilizer bags, new in box nebulizer with box of

tubing/

masks, Welch Allyn vaginal speculum illuminator set, and Brymill cryo

equipment. The cryo

stuff is the 20 Liter longlasting dewar, Cry-AC 3 with spray tips, a pair or

medium cryo

gloves, the withdrawal tube, and a wheeled coaster that holds the dewar so that

you can

move it for cleaning the floor.

If you are interested in anything, send me an e-mail: rachelandjohn@ mac.com

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What do

you mean by “discounted rates for Medicare/Medicaid?” Do you

mean that you plan to accept less than what they would otherwise pay you?

If so, why? Also, I’m sure you are aware that you can not charge

cash patients less than you do the Medicare/Medicaid patients because that would

be fraudulent. Everyone has to be charged the same for the same service

except that you can give a “day of service” discount for those that

same day. Yes, I’m sure medicine in Olympia, Washington is a world away from what

it is here in central Ohio. As far as I know, there are essentially zero “naturopaths”

here. I’m still not convinced though that I would be

doing better financially by not taking insurances, hassles and all. Cash

only sounds great on the surface but you might be surprised at how

non-receptive people really are to paying out of pocket. But, maybe I am

just naïve living here in Ohio.

chest xray

>

> OK, all you smart people out there.

>

> I have a 72 patient who wants his screening CXR (non smoker, by

the

> way). I'm looking for a succinct piece on this subject to forward

to

> him.

>

>

>

> Back

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63597_

>

2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=yes & y

5beta=y

> es & order=up & sort=date & pos=0#toc> to top

>

> Reply

> <mailto:practiceimprovement1@...?Subject=Re%3A%20chest%20xray>

> to sender | Reply

> <mailto: ?Subject=%20Re%3A%

20chest%20xray

> > to group | Reply

>

<http://groups.yahoo.com/group//post;_ylc=X3oDMTJ

ycG0wZW

>

xsBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0l

kAzEwMD

> E1BHNlYwNkbXNnBHNsawNycGx5BHN0aW1lAzExNjQwMjY2MTU-?

act=reply & messageNum=1001

> 5> via web post

> Messages

>

<http://groups.yahoo.com/group//message/10008;_yl

c=X3oDM

>

TM3NTNhbWozBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMz

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>

0lkAzEwMDE1BHNlYwNkbXNnBHNsawN2dHBjBHN0aW1lAzExNjQwMjY2MTUEdHBjSWQDMT

AwMDg->

> in this topic (4)

>

> 2.

>

>

> Re:

>

<http://groups.yahoo.com/group//message/10016;_yl

c=X3oDM

>

TJyb3QzNWduBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMz

I3BG1zZ

> 0lkAzEwMDE2BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzExNjQwMjY2MTY->

ending

> micropractice - Cryosurgery and office surgery equipment

>

>

> Posted by: " Greaves " mariasgreaves@

> <mailto:mariasgreaves@...?Subject=%20Re%3A%20ending%

20micropractice%20

> -%20Cryosurgery%20and%20office%20surgery%20equipment>

yahoo.com

> mariasgreaves <http://profiles.yahoo.com/mariasgreaves>

>

>

> Sun Nov 19, 2006 11:27 pm (PST)

>

>

> Hello ,

> I'm sorry to hear that it has not worked out for you - I really

hope that

> you are happy and satisfied with your new endeavor.

> I know you didn't have it on your list but any chance you have an

audiometer

> you want to part with? If not, does anyone have any idea where you

can get a

> reasonably priced, good quality used audiometer?

>

> Thanks for the help.

> Good luck.

>

>

> ending micropractice - Cryosurgery

and

> office surgery equipment for sale

>

> Hello! I have tried running a micropractice this year, but it is

not working

> out in Wisconsin.

>

> Sigh. . . I am going to go back to an employed position and I have

some

> equipment in nearly

>

> brand new condition that I would be happy to sell. I am sorry to

use the

> site for an " ad " but

>

> hope I might save someone else some money since I do not need

these items.

>

> I have a bunch of stuff for skin procedures - forceps, scissors,

needle

> holders, a few boxes of

>

> sutures, dermabond, autoclave sterilizer bags, new in box

nebulizer with box

> of tubing/

>

> masks, Welch Allyn vaginal speculum illuminator set, and Brymill

cryo

> equipment. The cryo

>

> stuff is the 20 Liter longlasting dewar, Cry-AC 3 with spray tips,

a pair or

> medium cryo

>

> gloves, the withdrawal tube, and a wheeled coaster that holds the

dewar so

> that you can

>

> move it for cleaning the floor.

>

> If you are interested in anything, send me an e-mail:

rachelandjohn@ mac.com

>

>

>

>

> <!--

>

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> -->

>

> __________________________________________________

>

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,

You make lots of good points. i should have mentioned that i will be

opting out of Medicare. I will give them discounts because i still

want to have medicare/medicaid type patients in my practice and i'd

like to transition those patients from my residency practice.

Does cash work? you might be right. i may be getting my UPIN number

and signing up for insurance 6 months after i start, but in order to

have fun in medicine, enjoy my job, and avoid burnout, i'm going to

take the dive and give it a shot.

Evan

>

> What do you mean by " discounted rates for Medicare/Medicaid? " Do

you mean

> that you plan to accept less than what they would otherwise pay

you? If so,

> why? Also, I'm sure you are aware that you can not charge cash

patients

> less than you do the Medicare/Medicaid patients because that would

be

> fraudulent. Everyone has to be charged the same for the same

service except

> that you can give a " day of service " discount for those that same

day. Yes,

> I'm sure medicine in Olympia, Washington is a world away from what

it is

> here in central Ohio. As far as I know, there are essentially zero

> " naturopaths " here. I'm still not convinced though that I would

be doing

> better financially by not taking insurances, hassles and all.

Cash only

> sounds great on the surface but you might be surprised at how non-

receptive

> people really are to paying out of pocket. But, maybe I am just

naïve

> living here in Ohio.

>

>

>

>

>

>

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Share on other sites

Ernie,

attachment didn't come through. please resend. thanks! Evan

>

> Practice Transformation

>

<http://groups.yahoo.com/group/;_ylc=X3oDMTJkdXBy

MWU

>

1BF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwNo

ZHI

> Ec2xrA2hwaARzdGltZQMxMTY0MDI2NjE1>

>

>

> Messages In This Digest (3 Messages)

>

>

> 1.

>

> Re: chest xray

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63

>

597_2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=y

es &

> y5beta=yes & order=up & sort=date & pos=0#1> From:

> practiceimprovement1@...

>

> 2.

>

> Re: ending micropractice - Cryosurgery and office surgery

> equipment

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63

>

597_2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=y

es &

> y5beta=yes & order=up & sort=date & pos=0#2> From: Greaves

>

> 3.

>

> Re: Branching Out

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63

>

597_2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=y

es &

> y5beta=yes & order=up & sort=date & pos=0#3> From: Brady, MD

>

> View All Topics

>

<http://groups.yahoo.com/group//messages;_ylc=X3o

DMT

>

JmYXZiYXBhBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI

3BH

> NlYwNkbXNnBHNsawNhdHBjBHN0aW1lAzExNjQwMjY2MTU-?xm=1 & m=p & tidx=1> |

> Create New Topic

>

<http://groups.yahoo.com/group//post;_ylc=X3oDMTJ

mMG

>

5lOHE1BF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHN

lYw

> NkbXNnBHNsawNudHBjBHN0aW1lAzExNjQwMjY2MTU->

>

>

> Messages

>

>

> 1.

>

>

> Re: chest xray

>

<http://groups.yahoo.com/group//message/10015;_yl

c=X

>

3oDMTJyY29oc2dsBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MD

YxM

> zI3BG1zZ0lkAzEwMDE1BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzExNjQwMjY2MTU-

>

>

>

> Posted by: " practiceimprovement1@... "

> practiceimprovement1@...

> <mailto:practiceimprovement1@...?Subject=%20Re%3A%20chest%2

> 0xray> ettwobrutus <http://profiles.yahoo.com/ettwobrutus>

>

>

> Sun Nov 19, 2006 10:42 pm (PST)

>

>

> A 10/26/06 article in the New England Journal of Medicine

> http://tinyurl.com/ya8zx3 <http://tinyurl.com/ya8zx3> showed

> benefit of doing a spiral CT for screening

> in patients at risk (i.e. smokers, etc.). I would certainly

> recommend doing

> a CT over a CXR.

>

> Dan

>

> chest xray

>

> OK, all you smart people out there.

>

> I have a 72 patient who wants his screening CXR (non smoker,

by

> the

> way). I'm looking for a succinct piece on this subject to

> forward to

> him.

>

>

>

> Back to top

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63

>

597_2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=y

es &

> y5beta=yes & order=up & sort=date & pos=0#toc>

>

> Reply to sender

> <mailto:practiceimprovement1@...?Subject=Re%3A%20chest%20xr

> ay> | Reply to group

> <mailto: ?Subject=%20Re%3A%

20chest%20

> xray> | Reply via web post

>

<http://groups.yahoo.com/group//post;_ylc=X3oDMTJ

ycG

>

0wZWxsBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1

zZ0

> lkAzEwMDE1BHNlYwNkbXNnBHNsawNycGx5BHN0aW1lAzExNjQwMjY2MTU-?

act=reply & mes

> sageNum=10015>

> Messages in this topic

>

<http://groups.yahoo.com/group//message/10008;_yl

c=X

>

3oDMTM3NTNhbWozBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MD

YxM

>

zI3BG1zZ0lkAzEwMDE1BHNlYwNkbXNnBHNsawN2dHBjBHN0aW1lAzExNjQwMjY2MTUEdH

BjS

> WQDMTAwMDg-> (4)

>

> 2.

>

>

> Re: ending micropractice - Cryosurgery and office surgery

> equipment

>

<http://groups.yahoo.com/group//message/10016;_yl

c=X

>

3oDMTJyb3QzNWduBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MD

YxM

> zI3BG1zZ0lkAzEwMDE2BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzExNjQwMjY2MTY-

>

>

>

> Posted by: " Greaves " mariasgreaves@...

> <mailto:mariasgreaves@...?Subject=%20Re%3A%20ending%20micropractic

> e%20-%20Cryosurgery%20and%20office%20surgery%20equipment>

> mariasgreaves <http://profiles.yahoo.com/mariasgreaves>

>

>

> Sun Nov 19, 2006 11:27 pm (PST)

>

>

> Hello ,

> I'm sorry to hear that it has not worked out for you - I

really

> hope that you are happy and satisfied with your new endeavor.

> I know you didn't have it on your list but any chance you

have

> an audiometer you want to part with? If not, does anyone have any

idea

> where you can get a reasonably priced, good quality used

audiometer?

>

> Thanks for the help.

> Good luck.

>

>

> ending micropractice -

> Cryosurgery and office surgery equipment for sale

>

> Hello! I have tried running a micropractice this year, but

it is

> not working out in Wisconsin.

>

> Sigh. . . I am going to go back to an employed position and I

> have some equipment in nearly

>

> brand new condition that I would be happy to sell. I am

sorry to

> use the site for an " ad " but

>

> hope I might save someone else some money since I do not need

> these items.

>

> I have a bunch of stuff for skin procedures - forceps,

scissors,

> needle holders, a few boxes of

>

> sutures, dermabond, autoclave sterilizer bags, new in box

> nebulizer with box of tubing/

>

> masks, Welch Allyn vaginal speculum illuminator set, and

Brymill

> cryo equipment. The cryo

>

> stuff is the 20 Liter longlasting dewar, Cry-AC 3 with spray

> tips, a pair or medium cryo

>

> gloves, the withdrawal tube, and a wheeled coaster that holds

> the dewar so that you can

>

> move it for cleaning the floor.

>

> If you are interested in anything, send me an e-mail:

> rachelandjohn@ mac.com

>

>

>

> <!--

>

> #ygrp-mlmsg

> {font-size:13px;font-family:arial,helvetica,clean,sans-serif;}

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> line-height:122%;

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> text-decoration:underline;

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> margin:0;

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> font-size:120%;

> }

> blockquote{margin:0 0 0 4px;}

> .replbq {margin:4;}

> -->

>

> __________________________________________________

>

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Might

work where you are, things can be very different even from one town to the next

within a state.  Of course, you will be a participating provider with Medicaid,

right?  They will not pay out of pocket for anything related to health care.

Re: newbie-2 questions

,

You make lots of good points. i should have mentioned that i will be

opting out of Medicare. I will give them discounts because i still

want to have medicare/medicaid type patients in my practice and i'd

like to transition those patients from my residency practice.

Does cash work? you might be right. i may be getting my UPIN number

and signing up for insurance 6 months after i start, but in order to

have fun in medicine, enjoy my job, and avoid burnout, i'm going to

take the dive and give it a shot.

Evan

>

> What do you mean by " discounted rates for Medicare/Medicaid? "

Do

you mean

> that you plan to accept less than what they would otherwise pay

you? If so,

> why? Also, I'm sure you are aware that you can not charge cash

patients

> less than you do the Medicare/Medicaid patients because that would

be

> fraudulent. Everyone has to be charged the same for the same

service except

> that you can give a " day of service " discount for those that

same

day. Yes,

> I'm sure medicine in Olympia, Washington is a world away from what

it is

> here in central Ohio. As far as I know, there are essentially zero

> " naturopaths " here. I'm still not convinced though that I would

be doing

> better financially by not taking insurances, hassles and all.

Cash only

> sounds great on the surface but you might be surprised at how non-

receptive

> people really are to paying out of pocket. But, maybe I am just

naïve

> living here in Ohio.

>

>

>

>

>

>

Link to comment
Share on other sites

One more try.

Ernie

From: [mailto: ] On Behalf Of yogievanh

Sent: Wednesday, November 22, 2006

7:58 AM

To:

Subject:

Re: newbie-2 questions

Ernie,

attachment didn't come through. please resend. thanks! Evan

>

> Practice Transformation

>

<http://groups.yahoo.com/group/;_ylc=X3oDMTJkdXBy

MWU

>

1BF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwNo

ZHI

> Ec2xrA2hwaARzdGltZQMxMTY0MDI2NjE1>

>

>

> Messages In This Digest (3 Messages)

>

>

> 1.

>

> Re: chest xray

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63

>

597_2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=y

es &

> y5beta=yes & order=up & sort=date & pos=0#1> From:

> practiceimprovement1@...

>

> 2.

>

> Re: ending micropractice - Cryosurgery and office surgery

> equipment

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63

>

597_2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=y

es &

> y5beta=yes & order=up & sort=date & pos=0#2> From:

Greaves

>

> 3.

>

> Re: Branching Out

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63

>

597_2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=y

es &

> y5beta=yes & order=up & sort=date & pos=0#3> From:

Brady, MD

>

> View All Topics

>

<http://groups.yahoo.com/group//messages;_ylc=X3o

DMT

>

JmYXZiYXBhBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI

3BH

> NlYwNkbXNnBHNsawNhdHBjBHN0aW1lAzExNjQwMjY2MTU-?xm=1 & m=p & tidx=1>

|

> Create New Topic

>

<http://groups.yahoo.com/group//post;_ylc=X3oDMTJ

mMG

>

5lOHE1BF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHN

lYw

> NkbXNnBHNsawNudHBjBHN0aW1lAzExNjQwMjY2MTU->

>

>

> Messages

>

>

> 1.

>

>

> Re: chest xray

>

<http://groups.yahoo.com/group//message/10015;_yl

c=X

>

3oDMTJyY29oc2dsBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MD

YxM

> zI3BG1zZ0lkAzEwMDE1BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzExNjQwMjY2MTU-

>

>

>

> Posted by: " practiceimprovement1@... "

> practiceimprovement1@...

> <mailto:practiceimprovement1@...?Subject=%20Re%3A%20chest%2

> 0xray> ettwobrutus <http://profiles.yahoo.com/ettwobrutus>

>

>

> Sun Nov 19, 2006 10:42 pm (PST)

>

>

> A 10/26/06 article in the New England Journal of Medicine

> http://tinyurl.com/ya8zx3

<http://tinyurl.com/ya8zx3>

showed

> benefit of doing a spiral CT for screening

> in patients at risk (i.e. smokers, etc.). I would certainly

> recommend doing

> a CT over a CXR.

>

> Dan

>

> chest xray

>

> OK, all you smart people out there.

>

> I have a 72 patient who wants his screening CXR (non smoker,

by

> the

> way). I'm looking for a succinct piece on this subject to

> forward to

> him.

>

>

>

> Back to top

> <http://us.f367.mail.yahoo.com/ym/Compose?

box=Inbox & Mid=9715_40232659_63

>

597_2089_8765_0_60433_30213_3324020652 & inc= & Search= & YY=83601 & y5beta=y

es &

> y5beta=yes & order=up & sort=date & pos=0#toc>

>

> Reply to sender

> <mailto:practiceimprovement1@...?Subject=Re%3A%20chest%20xr

> ay> | Reply to group

> <mailto: ?Subject=%20Re%3A%

20chest%20

> xray> | Reply via web post

>

<http://groups.yahoo.com/group//post;_ylc=X3oDMTJ

ycG

>

0wZWxsBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1

zZ0

> lkAzEwMDE1BHNlYwNkbXNnBHNsawNycGx5BHN0aW1lAzExNjQwMjY2MTU-?

act=reply & mes

> sageNum=10015>

> Messages in this topic

>

<http://groups.yahoo.com/group//message/10008;_yl

c=X

>

3oDMTM3NTNhbWozBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MD

YxM

>

zI3BG1zZ0lkAzEwMDE1BHNlYwNkbXNnBHNsawN2dHBjBHN0aW1lAzExNjQwMjY2MTUEdH

BjS

> WQDMTAwMDg-> (4)

>

> 2.

>

>

> Re: ending micropractice - Cryosurgery and office surgery

> equipment

>

<http://groups.yahoo.com/group//message/10016;_yl

c=X

>

3oDMTJyb3QzNWduBF9TAzk3MzU5NzE1BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MD

YxM

> zI3BG1zZ0lkAzEwMDE2BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzExNjQwMjY2MTY-

>

>

>

> Posted by: " Greaves " mariasgreaves@...

> <mailto:mariasgreaves@...?Subject=%20Re%3A%20ending%20micropractic

> e%20-%20Cryosurgery%20and%20office%20surgery%20equipment>

> mariasgreaves <http://profiles.yahoo.com/mariasgreaves>

>

>

> Sun Nov 19, 2006 11:27 pm (PST)

>

>

> Hello ,

> I'm sorry to hear that it has not worked out for you - I

really

> hope that you are happy and satisfied with your new endeavor.

> I know you didn't have it on your list but any chance you

have

> an audiometer you want to part with? If not, does anyone have any

idea

> where you can get a reasonably priced, good quality used

audiometer?

>

> Thanks for the help.

> Good luck.

>

>

> ending micropractice -

> Cryosurgery and office surgery equipment for sale

>

> Hello! I have tried running a micropractice this year, but

it is

> not working out in Wisconsin.

>

> Sigh. . . I am going to go back to an employed position and I

> have some equipment in nearly

>

> brand new condition that I would be happy to sell. I am

sorry to

> use the site for an " ad " but

>

> hope I might save someone else some money since I do not need

> these items.

>

> I have a bunch of stuff for skin procedures - forceps,

scissors,

> needle holders, a few boxes of

>

> sutures, dermabond, autoclave sterilizer bags, new in box

> nebulizer with box of tubing/

>

> masks, Welch Allyn vaginal speculum illuminator set, and

Brymill

> cryo equipment. The cryo

>

> stuff is the 20 Liter longlasting dewar, Cry-AC 3 with spray

> tips, a pair or medium cryo

>

> gloves, the withdrawal tube, and a wheeled coaster that holds

> the dewar so that you can

>

> move it for cleaning the floor.

>

> If you are interested in anything, send me an e-mail:

> rachelandjohn@ mac.com

>

>

>

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> __________________________________________________

>

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Careful-- opt out Medicare is TWO years!

ending micropractice -> Cryosurgery and office surgery equipment for sale> > Hello! I have tried running a micropractice this year, but it is> not working out in Wisconsin. > > Sigh. . . I am going to go back to an employed position and I> have some equipment in nearly > > brand new condition that I would be happy to sell. I am sorry to> use the site for an "ad" but > > hope I might save someone else some money since I do not need> these items.> > I have a bunch of stuff for skin procedures - forceps, scissors,> needle holders, a few boxes of > > sutures, dermabond, autoclave sterilizer bags, new in box> nebulizer with box of tubing/> > masks, Welch Allyn vaginal speculum illuminator set, and Brymill> cryo equipment. The cryo > > stuff is the 20 Liter longlasting dewar, Cry-AC 3 with spray> tips, a pair or medium cryo > > gloves, the withdrawal tube, and a wheeled coaster that holds> the dewar so that you can > > move it for cleaning the floor. > > If you are interested in anything, send me an e-mail:> rachelandjohn@ mac.com > > > > <!--> > #ygrp-mlmsg> {font-size:13px;font-family:arial,helvetica,clean,sans-serif;}> #ygrp-mlmsg table {font-size:inherit;font:100%;}> #ygrp-mlmsg select, input, textarea {font:99%> arial,helvetica,clean,sans-serif;}> #ygrp-mlmsg pre, code {font:115% monospace;}> #ygrp-mlmsg * {line-height:1.22em;}> #ygrp-text{> font-family:Georgia;> }> #ygrp-text p{> margin:0 0 1em 0;> }> #ygrp-tpmsgs{> font-family:Arial;> clear:both;> }> #ygrp-vitnav{> padding-top:10px;> font-family:Verdana;> font-size:77%;> margin:0;> }> #ygrp-vitnav a{> padding:0 1px;> }> #ygrp-actbar{> clear:both;> margin:25px 0;> white-space:nowrap;> color:#666;> text-align:right;> }> #ygrp-actbar .left{> float:left;> white-space:nowrap;> }> .bld{font-weight:bold;}> #ygrp-grft{> font-family:Verdana;> font-size:77%;> padding:15px 0;> }> #ygrp-ft{> font-family:verdana;> font-size:77%;> border-top:1px solid #666;> padding:5px 0;> }> #ygrp-mlmsg #logo{> padding-bottom:10px;> }> > #ygrp-vital{> background-color:#e0ecee;> margin-bottom:20px;> padding:2px 0 8px 8px;> }> #ygrp-vital #vithd{> font-size:77%;> font-family:Verdana;> font-weight:bold;> color:#333;> text-transform:uppercase;> }> #ygrp-vital ul{> padding:0;> margin:2px 0;> }> #ygrp-vital ul li{> list-style-type:none;> clear:both;> border:1px solid #e0ecee;> }> #ygrp-vital ul li .ct{> font-weight:bold;> color:#ff7900;> float:right;> width:2em;> text-align:right;> padding-right:.5em;> }> #ygrp-vital ul li .cat{> font-weight:bold;> }> #ygrp-vital a {> text-decoration:none;> }> > #ygrp-vital a:hover{> text-decoration:underline;> }> > #ygrp-sponsor #hd{> color:#999;> font-size:77%;> }> #ygrp-sponsor #ov{> padding:6px 13px;> background-color:#e0ecee;> margin-bottom:20px;> }> #ygrp-sponsor #ov ul{> padding:0 0 0 8px;> margin:0;> }> #ygrp-sponsor #ov li{> list-style-type:square;> padding:6px 0;> font-size:77%;> }> #ygrp-sponsor #ov li a{> text-decoration:none;> font-size:130%;> }> #ygrp-sponsor #nc {> background-color:#eee;> margin-bottom:20px;> padding:0 8px;> }> #ygrp-sponsor .ad{> padding:8px 0;> }> #ygrp-sponsor .ad #hd1{> font-family:Arial;> font-weight:bold;> color:#628c2a;> font-size:100%;> line-height:122%;> }> #ygrp-sponsor .ad a{> text-decoration:none;> }> #ygrp-sponsor .ad a:hover{> text-decoration:underline;> }> #ygrp-sponsor .ad p{> margin:0;> }> o {font-size:0;}> .MsoNormal {> margin:0 0 0 0;> }> #ygrp-text tt{> font-size:120%;> }> blockquote{margin:0 0 0 4px;}> .replbq {margin:4;}> -->> > __________________________________________________>

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Botox for cosmetics, medical problems, or both? Your neck of the woods is a

world away from mine (London). Botox would just sit unused here.

>

> From: mkcl6@...

> Date: 2006/11/23 Thu AM 09:58:07 EST

> To:

> Subject: Re: Re: newbie-2 questions

>

> , there is a naturopath here, in Dublin in fact. Also, I do botox in

> my office. Its fun, lots of people ask for it and it didn't increase my

> malpractice.

>

>

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The only other thing I might is add is that I think you are missing the market for the people who live at Lake Chaqtaw (?spelling). I have a couple families from out that way who come see me in Worthington, they are not your basic rural Ohioans, I'm seriously betting there is a cosmetic market in that area. .

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We do have a fair amount of pt's from Lake Choctaw, and yes they are sometimes

slightly more " upscale " but not always. Still, I've never had anyone ever ask

about Botox (or acupuncture or any other " alternative " treatments really).

Also, is it really that big of a money maker or do you just really like offering

it for other reasons? I'm not that into cosmetology-like stuff. I still find

that very hard to believe that does not raise your malpractice. Injecting a

poison/biological toxin into someone, one that could paralyze or worse

(potentially, rare I realize)?

My personal professional goal is to become an expert at OMT/musculoskeletal

medicine as I think that is a great market/need AND insurances cover it, and you

can code an E/M plus -25 and CPT code together. Medicaid even covers both!

>

> From: mkcl6@...

> Date: 2006/11/24 Fri AM 08:47:40 EST

> To:

> Subject: Re: Re: newbie-2 questions

>

> The only other thing I might is add is that I think you are missing the

> market for the people who live at Lake Chaqtaw (?spelling). I have a couple

> families from out that way who come see me in Worthington, they are not your

basic

> rural Ohioans, I'm seriously betting there is a cosmetic market in that

> area. .

>

>

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drbrock@... wrote:

>My personal professional goal is to become an expert at OMT<

Let me know if I can help with that goal.

Brett L. Kinsler, DC

Clinical Director

Natural Health Chiropractic, PLLC

2364 Lyell Avenue Rochester, NY 14606

20 Office Park Way Pittsford, NY 14534

www.RochesterChiro.com

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Hi Evan,

welcome to the group!

I guess I could be talking to you directly, being your residency

partner in Olympia and all but also would like to make this thread

more complete. Hence my written response:

1. The AAFP " Start-up guide " gives you a good and basic idea on what's

needed and has some good equipment lists etc. However, it is very much

focused on traditional high-overhead practices and tends to be quite

superficial.

I was told that the AMA giude is also helpful. Family Practice

Management (FPM) tells you anything you ever wanted to know and more

but due to its " journally " nature is quite fragmented.

2. I found an interesting article on cash-only practices:

http://www.aafp.org/fpm/20060200/61cash.html

3. Maybe you like these articles on house calls:

a) http://www.aafp.org/fpm/20060200/67cash.html

B)http://www.aafp.org/fpm/20030700/69idoh.html

I guess I'll give you my article collection and my AAFP book one of

these days and you can decide what you want to copy.

See you in the factory!

Marius

> Howdy y'all,

>

> I'm an FP resident ready to graduate and have been on the

listserve for about a week. Thanks for all of the great conversation!

I'm about to transition to going solo from resident madhouse practice

and wanted to send a transition letter to my patients. Anyone out

there have a letter they're willing to share? Many thanks.

>

> Also, in starting up a practice, I see references to AAFP, AMA and

Medical Economics magazine information. Any recommendations which

" Start Up " is the best reference/resource?

>

> Further, haven't heard any mention of practitioners filling a

" niche " like Integrative, Holistic Medicine. Don't forget that adding

some knowledge on Natural Medicine and supplements can be both

Evidence Based Medicine and financially advantageous. The populace

spent almost $100 billion last year on Complementary and Alternative

medicine. If you have an interest, now's a great time to get in.

>

> Best,

>

> Evan

>

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