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(Ars Technica)   84-year-old doctor annoyed she can't practice medicine like before vaccines were invented   ( arstechnica.com) divider line
    More: Misc, Konopka, Physician, Medicine, Dr. Anna Konopka, Manchester, New Hampshire, New Hampshire, New Hampshire Union Leader, Judge  
•       •       •

2104 clicks; posted to Geek » on 05 Nov 2017 at 3:56 PM (2 weeks ago)   |   Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



36 Comments     (+0 »)
 
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2017-11-05 12:47:53 PM  
The AP also noted that Konopka will see any patient who can pay her $50 in cash. she also told the court. "Some of them need medications. Who will prescribe for them if I don't have a license? So an old Doc with no medical equipment apparent in her office and does not want to report to whom and what opioids she prescribes online as all other docs are required to do. If she practiced in FL it would be called a pill mill, and the only taking cash raises a few flags.
 
2017-11-05 01:04:44 PM  

eurotrader: The AP also noted that Konopka will see any patient who can pay her $50 in cash. she also told the court. "Some of them need medications. Who will prescribe for them if I don't have a license? So an old Doc with no medical equipment apparent in her office and does not want to report to whom and what opioids she prescribes online as all other docs are required to do. If she practiced in FL it would be called a pill mill, and the only taking cash raises a few flags.


She's not even in the top 25

http://www.unionleader.com/Doctors-ar​e​nt-top-opioid-prescribers-in-NH

With all the massive data breaches for Anthem, Equifax, etc. lately - maybe a Dr who doesn't use a computer ain't such a bad thing
 
2017-11-05 01:12:49 PM  
Can't she hire an assistant to do the computer shiat? If she can't afford to pay this person due to charging patient low fees, she can always pay in opiates.
 
2017-11-05 02:38:05 PM  
84-year old doctress annoyed she can't practice medicine like before vaccines were invented

/fixed that for you.
 
2017-11-05 03:45:30 PM  
If someone can't use a computer I'm not trusting her with my jewels.
 
2017-11-05 04:13:58 PM  
"The problem now is that I am not doing certain things on a computer," she told the news service. "I have to learn that. It is time consuming. I have no time."

Oh, no! She can't be bothered to keep up on the latest technologies that her job requires and it's putting her out of work! Just like every other profession on the planet!

Stay current in your knowledge or be left behind. Your choice.
 
2017-11-05 04:15:52 PM  
I believe I have found the real problem:

Senior Assistant Attorney General Lynmarie Cusack said Konopka "surrendered her license after Board of Medicine investigators confronted her with the results of four separate investigations. Cusack would not discuss the investigations, saying they remain confidential under state law."
 
2017-11-05 04:17:43 PM  
img.fark.netView Full Size
 
2017-11-05 04:28:18 PM  

MorningBreath: 84-year old doctress annoyed she can't practice medicine like before vaccines were invented

/fixed that for you.


It's doctrix.
 
2017-11-05 04:41:57 PM  

Pelvic Splanchnic Ganglion: "The problem now is that I am not doing certain things on a computer," she told the news service. "I have to learn that. It is time consuming. I have no time."

Oh, no! She can't be bothered to keep up on the latest technologies that her job requires and it's putting her out of work! Just like every other profession on the planet!

Stay current in your knowledge or be left behind. Your choice.


Using computers hasn't prevented NH from becoming one of the epicenters of the opioid crisis.  Hiring a licensed medical records professional could cost a lot of money ($25/hour, plus benefits).  She wouldn't be able to charge $50 per visit.  Then she would need to join big insurance with all of its rules which would require additional staff and a formal office.  Finally, the government could enact new rules on opioid prescriptions and reporting by pharmacies.  Health care just doesn't need the massive burocracy for primary care.
 
2017-11-05 05:00:26 PM  

Northern: Pelvic Splanchnic Ganglion: "The problem now is that I am not doing certain things on a computer," she told the news service. "I have to learn that. It is time consuming. I have no time."

Oh, no! She can't be bothered to keep up on the latest technologies that her job requires and it's putting her out of work! Just like every other profession on the planet!

Stay current in your knowledge or be left behind. Your choice.

Using computers hasn't prevented NH from becoming one of the epicenters of the opioid crisis.  Hiring a licensed medical records professional could cost a lot of money ($25/hour, plus benefits).  She wouldn't be able to charge $50 per visit.  Then she would need to join big insurance with all of its rules which would require additional staff and a formal office.  Finally, the government could enact new rules on opioid prescriptions and reporting by pharmacies.  Health care just doesn't need the massive burocracy for primary care.


How do you get that computers are not the problem with this doctor? If she doesn't have time to stay up on what's current, then what kind of care is she able to provide?
 
2017-11-05 05:02:34 PM  
She can't see that many patients per day. Surely she would have time to enter the info herself if she learned how to use a computer.

I have no doubt that she genuinely  cares about her patients. However, if my doctor was 84 and didn't use a computer, I'd assume she hadn't kept up on new drugs/research. I'm not sure I'd trust her with my health care.
 
2017-11-05 05:06:24 PM  
Is using a computer that hard in the medical field? Wouldn't it mostly be data entry?
 
2017-11-05 05:17:38 PM  

Vampire Lake: She can't see that many patients per day. Surely she would have time to enter the info herself if she learned how to use a computer.

I have no doubt that she genuinely  cares about her patients. However, if my doctor was 84 and didn't use a computer, I'd assume she hadn't kept up on new drugs/research. I'm not sure I'd trust her with my health care.


Don't know, 60 years of knowledge might be better than some hyped up drug.
 
2017-11-05 05:28:09 PM  

Merltech: Vampire Lake: She can't see that many patients per day. Surely she would have time to enter the info herself if she learned how to use a computer.

I have no doubt that she genuinely  cares about her patients. However, if my doctor was 84 and didn't use a computer, I'd assume she hadn't kept up on new drugs/research. I'm not sure I'd trust her with my health care.

Don't know, 60 years of knowledge might be better than some hyped up drug.


Oh, knowledge and experience are very important.  I wouldn't be worried about her ability to make a diagnosis. I would worry about her trying to cure that diagnosis with outdated drugs or technics.
 
2017-11-05 05:29:49 PM  

Merltech: Vampire Lake: She can't see that many patients per day. Surely she would have time to enter the info herself if she learned how to use a computer.

I have no doubt that she genuinely  cares about her patients. However, if my doctor was 84 and didn't use a computer, I'd assume she hadn't kept up on new drugs/research. I'm not sure I'd trust her with my health care.

Don't know, 60 years of knowledge might be better than some hyped up drug.


That's what all those helpful commercials are for with couples running through a field as they list all the possible side effects including death.
 
2017-11-05 05:53:53 PM  

Vampire Lake: She can't see that many patients per day. Surely she would have time to enter the info herself if she learned how to use a computer.

I have no doubt that she genuinely  cares about her patients. However, if my doctor was 84 and didn't use a computer, I'd assume she hadn't kept up on new drugs/research. I'm not sure I'd trust her with my health care.


If you're going to your 84 y.o. GP for anything other than routine care, yeah. If you need to see someone about something that's not covered in medical journals and has changed significantly in the last 50 years, see a specialist. Otherwise, I think I would stick to someone who has seen me my entire life and probably knows my medical history by memory.
 
2017-11-05 05:55:03 PM  
No DeForest Kelley Photoshop yet!?
 
2017-11-05 06:24:20 PM  

eltejon: No DeForest Kelley Photoshop yet!?


I'm a doctor, not a graphics arts specialist.
 
2017-11-05 07:03:52 PM  

eurotrader: The AP also noted that Konopka will see any patient who can pay her $50 in cash. she also told the court. "Some of them need medications. Who will prescribe for them if I don't have a license? So an old Doc with no medical equipment apparent in her office and does not want to report to whom and what opioids she prescribes online as all other docs are required to do. If she practiced in FL it would be called a pill mill, and the only taking cash raises a few flags.


I asked my doctor (actually a nurse practitioner) what insurance she preferred to deal with, and mentioned an ACA plan that I was considering. She responded by saying they're the best, that's the insurance she has herself because they have the biggest network and so on...oh by the way her contract to take their insurance expires on Jan 1st...but she'd be happy to take $50 cash per visit because I'm such a good customer. I felt like there was some sort of flim-flam bait & switch going on there.
 
2017-11-05 07:04:55 PM  
84 year olds shouldn't be practicing anything let alone medicine.
 
2017-11-05 07:11:09 PM  

gingerjet: 84 year olds shouldn't be practicing anything let alone medicine.


7 Congresspeople and Senators are 84 or older.
 
2017-11-05 07:31:24 PM  
If you are not willing to keep up with your continuing education and the standards of the profession, you're not willing to be a doctor.

This isn't really the state taking her license so much as her intentionally giving it up.  Even if she didn't want to learn to type and shiat herself, you can pay a random teenager the same hourly rate you'd use to get them to mow your lawn to do it for you, or if you wanted to actually be professional make it part of a nurse's job to transcribe.

itcamefromschenectady: gingerjet: 84 year olds shouldn't be practicing anything let alone medicine.

7 Congresspeople and Senators are 84 or older.


And to a man they're crazy, stupid, and incompetent.  What's your point?

// Yes, especially McCain.

Merltech: 60 years of knowledge might be better than some hyped up drug.


The problem is that she definitively, unarguably doesn't have 60 years of knowledge, though.  She stopped learning like... ten or twenty years in.

I mean... you realize that's the problem, right?  That she literally somehow doesn't know how to do things that became a required part of her job within a decade of the start of her practice?  If I've been a cop for 50 years and don't know what miranda rights are, I don't have 50 years of knowledge of how to police-- I have zero years, because I've spent that long not knowing how to do the job.  If I'm a fire-fighter who's drawn a paycheck for five decades and doesn't know the required elements of combustion, I don't have 50 years of firefighting knowledge, because clearly I stopped learning before the intro seminar was over.

Experience only has value if you actually spent that time accumulating experience.  Treading water while holding a nominal job title you didn't actually earn is not the same thing.
 
2017-11-05 07:49:22 PM  

flond: MorningBreath: 84-year old doctress annoyed she can't practice medicine like before vaccines were invented

/fixed that for you.

It's doctrix.


Pediatric doctrix is for kids.
 
2017-11-05 08:15:47 PM  

Jim_Callahan: itcamefromschenectady: gingerjet: 84 year olds shouldn't be practicing anything let alone medicine.

7 Congresspeople and Senators are 84 or older.


But they don't do anything.
 
2017-11-05 08:23:37 PM  

Pelvic Splanchnic Ganglion: If she doesn't have time to stay up on what's current, then what kind of care is she able to provide?


Yeah, and it gets harder and harder to find a pharmacy that can fill a prescription for radium suppositories or corrosive sublimate these days...
 
2017-11-05 08:32:15 PM  

gingerjet: 84 year olds shouldn't be practicing anything let alone medicine.


Especially not this.

img.fark.netView Full Size
 
2017-11-05 08:45:33 PM  

Jim_Callahan: Experience only has value if you actually spent that time accumulating experience.  Treading water while holding a nominal job title you didn't actually earn is not the same thing.


Yeah, but young people are idiots too. It's a delicate balancing act, by which I mean we're all doomed.
 
2017-11-05 09:55:00 PM  
The NY State opiate tracking system requires an electronic Rx, a token to be sent to your phone through an app, and then the prescriber must input it before it expires in a few minutes.

But anything else? Phone call, paper prescription okay.  If it's similar in her state, way too many of her prescriptions are controlled substances.

Medicaid and Medicare have penalties if you don't have an up to date electronic medical record.

Speaking of UpToDate - a very popular online medical reference. If she doesn't look things up on her non-existent computer, does she use a smart phone?

 I suppose she could be the last doctor in the US who uses paper textbooks, a PDR, and a Pharmacopeia. Or she could be delivering lousy care.
 
2017-11-05 11:59:57 PM  
Most of the concerns in this thread can be answered with "because lol New Hampshire".
 
2017-11-06 02:48:22 AM  
img.fark.netView Full Size
 
2017-11-06 03:28:37 AM  
Well, yeah, if she's getting genuine complaints from her patients then that's fair enough.

FTA:
Earlier this year, one of her patient's family members complained to the state medical board, which sparked an investigation.
Konopka was formally reprimanded in May 2017, but then received more complaints.


I guess a compromise could be that she's not allowed to prescribe drugs controlled by systems requiring government records. If she's handing out drugs like candy then the issue will quickly right itself, if she's providing genuine care then she doesn't need to use a computer and can refer if they need what she can't prescribe.
 
2017-11-06 08:05:02 AM  

itcamefromschenectady: gingerjet: 84 year olds shouldn't be practicing anything let alone medicine.

7 Congresspeople and Senators are 84 or older.


So you're saying he should lower the limit?
 
2017-11-06 11:29:39 AM  

Pelvic Splanchnic Ganglion: "The problem now is that I am not doing certain things on a computer," she told the news service. "I have to learn that. It is time consuming. I have no time."

Oh, no! She can't be bothered to keep up on the latest technologies that her job requires and it's putting her out of work! Just like every other profession on the planet!

Stay current in your knowledge or be left behind. Your choice.


This.  Medicine is a field where you have to keep current or go home.  This is simply the latest standards on dealing wit opiates--and exactly what I think they should be doing nationwide.  Let the docs know what the patient is getting before they pick up their pen.

Vampire Lake: Oh, knowledge and experience are very important. I wouldn't be worried about her ability to make a diagnosis. I would worry about her trying to cure that diagnosis with outdated drugs or technics.


And there are diagnoses that weren't around when she was in medical school, also.

itcamefromschenectady: I asked my doctor (actually a nurse practitioner) what insurance she preferred to deal with, and mentioned an ACA plan that I was considering. She responded by saying they're the best, that's the insurance she has herself because they have the biggest network and so on...oh by the way her contract to take their insurance expires on Jan 1st...but she'd be happy to take $50 cash per visit because I'm such a good customer. I felt like there was some sort of flim-flam bait & switch going on there.


In my experience the good docs are covered by less insurance.  They don't need to take the ones that pay less to fill their waiting room.

lake_huron: The NY State opiate tracking system requires an electronic Rx, a token to be sent to your phone through an app, and then the prescriber must input it before it expires in a few minutes.


Yeah, that would make the system harder to game.
 
2017-11-06 02:45:02 PM  

Pelvic Splanchnic Ganglion: "The problem now is that I am not doing certain things on a computer," she told the news service. "I have to learn that. It is time consuming. I have no time."

Oh, no! She can't be bothered to keep up on the latest technologies that her job requires and it's putting her out of work! Just like every other profession on the planet!

Stay current in your knowledge or be left behind. Your choice.


She should have plenty of time now that she won't be able to practice medicine.
 
2017-11-06 02:45:40 PM  

Loren: In my experience the good docs are covered by less insurance.  They don't need to take the ones that pay less to fill their waiting room.


Wel,, how do you know they're the good docs?  It's a case of image and branding.
My Harvard-trained buddies who practice at Mass General take whatever Medicaid or Medicare gives to the hospital.
Somebody sets up a shingle on Park Avenue in NYC and gives themselves an air of exclusivity.  If they take cash or only good insurance, they can spend lots of time with an individual patients.  Which may or may not translate into better care.

The fallacy that good docs are picky about insurance or take cash only is perpetuated by those very docs.

/why yes, I practice at an inner-city academic medical center, why do you ask?
 
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