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Profile picture of Lester James Hartman, MD

Lester James Hartman, MD

@lesterhartman active 1 year, 2 months ago
Group pedi practices are ones that are ahead of most other specialists and primary care docs. In my area we are open 9-8 M-th and 9-5 Fri and 9-12 sat and sun. Solo practices are hurting as they compete with CVS Minute Clinics. Minnesota, where retail based clinics ( RBC’s) started, have very few solo practices and years ago I talked to the […] View
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  • Profile picture of Lester James Hartman, MD

    Lester James Hartman, MD wrote a new post, Dentistry and Access to poor children 1 year, 2 months ago

    It has always been perplexing to me that pediatricians have  served the MassHealth children  yet dentists avoid serving this indigent population within their generally more affluent communities. These parents have […]

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    Lester James Hartman, MD commented on the post, Gotta Love It: Rite-Aid Tries New ‘Doc In A Box’ 1 year, 3 months ago

    Very interesting!! I missed it but what was your frustrating experience at CVS?

  • Profile picture of Lester James Hartman, MD

    Lester James Hartman, MD wrote a new post, Texting 1 year, 3 months ago

    A goal in my office this year was to reach 90% flu immunizations for all our persistent asthmatics. We are a persistent lot using the phone and email yet that last percent two was like climbing Mt Everest.  One […]

  • Profile picture of Lester James Hartman, MD

    Lester James Hartman, MD wrote a new blog post: Pediatricians are best at extended hours 1 year, 4 months ago

    Group pediatric practices are ahead of most other specialists and primary care docs . In my area we are open 9-8 M-TH, 9-5 Fri and 9-12 Sat and Sun. Solo practices are hurting as they compete with CVS Minute Clinics. Minnesota, where retail based clinics ( RBC’s) started, have very few solo practices. Years ago I talked [...]

  • Profile picture of Lester James Hartman, MD

    Lester James Hartman, MD posted an update: 1 year, 4 months ago

    Group pedi practices are ones that are ahead of most other specialists and primary care docs. In my area we are open 9-8 M-th and 9-5 Fri and 9-12 sat and sun. Solo practices are hurting as they compete with CVS Minute Clinics. Minnesota, where retail based clinics ( RBC’s) started, have very few solo practices and years ago I talked to the…[Read more]

  • Profile picture of Lester James Hartman, MD

    Lester James Hartman, MD commented on the blog post Just who is the doctor 1 year, 7 months ago

    Hi Martha, Docotrs who onw the practice – partners- have duties in personnel, financial, communiction(tIT), marketing and physical plant. Non- partner MD’s and NP’s don’t have any of this responsibilities. NP’s do much the same as us but don’t see the special needs complex children. They managme breast feeding and see rouinte checkups and illness [...]

  • Profile picture of Lester James Hartman, MD

    Lester James Hartman, MD commented on the blog post No co-pays for preventive care 1 year, 7 months ago

    Hi Martha,
    I worry that they will charge or exclude paying talking about a child’s chronic disease on a check up .This is often the number problem to effect the child and family’s quality of life. Discussing asthma, ADHD, and learning disabilites on a well check up are an imperative.

  • Profile picture of Lester James Hartman, MD

    Lester James Hartman, MD commented on the blog post Prevention Paradox 1 year, 8 months ago

    Hi Martha, I am enjoying school though I may change my major. A 3 gm reduction in sodium intake per day would reduce diastolic pressure by 2 total points in the population overall enough to significantly impact strokes and heart disease . Spoke with Carey Goldberg the other day. She asked me to post a [...]

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    Lester James Hartman, MD commented on the blog post OBESOGENIC AMERICA 1 year, 8 months ago

    Thanks, Martha. It would be interesting to hear more- I sent an email to John Kerry’s office.

  • Profile picture of Lester James Hartman, MD

    Lester James Hartman, MD wrote a new blog post: OBESOGENIC AMERICA 1 year, 8 months ago

    This is a term my professor used today at the Harvard School of Public Health where I am working towards an MPH. Does anyone know if the processed food giant Arthur Daniels Midland and Cargill ( or at least supplying the additives) as well as Coke, McDonalds, Pepsico, etc ever been investigated for the increasing [...]

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    Lester James Hartman, MD commented on the blog post Could it be a mini price war, in health care? 1 year, 8 months ago

    I caution extrapolating this to pediatrics. What is important is the tech who performs the test pediatric friendly as this can effect the quality of the ultrasound? In community hospitals radiologist are less experienced and can be less knowledgable about various disease processes to look for compared to pediatric radiologist in places such as…[Read more]

  • Profile picture of Lester James Hartman, MD

    Lester James Hartman, MD commented on the blog post Empowering the Cost-Conscious Health Care Consumer 1 year, 8 months ago

    I find this very interesting. In our practices in Westwood/Mansfield we have started making efforts to reduce parents’ costs for acute non-urgent visits- the type that will be coming more and more out of their pockets as the Obama bill emphasizes prevention. We give and sell for no profit strep tests for parents to perform [...]

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    Lester James Hartman, MD became a registered member 1 year, 8 months ago

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