Thursday, July 2, 2009


Swam at Nitro with Jeanne and Eryn, next to Steve, Kirk, David and Tom. The pool was set up long course. Tuesdays and Thursdays are IM days.

800 swim
8 x 50 kick with fins @ :50
4 x 100 pull @ 1:30
3 x 300 IM @ 5:30
4 x 150 choice @ 2:45; I did fly/back/free
4 x 50 @ 1:00 worst stroke; I alternated fly/back
100 easy

Anticipating a 20% pay cut for cardiologists next year with health care reform. Reimbursements for imaging (nuclear, echo, CT) as well as cardiac caths are expected to be cut and the billing codes for hospital and office consultations eliminated (we will charge for visits instead). We will not be able to compensate with an increase in volume, and our costs (as with other businesses) will continue to rise. On the other hand, demand for our services will remain high as the population ages.

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