Twitter counts for this doctor. Read why. Whenever I speak about social media, much of it has to do with Twitter. It has become part of my daily routine, much like checking email or going to news media sites. I will often check-in on Twitter and will respond to items of interest -- whether or not tweets were sent directly to me. However, I am cognizant ...

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The idea of starting over with computerized electronic health record (EHR) systems and doing them right as mentioned in a previous post has struck a resonant chord. Unfortunately designing an EHR that works may be a fantasy, due to one huge hurdle that would have to be overcome first. But it is fun to imagine an alternative universe where EHR systems were patient-centric instead of being ...

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Assimilating independent physician practices: Is resistance futile? Fans of Star Trek: The Next Generation will recall that the most disturbing aliens encountered by the Federation were the Borg, a part-cyber, part human collective race that functioned as an integrated and cyber-connected whole that existed only for the good of the collective, rather than as distinct individuals with their own thoughts and personalities -- much like honey bees work together as ...

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Quit smoking: It takes a community to spread the wordYou never know when something special is going to happen, as in one of those times when you just wish you had a camera rolling to capture a moment, a comment, a statement about the way the world is -- and the way the world could be. This past weekend my wife and I were attending a meeting in ...

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Ruth was problematic.  Well into her seventies, her body may have dulled but her tongue was sharper than ever.  And she used it to lash me with complaint after complaint.  If it wasn't her knees, it was her ankles.  If it wasn't her ankles, it was her hips.  I battled the impossible month after month, year after year.  Our interactions left a bitter taste in my mouth.  Nothing makes a ...

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Martin Seligman, PhD, in his book Authentic Happiness, references a colleague, Mike Csikszentmihalyi, when discussing the concept of “flow.”  For Seligman and Csikszentmihalyi, flow is that feeling one gets when fully engaged or “in the zone” with an activity during which the passage of time seems suspended.  Often, the activity is aligned with one’s natural, signature strengths. For me, flow comes when I’m mountain biking: There are moments without thoughts, it’s just ...

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I don't remember all of the details. It was the summer of 1990, sometime in the first 3 months of internship. I spent those months on the 11th floor of the VA Lakeside Medical Center (now the vacant lot just east of the hospital). The VA was familiar territory for me. I spent 3 months there as a third year student, also on the 11th Floor. 11 East, to be ...

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Lesson learned: Not everyone is crazyLesson learned: Not everyone is crazy An excerpt from The Spattered White Coat: Intense experiences which formed a young doctor. I'll never forget one of the first patients I interviewed. When I went to get him, I could see him sitting in the waiting room, looking around and scratching his arms repeatedly. He was a very ...

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Over the past 5 to 10 years, hospitals and physician offices have been in a mad dash to implement electronic health records (EHRs) in order to meet governmental regulatory requirements.  Now that most projects are either complete or well on their way, what are we doing with all of the data that EHRs promised to generate? From my experience as a physician at a large academic medical center with one of ...

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The best way to avoid the flu is spending the months from fall until spring in a solitary bunker, communicating with other people only electronically. The second best way is getting the flu vaccine. The Centers for Disease Control and Prevention (CDC) recommends the flu vaccine for everyone over 6 months who doesn’t have a specific contraindication to it. Because of the increasing number of different flu vaccines that are now ...

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