“I want to explore employment opportunities with you.” He is looking at me. Trying his hardest. Passion, yet anger, in his eyes. Everything I know about him and his tenure in the community helps me understand how difficult this conversation is. Everything I see in his eyes helps me understand how painful this is. Private practice is dying, on the vine, in America. The practices fold or reach a critical point, and they come ...

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Ladies, the moment you have all been waiting for is here!  No, not affordable childcare.  Not equal pay for equal work. Not gun control.  Not abortion rights or paid maternity leave or a female majority in Congress or a constitutional ban on the words “chick lit.”  Girls, it is so much better than all that.  We got pink Viagra! Flibanserin.  Catchy name.  Addyi for short.  Approved by the FDA for hypoactive ...

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"I'm just the night doc," you said. You said it with emphasis as if that explained everything and dismissed your incompetence, your lack of compassion, your failure to care. Unfortunately my sister was "just the patient," who lay suffering hours before her death and the RN was "just the nurse" withholding the morphine that the daytime doctor had ordered for air hunger and agitation. The nurse called you in to ...

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I just finished my first call weekend as an attending. It was a 96-hour bender. I had 4 vaginal deliveries, 1 cesarean, rounded on 20 patients on Saturday (mostly new), 14 on Sunday. I admitted 5, transferred 2 out --one for persistent ventricular tachycardia and one for a possible liver abscess, all while juggling full days of clinic on Friday and Monday. After the call, I felt tired, but still felt ...

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A few weeks ago, after feeding my face with rich, dense chocolate cake brought by a truly awesome nurse (for no particular reason other than a warm and generous spirit), I walked back into a room to check on a post-cardiac arrest patient. After surveying his vitals on the monitor, I turned my attention to two nurses and a pharmacist who were discussing the management of his six drips. He was ...

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shutterstock_124488283 As a relatively young physician, I always enjoy my conversations with the older members of our profession, who’ve seen so much change over the last few decades. I’m fascinated with their stories about how different the medical world was when they were residents, how treatments were so novel, and how they used solid clinical skills to get to the diagnosis. Those were the ...

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I have a long history with family medicine as my father was an early pioneer – heading up the family medicine program at Chicago’s Cook County Hospital in the 1970s. Even back then my dad was using physician assistants (PAs) -- many of them former military medics in the Vietnam War era -- who were part of what was at that time a brand new profession. Family medicine as a whole ...

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“A good surgeon has the eye of an eagle, the heart of a lion, and the hand of a woman …” – 15th century English proverb #ILookLikeASurgeon, a hashtag on Twitter and the movement it has inspired, has resonated deeply with me. I look like a surgeon. There is so much more behind this seemingly simple statement of fact. I am not just stating that I have excelled and I have achieved and ...

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Dr. Google has been the brunt of numerous jokes and various denigrations from the medical community for some time.  The most recent such offering to come to my attention was from Tanya Feke who seems to want Dr. Google sued for malpractice.  As one who was instrumental in the construction of the Internet, which allowed the creation of Dr. Google, I read these attacks with mixed emotions.  I ...

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The vast majority of physicians enter medicine with an inborn sense of compassion. Junior residents, however, are the logistical workhorses of teaching hospitals — their north star is efficiency and they are measured largely on their capacity to “get things done.” The consequence is often a slide towards unwitting apathy. I, like all residents, have witnessed this reality first-hand. By reflecting on my experiences, I hope to discover insights we ...

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