The trauma for Artyom continues. After having been given up to an orphanage by his alcoholic mother who lost her parental rights, being adopted by a US family, sent back to Russia alone when his adoptive mother allegedly was unable to cope with his psychological problems, he has now become the object of a tug-of war between Russia and the US over his citizenship. His future seems to hold unimaginable ...

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I'm a doctor. We get all the glory. And credit. And guess what? We only deserve part of it. I started out in medicine in the mid-80's, volunteering at an ER. And the biggest shock to me was learning how much of what happens in a hospital is nurse territory. Doctors will see you anywhere from 5 to 30 minutes a day, depending on how sick you are. And the rest ...

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by Brad Stuart, MD Rob Pardi’s comments in Pallimed affected me deeply. His honesty, integrity, and willingness to share were so impressive that I feel reluctant to take issue with anything he had to say. Yet today I find myself somewhat in conflict with his message. Rob’s wife, a palliative care doctor, died of cancer recently and her story, published in the New York Times made it sound as if ...

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An excerpt from Top 5 Questions to Ask Your Doctor by Sagar Nigwekar, MD and James Sutton, RPA-C Tips for Talking to Your Doctor Entering a doctor’s office can be like entering a different world. There are often “rules” and “protocols” that the doctor, nurses, and staff follow that you may not be familiar with. This book offers some very helpful questions for you to have an intelligent conversation ...

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How many patients actually take the prescription drugs that their doctors prescribe them? Less than you think. Pauline Chen, in a recent New York Times' column, discusses the worrisome issue of medication noncompliance. And the numbers are stark. According to the data, "as many as half of all patients did not follow their doctors’ advice when it came to medications," and, "more than 20 percent of first-time patient prescriptions were never ...

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The new definition of participatory medicine at the Society’s website notes that patients “shift from being mere passengers to responsible drivers of their health, and … providers encourage and value them as full partners.” As with any collaboration, this must include a hefty dose of listening by both parties. I recently returned from an extraordinary week in Minnesota, with visits to several thought-provoking care facilities. The week was all about ...

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by Sandeep Grewal, MD We as doctors and patients as well as medicine as a whole have evolved over time. What used to be a simple conversation of between a doctor and a patient has turned into a melee of medical issues, legal issues, insurance and financial issues and not to mention the complicated ICD 9 and CPT code system. Conversation between a doctor and patient in 1960s: Patient: Sir, I am ...

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Correctional psychiatrists inevitably treat patients who have been convicted of a broad array of crimes. There is a correlation between the security level of the institutions in which one works and the severity of the crimes of the inmates being housed there. Since I’ve treated inmates of minimum, medium, and maximum custody levels, I’ve had the opportunity to work with people who have been convicted of everything from drug possession to ...

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Who hasn't heard the story of a friend or acquaintance who retires only to become seriously ill or die soon after? Are we working ourselves to death? For anyone who has ever wondered "is this worth it?" a move is afoot to question the concept of the American work ethic. We are currently the most overworked society on the globe. The United States has surpassed Japan as the nation with the ...

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by Diana E. Lee When I start to think about all the things I want to do, I end up feeling like my life is on hold, waiting for some miracle to come along and make me better. There was a time when I believed I would get better. Now I'm not so sure. I was just getting started in my career in 2003 when my migraines exploded from periodic to chronic. ...

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