Businessman and maverick, Mark Cuban recently opined, “If you can afford to have your blood tested for everything available, do it quarterly so you have a baseline of your own personal health.” I’m unsure why he said quarterly, not weekly, daily or hourly. ‘ He further opined that this must be done to “create your own personal health profile and history. It will help you and create a base of knowledge ...

Read more...

There’s nothing like discrimination -- true or imagined -- to keep our airwaves humming. Recently, Indiana and then Arkansas were media fodder for laws that were proposed to protect religious freedom. Yes, I know the other side of the argument, that these religious freedom protections were veiled attempts to discriminate against the LGBT community. Both states raced to revise their original laws, although the laws' backers deny any discriminatory intent ...

Read more...

How to Win Friends and Influence People by Dale Carnegie is a timeless bestseller. It is a book that’s translated into many languages globally and carries brand name recognition.  People who read the book recognize common sense approach and simple lessons of courtesy that are so eloquently described by the author. Dale Carnegie had a knack for oratory skill and displaying genuine connection with other human beings. While he tried many ...

Read more...

America faces a serious shortage of primary care doctors. The reasons are not hard to understand. Lower income is the most important factor.  Adult primary care doctors (general internal medicine physicians and family medicine physicians) earn on average $100,000 or so less per year than specialists do. Our income is much greater than that of the average American, and so many people have little sympathy here.  But almost all people prefer ...

Read more...

I can’t mention the physician by name, because he is currently in contract negotiations.  But he lives and works in a Midwestern town of several thousand people, a town where the major social event of the year is a fall festival that features a parade down Main Street.  The physician, let’s call him Dr. Smith, has been practicing there for nearly 30 years, and he intends to keep living and ...

Read more...

I often get referrals from the town's free clinic.  As you would imagine, the patients often have a unique set of problems, coming as they do from the underserved segment of society. One such patient, Julia, was a fiftyish-year-old woman who had recently moved to town from California. She went to the free clinic (not really sure what the original complaint was) and ended up getting a physical exam that revealed ...

Read more...

Americans are waking up to the fact that the $170 billion that Medicare spends on the last six months of life is not helping us die well. Instead, the way we die today tends to be protracted, undignified, and painful. Sarah Palin’s “death panel” debacle temporarily stifled all discussion on the subject, but the silence has been broken by dialogue inspired by the Institute of Medicine’s recent report, Dying in ...

Read more...

Let's face it, residency is no picnic. A combination of on the job training and trial by fire, no physician who has gone through it and survived will ever forget the experience.  The emotions run from jubilation to sheer terror. It is inevitable that some of the people you interact with will leave a lasting impression. In the case of the resident, it is the attending physicians that fulfill  the ...

Read more...

“55-year-old man with history of laryngeal carcinoma, status-post radiation therapy, laryngectomy, bilateral neck dissection, with metastases to the lung, status post thoracotomy, currently undergoing chemotherapy who is being admitted for a for first-time seizure. Patient is a transfer from Riker’s Island.”
Prisoners are a common occurrence in Bellevue Hospital. This, however, was my first prisoner-patient. The hyphenation both as I write this now and as it formed as a concept in ...

Read more...

About a year ago, there was a great commercial that depicted the slowing of time as a free-falling, but worry-free, James Franco uses his smartphone to chart a safe landing on the billowy awning of a restaurant dozens of stories below.  There probably isn’t a single person who hasn’t, at one point or another, wished she or he could control time in order to navigate a better outcome.  And doctors ...

Read more...

398 Pages

Most Popular