Naturopaths are currently engaged in an intensive lobbying effort at the Capitol in order to gain recognition as medical practitioners and inclusion in Medicare. As a retired naturopath who was licensed in two states, I want to offer a primer to this political maneuver: Naturopaths are not who they say they are. To be fair, naturopaths (NDs) are no longer obscure practitioners. NDs are currently licensed or registered in 18 U.S. ...

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Taxes. Doing taxes feels like a financial rectal exam.  I hate doing taxes.  Yeah, I don't like getting rectal exams either. It's not that I resent paying the government for the fine services they render and the high quality of elected officials we have. It's not the existence of taxes I hate; it's just doing taxes make me feel extremely insecure.  Sharing my personal and business finances with my accountant and the ...

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The following is paraphrased documentation, authored by a physician I know, regarding an intoxicated patient in the ER: 1 a.m.: Patient is telling nurse, “Before I leave, I need everyone’s name for my lawsuit. Tell the phlebotomist that if he’s good, he’ll get a cut.” 1:40 a.m.: Patient is making inappropriate sexual comments and is verbally aggressive with medical staff. He is advised to stay in bed. 2:02 a.m.: Patient (who had been sleeping comfortably) wakes up and ...

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My friend Dawn and I recently attended an evening meeting of the Houston Society of Plastic Surgeons.  Since we were invited guests, and not plastic surgeons, we didn’t stop on the way into the lovely formal dining room to pick up our name badges because the organizers had not made them for us.  On the way out, however, we both noticed clear plastic perfectly formed oval objects sitting on the ...

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Physicians play many roles in patients’ health care and lives in general. In one encounter we may be the only one encouraging a hesitant or discouraged person to look inside and outside themselves for the strength to move forward with a difficult decision. In the very next appointment, we may be taking charge as a patient develops chest pain and shortness of breath in front of our eyes. We sometimes find ourselves in ...

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Sometimes in my research on physician/patient communication, I come across a doctor who is so good with her patients, I have to share their bedside manner with you. The most recent example is a (to remain unnamed) oncologist in the northeastern United States who practically gave a primer on shared decision making when caring for a patient with metastatic cancer. The patient (I’ll call her Jennifer Decker) had stage 4 breast ...

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Many young physicians in training have asked me, quietly or by e-mail, "Is it possible to be a Christian and practice emergency medicine?"  I think that they ask a good question, and likely for good reasons. In their rotations, they have witnessed, first hand, life in the ER.  They are uncertain, perhaps, because they see the frustration that boils over in the words and actions of otherwise compassionate and caring doctors ...

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I remember my first death. He was my patient, a 59 year old who suffered an episode of asphyxiation. His story was tragic, a reminder of the frailty of human life. After choking on a food bolus at home, he had called 911. Unfortunately, he suffered a prolonged cardiac arrest that resulted in irreversible brain damage. He spent two weeks in the intensive care unit in hopes of a recovery, but the ...

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The behavioral aspects of poor health are even more important than we may have thought.  That’s according to a new study finding adults who engage in even one unhealthy behavior double their risk for fair-to-poor health. And the risk increases meaningfully with each added unhealthy behavior. Spotlight: Impact of Unhealthy Behaviors, a publication from United Health Foundation’s America’s Health Rankings® released in partnership with Family Medicine for America’s Health, ...

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I don’t know about you, but I’m up to my eyeballs in patient experience focus, metrics, and nomenclature. Of course, we all get it and are committed to taking great care of our patients, but, with all due respect, what about us? The caregivers, the clinicians, the physicians. Does anyone care about our experience? I do. In fact, it’s pretty much what I spend most of my waking hours thinking about. ...

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