As I was driving to work this morning, I was thinking about how I wish I had time to exercise more. It's my 7th week as an intern, and I have only gone on a run once in that time (a 2.5 mile run last week in 25:30 -- pitiful considering that two months ago I was running 8-10 miles at least once a week). I got to thinking about ...

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For the families who lost children, their world as they knew it has effectively ended. Yet somehow the sun rises again and the next day is here. For the rest of us grieving along with these families, the only way to move forward is to take what President Obama called "meaningful action." I interpret this to be action that is radical and significant enough that it will somehow give meaning ...

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Locum tenens prepared me to volunteer in undeveloped countries For the majority of physicians in the U.S., taking their skills abroad and providing care via medical missions in undeveloped countries is usually not an option. For me, that was always an option.  I am an OB-GYN who works as a locum tenens, a traveling physician who temporarily fulfills the duties of another. This has provided me the flexibility to have ...

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"As flies to wanton boys, are we to the gods. They kill us for their sport." -King Lear, Act IV There are certain days that everyone will always remember.  People of my generation uniformly remember where they were and what they were doing the day that John F. Kennedy was shot.  My children’s generation will never forget 9-11.  For my parent’s generation, images of Pearl Harbor, D-Day, Hiroshima and Nagasaki were burned ...

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You may have noticed that stores everywhere, and restaurants, too, are getting mobile -- as in mobile technology.  In a store like Nordstrom, where thousands of items in many departments must be inventoried and managed, it saves a lot of time, personnel, and therefore money, at least for the store.  From last season’s belts to the spring’s platform shoes, it is in the system, on the iPod and available for ...

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It was really a rather arrogant presumption so early in my career. The secret sauce of medicine, I figured, was becoming an excellent diagnostician.  I devotedly memorized the signs and symptoms, the pathways and algorithms.  I strained to differentiate the pain in the chest due to suffocating myocardial cells from the stretching of the pleura or the lack of serotonin in the brain.  I cut my teeth on those early patient encounters.  Each experience ...

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Dont be afraid to ask your radiologist for help It used to be that radiologists mainly helped out your doctor so that they could figure out what was ailing you. Such is no longer the case. Nowadays, with the easy access to almost any doctor of any specialty, you can visit your radiologist, obtain a needed study (or procedure, in the case of an interventional radiologist), and never even see your ...

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Chains do not hold a marriage together. It is threads, hundreds of tiny threads which sew people together through the years. - Simone Signoret Allen’s cancer has continued to grow quickly. He raises his chin so I can see. I check my notes from a month ago and pull out my ruler and make new measurements. I jot down my findings and turn to look him in the eye. We both know this ...

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I work at clarifying obscurity about the human condition daily Be obscure clearly. -E. B. White As a family doctor, I work at clarifying obscurity about the human condition daily, dependent on my patients to communicate the information I need to make a sound diagnosis and treatment recommendation.  To begin with, there is much that is still unknown and difficult to understand about psychology, physiology and anatomy.  Then throw in a disease process ...

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Physicians are being attacked in many ways and in many places.  It is no longer about how able, available, and affable you are.  It is about how well you toe the line when it comes to going along to get along while being watched by an ever increasing line up of watchdogs.  Many of whom have sharp teeth. Here are a few questions that might indicate you are headed for trouble: Do ...

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