Boston tops The Daily Beast's 2011 list of the 25 tipsiest towns in America, moving up from the eighth position last year. The Beast credits its click-ready rankings to a mixture of market research surveys and CDC statistics. I don't know about the scientific accuracy, but from my perspective in its trenches, ranking Boston the booziest rings true. You see, I spent 2011 seeing most of the traumatic brain injury ...

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It was January 12, 2007 during rush hour traffic in the metro station in Washington, DC. A nondescript man wearing a baseball cap and khakis began to play the violin. He played six Bach pieces for about 45 minutes. During that time, since it was rush hour, it was calculated that at least a thousand people went through the station, most of them on their way to work. Nearly everyone ...

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Last night was clear with full moonshine and the owls were busy hunting on our farm, calling back and forth to each other, comparing notes on where to find prey. Thankfully they were not calling my name. At least I don't think so, nevertheless their hoots haunted me. A coastal tribal legend has it that if you hear an owl call your name, your death is imminent. I've had no recent brushes ...

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A couple of months ago, I was dragging a large suitcase that got hung up on a curb, giving my arm and shoulder a good yank.  Over the next few days, my shoulder began to ache a bit.  Applying the very reasonable ‘tincture of time’ principle, I rested it a bit, hoping that with time the symptoms would resolve.  Two months later, I was getting an MRI and anticipating surgery ...

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In the modern medical environment of unpaid insurance claims, malpractice lawsuits and rushed patient encounters, many doctors feel unmotivated and unhappy. Could the use of improved healthcare technology make doctors feel motivated and fulfilled again? The hierarchy of needs Motivating others is always difficult task. But according to Dan Heath, author of Made to Stick, all employers need to do to effectively motivate employees is get out of the basement – Maslow’s basement ...

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In 2003, authors Warshaw and Bragg published a paper that reported on three decades of progress in creating a workforce to care for our aging population. They noted that, as of academic year 2001-2002, 120 geriatric medicine fellowships were training 338 fellows. U.S. medical schools had 869 full-time equivalent (FTE) geriatrics faculty members teaching in IM residency programs and FP residency programs. From 1988-2002, more than ten thousand Certificates of ...

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So you need a new doctor.  You go online and the list is seemingly endless.  You browse your insurance provider’s list and the information all looks the same.  With so many options, how can you really choose the best doctor for you? Although this topic has been written about before, many people still find it difficult to determine a good fit.  And when they do, this fit often comes simply by ...

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Estelle’s lipstick was apple-red and generous.  She did not limit its application to lips, but wore it in the general area of her mouth.  Together with pink rouge, color stood out brightly on her pale face.  She wore a threadbare dinner dress, years faded.  Estelle had dressed carefully for the visit and I showed respect. I met Estelle in the winter of her life.  92 years old, she lived by herself ...

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Myths abound concerning concierge medicine (CM). Unfortunately these myths prevent good doctors from converting their practices to CM.  Let’s look at those myths—maybe you need to work on yourself and your own beliefs. If you practice quality medicine your patients will value you and your work and will pay a fee to join your CM practice.  CM is a value story.  If you provide solid value, you needn’t believe these ...

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You’re in your 30s. You work hard. You strive to master your craft. You support your extended family. You are liked by both your co-workers and boss. Problem: You unexpectedly become unhealthy–you find out your kidneys are failing. Solution: Regular kidney dialysis can keep you alive, by filtering toxins out of your blood. Problem: Dialysis is time consuming (>3 hours/session, 3 sessions/week) and leaves you feeling tired and weak. Solution: Your brother, who is ...

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