Mental illness and gun violence are a doctors responsibility I haven’t give much thought about gun control, but since the horrific unspeakable tragedy which occurred in Sandy Hook, Connecticut where 20 children and 6 adults were killed, I like many others are. Increasingly, crime scenes are now including movie theaters, malls, and schools, places where people escape reality, find gifts, goods or services for themselves, loved ones, or friends, and ...

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Since the massacre of innocent school children and those that gave their lives educating and trying to protect them this past Friday at Newtown Connecticut’s Sandy Hook Elementary School, I've struggled to make sense of this calamity as much as much as anyone. As a physician who has worked to save the lives of sick and injured children, and as a father of children the same age as those massacred in ...

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A patient of mine was seeing a local specialist.  The parents wondered if it would be appropriate to get another opinion.  Contrary to what patients might think, most physicians are absolutely fine with this and some even encourage it.  However, patients often want to know if seeking another opinion is justified.  It is my job as a primary care provider to help families decide when or how to obtain that ...

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The events of the past week in Connecticut hopefully have given us all pause to appreciate the fragileness and uncertainty of life.  We have all cried with heartache for the parents who have lost children.  We have honored the adults that gave their lives to protect the students in their charge.  We have all stood with outrage at the senselessness and brutality of this crime.  As time passes, the families ...

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How to set a realistic bar in family medicine My fourth grade teacher labeled me "most inquisitive," and I'd like to believe that superlative still rings true.  But I challenge you to stop and think about it for a second - how do you set the "bar" of expectations in your own life? With your patients? With your family? With your commitments? Are you the kind of person to place the ...

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As a physician for 35 years, I have strived to live up to a quote I first heard from my father: the goal in medicine is to cure sometimes, to relieve often, and to comfort always. During my more than three decades of practice, I have learned that one must combine a willingness to care and ability to hear with an offer to help in order to comfort – let ...

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The Newtown school shooting. It’s a tragedy that a mass shooting requires a qualifier, but this is America so we need to be specific as not to be confused with Aurora, Columbine, Arizona, or Virginia Tech. Colorado massacres require a site specific qualifier. There are 2 common elements with all these massacres: mental illness and guns (not hunting rifles, but firearms designed to cause maximin human carnage in the shortest amount ...

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"Hi, I’m Edwin, and I own firearms!" Right now, in the shadow of the horrors of the Sandy Hook shooting, it feels as if every gun-owner is on edge.  Some are apologizing, distancing themselves from gun advocacy groups.  Some are saying all the right words, "well, my target gun is locked in a safe."  Like telling your Baptist Preacher grandpa, "my whisky is in a cabinet and is only for medicinal ...

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I don't know how to move forward after the shootings of the children in Newtown. A lot of it has to do with the fact that I have a first grader. Whenever I close my eyes, I have visions of a gunman storming into his school. My son's classroom is just off the main lobby--it would be his class a gunman would get to first. When I see the list of ...

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Why physician led pain care is important for patients A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. All of us know the unpleasant feeling of pain. Often we know what caused it: a burn, a sprain or a surgical procedure. Most pain stops when the cause is removed and healing takes place. That is acute pain. When pain arises and persists for three months or more without ...

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