In her post, “The only thing that truly separates doctors from nurses,” Dr. Leng is right that our current system creates a great deal of confusion for patients. Clothing, titles and even the word “Doctor” are no longer clear enough for people to understand which member of the health care team is caring for them. However, her suggestion that ultimate responsibility for the patient is the only distinguishing feature ...

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With gratitude to Doctors Rafael Espada and Michael Madani, for fixing my father’s heart, twice. When Michael Phelps was interviewed during the Beijing Olympics, the world first learned about the extraordinary amount of food needed to fuel the swimmer with the wingspan of a pterodactyl. He said that he ate 12,000 calories a day, and no one believed him except for me. I believed him because I too was a swimmer ...

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The shortage of primary care physicians in the U.S. has become a national theme. A common proposed solution to this shortage – and a central component of the patient centered medical home – is team-based care that utilizes various non-physician health care professionals as well as electronic communication. The idea is that many functions carried out by physicians can be done by nurse practitioners, physician assistants, nurses, and others on ...

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shutterstock_124682011 The use of ultrasound has had a large impact on health care in resource poor countries. This article details some of the research that has been done overseas to look at the impact on bedside ultrasound by caregivers to deliver more appropriate care for injured and ill patients in Africa, Asia and Mexico. Using an ultrasound to determine how dehydrated a child ...

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When I was growing up in the 1960s, at the height of the Cold War, there was always some smart aleck boy on the playground who had "facts" to share about the Soviets. His recitation was meant to emphasize how weird, how different, how other our arch enemies were. "They make you wear all brown and gray there." "They eat only boiled cabbage and potatoes." "They tell you what to ...

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shutterstock_94210177 Every primary care doctor has been faced with this situation. A patient reports vague symptoms and is very worried that they are a sign of a catastrophic illness. The symptoms aren't even slightly suggestive of the disease the patient is worried about, but the patient's neighbor's brother-in-law was just diagnosed with the same disease, and so the patient is pretty sure that ...

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I have found that many physicians have a strong desire to serve, yet often don’t know where to begin or if it is the right move for them both personally and professionally. I believe that by answering a few simple questions, a physician can decide if a mission is right for them. 1. Decide where you want to help. Hailing from Africa, I wanted to return to the poorest regions such as ...

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I saw a thoracic surgeon in the doctor’s lounge today. I have read his cases and frozens for a year or so, but never introduced myself. I still get intimidated in that man’s world of the doctor’s lounge. It's not just me, my female partner was urged by her male recruiter to eat with him every morning in the lounge when she started seven years ago, and chit chat with ...

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I am affiliated with the institution where Dzhokhar Tsarnaev is currently hospitalized. I am friends with people who have treated him. I’m trying to stay away from those people; I would be unable to help asking them about him. They might be unable to help talking about him. There has been a flurry of emails and red-letter warnings cautioning people here not to talk about Mr. Tsarnaev or look him up ...

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shutterstock_74641645 Emergency physicians experience burnout at a rate of more than three times that of the average doctor and more than anyone else inside or outside of the medical field, according to a study published in the Archives of Internal Medicine. The study surveyed over 7000 physicians in more than two dozen specialties and compared them with almost 3500 working adults ...

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