A few weeks ago, my daughter took her first steps into formal education and entered kindergarten. I have been a little surprised to find this has involved a transition not only for her, but for me, too. Not only do her mother and I want her dressed comfortably and ready to learn, we have to plan or pack a meal that she will eat without us watching. Thus ...

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My heart is blighted like grass, and withered, for I forget to eat my bread. –A patient’s prayer, Psalm 102 I diagnose and treat medical problems. I love doing it. Sometimes I make a big difference in someone’s life. More often, I just reassure them that they’re going to be ok. Or I give them advice about what they need to do to live healthier. But what I do has limits, and ...

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I am starting a prize-linked smoking cessation program for my medical practice. Like most family docs, I constantly remind my smokers about the risks of tobacco and my ability to help them quit when ready. And like most physicians I probably have a false belief that pestering “enough” will spur action. As an unofficial student of economics and official student of public health (MPH), I should know better. Sure, I have ...

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Good, it’s about time that these greedy doctors get smacked down for being the financial rapists that they are.  Medicine in this country is the biggest, most destructive SCAM going on today. Doctors think they are entitled to RIDICULOUS amounts of money for simple routine procedures. -Johnathan Blaze It is generally agreed upon that the more one values a good or service, the more he or she is willing to ...

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Since the earliest days of medical school, I learned fast to bring my computer wherever I went.  Not only did my laptop function as my personal entertainment center through the dullest parts of lectures, but it also proved to be a source of instantaneous and infinite medical knowledge via the click of a mouse.  Four years later and here I am, one hand on the shoulder of patients whilst listening ...

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There’s a big discussion going on in the health tech community about a controversial keynote speech given by Vinod Khosla at the Health Innovation Summit (HIS), in which he stated that 80% of what doctors do could be replaced by machines. If you’re a doc like me who has no idea who the heck Vinod Khosla is (he’s a venture capitalist and co-founder of Sun Microsystems), why he’d be a keynote speaker ...

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The call comes in at 9pm or so.  The patient sounds sick as all hell.  The Surgeon listens to the random assortment of numbers and vitals the nurse provides and clicks off his cell.  He finishes reading a boring Berenstain Bear story to his daughter and tucks her into bed.  He looks at the clock and runs some mental numbers.  By the time he arrives at Hospital, close to ten.  See the ...

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Who is your favorite addict? I guess we have to talk about addiction as a preface to that question. Everybody I know takes psychoactive drugs, except maybe some Mormons, Seventh Day Adventists, and the like. All drugs are habit-forming, but only a subset of psychoactive drugs can produce psychological and physical dependence, tolerance, and withdrawal symptoms when taken away, the usual definition of addiction. Most people who become addicted to one drug often ...

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I recently saw a number of tweets from parents and fellow pediatricians on Twitter criticizing Marissa Mayer for announcing that she’d return to work within 1-2 weeks of the delivery of her first child. First off, I’ll start with my assumptions: I’m authoring this post in the belief that Ms Mayer has access to quality health care–that is, she has the ear of a board-certified obstetrician, a board-certified pediatrician, and access to ...

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My two oldest children recently left for semesters abroad: Michaela went to Paris, and Zack to Beijing. I have all sorts of Mommy nervousness about this, but in my heart I know they’ll be fine. They are adults now, at 21 and 20—and not just adults, but capable, responsible, great people. I don’t know how that happened. I know that sounds stupid. And it’s not like I have no clue at all. ...

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