Kasey sits alone in the examining room, staring at the drug company calendar of a perfect Caribbean beach hanging above the doctor’s desk, but not seeing it at all. She is very frightened.  After three years of treatment for cancer, she is in trouble.   Kasey feels fine: no shortness of breath, no cough, no pain.  Still, she is there to get the report on her CT scan, and she knows ...

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We live in an incredible age. Life expectancies continue to rise. The environment in the U.S. is cleaner than it has ever been. The sum of the world’s knowledge is at the fingertips of any and every smartphone user, waiting to be accessed when they finish playing Candy Crush. The face of poverty in America is still terrible to behold; but it bears little resemblance to poverty down the long ...

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shutterstock_189396983 I really hate it when a nurse practitioner is called a mid-level provider. "Mid-level provider" isn’t even a legal or academic term. It is slang developed to demean or minimize a health professional, who is not an MD. The term "mid-level provider” is primarily aimed at nurse practitioners (NPs) as well as physician assistants (PAs) and midwives. It is insulting to health professionals ...

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In just a few days I’ll be leaving the clinic where I’ve practiced pediatrics for the past six years. The last months have been a flurry of last visits with families, paperwork, and tying up loose ends. There have been many, many goodbyes. I’ve been deeply moved by the expressions of gratitude and affection that many families have shared with me. It seems it is always in these times of change ...

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Recently I went to a physician and left pondering the question: "What is health anyway?" This is an interesting question, especially one for a doctor to ask. But it's important because if we don't know what health is, how do we know if we've got it? If we don't know what health is, how do we know we've improved? As a doctor and medical writer, I'm finding it more and more difficult to write about ...

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To paraphrase General MacArthur, old doctors never retire, they just fade away. Despite having greater than average financial resources and more burdensome than average work load, many doctors seem to have a hard time knowing when it is time to call it quits. I know doctors who continue to practice into their 70s and 80s. Some continue to work until the day they die. Why is this? I think that some ...

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George Will continues with his assertion that it is mathematically impossible for 1 in 5 women to have been sexually assaulted while in college. He calls the statistics “insupportable” and when he replied to Senators Blumenthal, Feinstein, Baldwin, and Casey he chided them to temper their “rhetoric” about the “scourge of sexual assault.” But it’s not just the statistics that appear to bother Mr. Will as he also expresses concern ...

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shutterstock_191107415 In the game of blackjack, players will attempt to increase their odds of winning by using the frowned upon method of counting cards. The basic principle is to add or subtract points to the cards dealt under the belief that the cards remaining in the deck are more or less likely to give the player a winning hand. Not a guarantee, of ...

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Before you jump all over me, I have already outlined why I think we (doctors and medical offices) are the biggest part of the wait time problem. But, patients can help. Here are 3 ways you can help avoid long wait times at the doctor’s office. 1. Don’t request peak times during the day. Every office has busier times and not as busy times throughout the day. If you don’t know ...

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Over the last few years I’ve had numerous encounters with vets and vet hospitals. Domino, the dog that we had since I was in medical school, was sadly very sick. He was a Jack Russell-Corgi cross, black and white, with the loveliest sweetest nature. He lived till almost 13-years-old, bringing an immense amount of joy to our whole family. Sadly, he passed away last summer. My parents felt a huge ...

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