During my time at PPOH, I spent one day a week working at a geriatric adult home. An adult home is a residence that generally houses people with psychiatric conditions. They can be run by either public or private agencies. At best, they provide services and supports for the residents so they can live independently. At worst, they provide very little other than shelter; they just take people’s money. (The latter ...

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How long ago was it that we were all content with having the physician have a MD or DO title after their name, the clinic or hospital floor nurse having a RN after her name, the pharmacist having RPh after their name? Now unless the pharmacist has PharmD after their name they can’t be a pharmacist.  And for the nurse, unless they have RN, BSN or RN, MSN after their name ...

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I don't know when I lost my sentimentality. Whaaap. With a thud the fish stops flopping up and down. It lays still on the floor of the boat. My camp counselor, a tanned college student, carefully places the paddle on the seat and cuts the fishing line. The hook remains dangling from the lifeless mouth. He grabs the fish with his bare hand and throws it back into the water. He talks slightly ...

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It’s a sad commentary when human beings have to be reminded how to act like human beings, especially when they’re in the helping profession. Loni Hildebrandt was a 29-year old certified nursing assistant who was pregnant with her first baby. Make that two babies because she was pregnant with twins. Hildebrandt considered her pregnancy miraculous because she had infertility and was a diabetic since the age of one. Together, she and ...

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The voice on the phone is demanding, quavering, pleading; "Dr. deMaine you are going to be the attending critical care doctor when our mother is transferred to your hospital today. She needs to be taken off the respirator and allowed to die. We have been pleading with the doctors at the burn center, but they keep doing more procedures. We want her off life support as soon as she gets ...

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One recent morning, my grandma awoke with abdominal pain. She was taken to a good, local community hospital and diagnosed with acute ischemic bowel. There are various causes of ischemic bowel, but regardless of cause, getting the right care quickly determines whether such patients live or die. After speaking with her physicians, I called some friends. A quick discussion with colleagues in radiology, surgery, and gastroenterology helped me know that the ...

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We heard from a patient during our dermatology week, who worked as a medical laboratory technician, running hundreds of blood samples every day, and frequently using her own blood as the negative control. Then she began to notice that the numbers stopped making sense. Her ANA had shot through the roof and her white blood cells started dropping. "I couldn’t use my blood as the negative control anymore," she said, shrugging ...

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Recently, a physician colleague asked me a question about a patient. The patient, who had already been seen by another allergist, was referred to another physician ("the consultant") for evaluation. The consultant was in the same healthcare system as my colleague, but the allergist was not. In evaluating the patient, a specific allergy question came up. The consultant asks my colleague about this question. What was interesting was that the consultant ...

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The vaccination debate has been raging over the last several years.  As I write this, it is important to know I do not write this blog to creat debate or ill feelings from either side.  I wish only to provide one health care provider’s view of the issues surrounding vaccinations.  From a mother standpoint, I have friends who choose to vaccinate their children, and those who do not.  Our friendships do not ...

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Just as posited in a prior article featured on KevinMD.com, where it was suggested that implementing an EMR/EHR has significant attraction to prospective physician candidates, I would like to also recommend that a similar stance can be adopted with respect your practice's your web presence. In other words, is your website putting your best foot forward for not only prospective patients, but also to prospective physicians and others who ...

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