This is a painful story to write.
A close friend of mine, in his 40's, had a persistent light cough for many months. Finally, when he had an X-ray taken, it showed a large tumor on his lungs. He was diagnosed with stage 4 lung cancer. As a non-smoker and strapping, physically fit man, he was shocked, as you can imagine.
He went to his non-Boston-based medical practice, and he was told ...
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Malpractice and heart catheterization have been in the news recently.
A spicy concoction for sure. An epidemiological study published in an online subsidiary of Circulation addresses the role of three major medical issues facing cardiologists today: malpractice, heart catheterization, and medical costs.
It is hard to get more controversial.
Heart catheterization, the invasive assessment of the coronary artery lumen, has always been a hot-potato topic. The "percent-normal" was the buzz word when I ...
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Vaccine rejectionism is based on a profound lack of knowledge about immunology, statistics and science. Virtually every single empirical claim of vaccine rejectionism is factually false, but parents who lack even the most basic understanding of immunology are often incapable of evaluating those empirical claims.
Indeed, those parents most likely to proclaim themselves "educated" on the topic are generally the most ignorant.
A new paper on a recent measles outbreak, Measles ...
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I was interested in an article in USA Today about the growing number of physicians, especially primary care doctors, who are boosting their revenues by requiring patients to pay new fees for services that insurance doesn't cover.
No longer is your insurance payment "all-inclusive". These fees can include annual administration fees, no-show fees, medical report fees, and extra fees for email or phone consultations. If private practice medicine is going to ...
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I recently received a bulletin from one of the medical societies to which I belong: the topic was on promoting physician wellness.
My first reaction, “It’s about time “. Historically physicians have struggled with multiple health impacts from the demands of their work, with higher rates of depression, anxiety and suicide than in the general population. Physicians train under circumstances of extreme stress often resulting in unhealthy coping strategies; strategies frequently ...
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by RH+, MD
More than anything in life I wanted to be a family practitioner (FP).
Going into medical school there was little doubt in my mind that this was my chosen path. I chose a school that had a significant focus on primary care and was president of the Family Practice Club my second year. I had shadowed several FPs and truly enjoyed the continuity of care that went into FP.
When ...
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Why do we physicians chart the way we do? Hopefully, you do it perfectly well and have no concerns at all. But where I practice emergency medicine, we are approaching maximum inefficiency in charting.
It all became much clearer when we started using our new EMR system. Let me make it clear, I'm not against EMR. In fact, typing and templates work better for me than dictating. My dictations were usually ...
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If you’ve ever been on a diet, you know that it really helps to keep a food log. Seeing your consumption chronicled in one place is illuminating – and often explains why those love handles aren’t melting away despite two hours on the treadmill each week.
In a recent issue of the New England Journal of Medicine, internist Rich Baron Rich Baron chronicles the work of his 5-person Philadelphia office practice ...
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A primary care resident wrote in one of the journals recently about making the limited time she has with each patient matter the most.
How refreshing, I thought when she concluded that time ultimately is an absolute and finite resource. We often feel as if we are battling time as much as we are battling disease, and we sometimes have trouble admitting when we are losing either one of those battles. ...
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by Diana E. Lee
One member of my health care team is a migraine specialist in another state. Since we don't have many opportunities to work together in person, we generally try to pack a lot into my periodic two-day visits.
Last time I was there I had an experience that has left me feeling guilty all these months later.
My doctor, who I respect and admire greatly, asked if I was interested ...
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"A comprehensive and extremely useful roadmap for doctors."
-Eric Topol, MD, author of The Creative Destruction of Medicine
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Past 6 Months
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