shutterstock_238626826 Recently I was asked to talk to a special group: the doctors and staff who teach new doctors. I reached out to my community and the suggestions that came pouring in of how to improve physician burnout were amazing. What I learned is that a key element of guiding young doctors and avoiding burnout is to stop for a minute. Can you believe ...

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shutterstock_274763711 The morning after his brother's bachelor party, standing on the fourth floor of his family home, Dr. Arvind Goel, felt the ground move under his feet. "First it was minor vibrations and then it built up in a crescendo and then the couch where my four-month-old son was lying began to shake." "It was creepy," Goel, 32, continued. "The furniture began to ...

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I enter through the sliding doors, my flip-flops slapping the linoleum as I search for the information desk.  “Can you point me towards the apheresis center?” I ask, noticing my voice rise a notch.  I am clearly uncomfortable.  My feet feel naked and exposed without my Dansko clogs, and I can’t remember the last time I wore jeans in a hospital.  Two medical students scurry by, their stethoscopes bouncing around ...

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shutterstock_141760741 If I had groused two years ago that we were getting doctored to death, you would’ve thought me obtuse. When I claim today, though, that every head bump doesn’t need an MRI, you get it. There’s a growing buzz about Americans receiving too much health care. In fact, overtesting and overtreatment are the main source of health care’s amazing expense. You can ...

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lionel-messi-2013-hd-wallpaper-2219075 Quintessential Messi. One moment he is standing over the ball, in a seemingly harmless position at midfield, the next thing you know you are picking the ball out of the back of the net. How did this come to pass? How did things change so rapidly? When you watch it the first time, it's disorienting. It makes no sense. How does ...

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The best way to avoid being sued for malpractice is to make certain that all your patients are happy and all their outcomes are good. Reality is seldom so rosy. Patients aren’t necessarily happy even when their clinical outcomes are as good as they can get. In the event of an undesired outcome, an unhappy patient may easily become a litigious one. A 2011 study in the New England Journal ...

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shutterstock_149069183 Recently I've been asked to write about rural surgery, what it's like, what's good about it.  Everything has its ups and downs. First of all let me say that whatever your job is, the money you get paid to do that job is for the crappy part, and every job has a crappy part.  The trick is to find a job that ...

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On December 17th, 2013, while in her last year of psychiatry residency at UCLA, Dr. Elana Miller was diagnosed with stage IV acute lymphoblastic lymphoma.  Below is a photo essay of her journey. December 18, 2013: cancer1 December 22, 2013: cancer2 January 5, 2014: cancer3 February 24, 2014:
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shutterstock_99727790 It could be the title of a new prime time show (maybe it should be): The Great Discharge Paperwork Makeover. Assemble a group of bright and creative minds from across the country and put them together in an exotic location for a week to talk about something that will affect all of us one day -- either ourselves or a relative. ...

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shutterstock_110004770 As a little kid, I used to love the bedtime story about Humpty Dumpty and his fall from the wall. “Humpty Dumpty sat on a wall. Humpty Dumpty had a great fall. All the king's horses and all the king's men couldn't put Humpty together again.” Until recently, I never thought about this story as a logical and sad analogy to ...

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