My patient was brought by EMS after a respiratory, and subsequent cardiac, arrest. She could not be intubated in the field, and I did so on her arrival. We actually restored some circulation, albeit not much. Over the course of an hour, despite our best efforts, she became blue again, with lividity pooling in her flanks. I ...

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My veterinarian answers my phone calls.  The other day I called her office to ask for a renewal of the pain medication for my little dog Jack.  He has been blind and deaf for over a year, but now his rear end is going and he is falling a lot and having a hard time getting up. When I asked for ...

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A war is brewing in the House of Medicine.  It's a war of philosophy based on how we physicians approach our patients--the people who come to us to be cared for and to be cared about.  The people who come as patients to the physician as healer, a healer who also has a wealth of scientific knowledge which can be used to stamp out disease and bring long, healthy lives ...

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“There’s no passion to be found playing small, in settling for a life that is less than the one you are capable of living.” -Nelson Mandela Amidst the chaos of our noisy world, it’s hard to know where to begin a new career as a healthcare professional who’s about to inherit an American disaster called healthcare. And it’s likely that in a few ...

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I can always count on Mr. Wonderful to come up with a timely subject for my blog.  Today’s quotable is, “Dear G-d, I have a problem.  My problem is me!” Some days it feels like I spend half my time trying to convince patients that they need to change their ways in order to get healthy.  I often spend the other half of my time treating the effects of their bad ...

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As a primary care doctor, my days are busy. Seeing patient after patient, I try to provide the most patient-centric, evidence based care that I can. But if I read anything about healthcare reform, it will tell me that 80-85% of the patients I see can be seen by a nurse practitioner or a physician’s assistant. So why did I train for an extra 3-4 years as a doctor, incur ...

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One of medicine’s ethical traditions is to relieve suffering whenever possible. I believe in this, and try to treat all of my patients as I myself would want to be treated under similar circumstances. My dilemma is, even after practicing medicine for over 30 years, the definition of a “suffering patient” has become a moving target. On the one hand, I hear arguments primarily from governmental agencies that presume to “advocate for ...

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When you set out on an unfamiliar journey, you will need a map to get to your desired destination. You may pass landmarks, but not know exactly where you are unless you are able to identify these landmarks on your map. The same is true for the journey of life, and specifically, the path at the end of life. You may know ...

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You try to hide it. You leave the scrubs in the locker-room, the shop-talk at the staff dining hall and the on-call phone consults outside in the cold, away from the highly-anticipated dinner date or holiday party. But regardless how much effort you put into leaving your career where it belongs, it is so obvious that you work in a hospital. And here are ...

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In this article I will show you a push button shortcut you can use to quickly create more work-life balance, no matter how busy your practice and your life feels at the moment. When it comes to creating balance between your medical career and your life, there is a simple rule in play. The strongest structure wins. When we are talking about ...

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