It’s hard to find time to pay attention to all the messages I receive. There are voicemails, emails (work, blog, and personal), and the nonstop notifications from Facebook and Twitter. Post-it Notes on the desk and the refrigerator. I am bombarded with messages. Urban Meyer, head coach of the Ohio State football team, doesn’t have a lot of time to leave messages. Right now, he’s gearing up for a likely bid in the ...

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In a time when the deep divisions in our country have become increasingly apparent, I, perhaps like you, have been seeking hope. I supposed hope would come in the form of an enlightened article or a profound speech, but it did not. Hope came to me in the form of my patients. The division you have been seeing in our country is barely visible in the hospital. Here, patients are assigned ...

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Dear President-elect Trump, On the campaign trail, you referred to the opioid epidemic plaguing the nation a “tremendous problem” -- and it is. You claimed that this crisis could be mitigated by building a wall between the U.S. and Mexico to “cut off the source.” You promised to dedicate resources to get afflicted Americans treated.  You pledged to take addicts and “work with them” to ensure they are “gonna get that ...

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OSH, or "outside hospital," is one of those abbreviations that has crept into the lexicon of hospital jargon that merits additional scrutiny. What are the implications of calling another health care facility “outside”; does that make your hospital the “inside” hospital? I suspect that it is, as many patient-related conditions are described, multifactorial. Or, if you like the band Fort Minor, “Remember the Name” (apologies to the band):

This is ten percent ...

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There is a strange feeling that every kid has experienced: the flip-flop sensation of your stomach dropping while you careen down the descent of an enormous roller coaster; the sinking swoop of a high-speed elevator dropping to the ground floor. My children find it hiding along a rolling country road, driving to the lake in our jeep. With the top down and the sun shining, they shriek and beg for ...

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I remembered staring at the computer screen with the radiologist hoping that by staring at the images, they would change in some way. It did not seem fair that a nice lady that I was evaluating in the emergency room would be consigned to such tragic images. I was rotating through the emergency room during my second year of residency, and one of the patients had come in just for ...

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It was Thanksgiving morning. My wife was standing in the living room when she received a text message from her father. Her face went pale, and her expression turned to one of anger and disbelief. She cursed. She cried. Her mother had complained of chest pain and stroke-like symptoms and was being rushed to the hospital by ambulance. Many hours went by with few answers and endless speculation. We had moved ...

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What an upset, right?  Your voices were heard, loud and clear.  The current system wasn’t working for you, and you won a major paradigm shift.  The insulting irony of the word "progress" hidden in "progressive agenda" wasn’t lost on you.  You looked around your respective communities and what you saw sure didn’t seem like progress.  Employment opportunities were scarce, your health insurance costs had risen, and your infrastructure had eroded.  ...

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Reading about the opening of the Noah’s Ark Theme Park in Kentucky brings to mind the days when I worked as a physician in that state. I had moved from an academic position in Colorado and joined a large group of private practice cardiologists in Louisville. I found that people in Kentucky were different from those in Colorado. They were much more overtly religious. As an interventional electrophysiologist, I would meet ...

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So, have you talked to your teenage daughter about sex? Have you really talked to her about sex? I’m not talking about the superficial birds and the bees conversation; I’m talking about using words like vagina, penis, and condom. Yes, those words! As an obstetrician-gynecologist and a mother of girls, I know the challenges that our daughters face as they navigate their teenage years. I know how critical it is to have real ...

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