I love that patients have so many more tools to learn about their health. Between Google, TV, magazines and the thousand-word warning that comes with every prescription, it’s almost like you don’t need a doctor. This is especially true if you do the two most important things for your health: eat less and exercise more. Except it’s not really that simple. There’s a reason it takes at least seven years to ...

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Recently, I wrote a piece on developing the state of connection within a medical family. In it, I highlighted the fact that everyone has a role in growing this connection and that everyone’s time, energy and effort is important. I also touched on the importance of parents presenting a unified front as the parental team. This piece focuses more specifically on developing that unified team approach. It can be ...

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shutterstock_250145857 I need a new stethoscope. I have to wrap my fingers around the fissures in the tubing to make this one work. For me, these days, listening to the patient's chest is more a ritual than a means of diagnosis. After twenty years as a primary-care internist, I now work full-time in hospice and palliative care. I spend more time listening to ...

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shutterstock_192511037 I had the good fortune of practicing family medicine from the 70s to the early 10s. It was the Golden Age. After doing a family practice residency in a community hospital and serving a short stint as an assistant residency director, I started out in my practice that lasted almost 40 years. Here is the story of how I got the ball ...

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shutterstock_119953213 Recently I  read an article in the New York Times by Elisabeth Rosenthal. She’s the same author of the enlightening article, “My doctor charged me $117,000 and all I got was this lousy hospital gown.” That may not have been the exact title of the article. Following that article she wrote a follow-up about the long and difficult ordeal it ...

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shutterstock_126678482 Natalie Fuelner created a well-written article in the Bangor Daily News describing some of the tribulations many new parents go through with young children. One weekend, her toddler fell face first onto a metal patio table. Immediately, the toddler’s face is full of blood. The dad panicked. Natalie was a “trembling mess” on the inside. Their physician neighbor wasn’t available to look at the child. ...

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shutterstock_286268375 Flying on a return trip from Chicago to San Francisco, I can’t help but feel a little on edge. It’s not the fear of flying that is leaving me a little less relaxed than the pleasant, middle-aged woman peacefully slumbering in the seat next to me. It’s the possibility of hearing the announcement few doctors are comfortable hearing during travel: “Is ...

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shutterstock_256008637 I had spent medical school and the better part of my adult life in another state by the time I matched into a medical internship back home. Such an opportunity allowed me the opportunity to enjoy a more familiar setting complete with the more bucolic and relaxing lifestyle I had missed for so long. Though not quite in my rural hometown, ...

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IMG_0785 Sitting in a rickety jeep rumbling through treacherous mountainous terrain, on winding unpaved roads full of blind curves and teetering on the edge of cliffs recently ravaged by an earthquake, I began to question my decision to go along on this trip.  We were about 3 hours outside Kathmandu, Nepal heading to a small village along the banks of the Melamchi ...

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shutterstock_277040312 american society of anesthesiologists A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Summer is immortalized in popular culture for good reasons -- no other season can match it for the variety of fun and exciting activities it brings. Unfortunately, that variety of activities and the large volume of ...

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