As a physician recruiter of prominence, a number of times during any given week I get a fair number of calls from physicians in training who, honestly, should not be calling me whatsoever and I am very frank in telling them this.  The call normally starts something like this: "Hi Bo, my name is Dr. Doe.  I am finishing up my dermatology residency and I want to be there in ...

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The mere mention of Jenny McCarthy gets an immediate eye roll from many physicians.   The closer their practice is to autism or immunology, the more likely the eye roll turns into a lecture on why Ms. Playboy should focus on what she knows. The problem is that "Ms. Playboy" is kicking the medical profession’s behind on thought leadership.  Jenny McCarthy has become a – if not the – leading voice regarding ...

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Very often I ask patients about their recent visits to other doctors.  While I am taking a history, it’s important for me to know if you’ve recently been seen by another provider for the same or similar complaints and what they did, what they diagnosed you with, what they prescribed, etc.  I often get a kind of irritated response such as "Oh, he didn’t do anything" or "he said it ...

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This is a difficult story to tell but if I am to be true to the complete experience of a surgeon, I do need to tell it. One of my seniors used to say that every surgeon has a graveyard hidden away somewhere in the dark recesses of his mind. He went on to say it was unfortunately normal, so long as you remember all the names engraved on the tombstones. ...

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If you’ve ever been sick, especially with anything serious, you quickly realize that doctors, nurses and their ilk are an unusual and precious resource. First you have to find smart people with personalities willing and able to put up with a lot of guff in the service of their fellow man.  Then they have to be willing to (usually borrow, and) spend tens or hundreds of thousands of dollars for ...

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I discussed whether or not ambulances should be required to add equipment costing $12,000 in order to be able to transport 850 pound patients recently, so I won’t belabor the point here. Providing medical care to morbidly obese patients presents multiple challenges. Then I read an article in the Florida Sun Sentinel about how some obstetrician-gynecologists in South Florida are refusing to provide medical care to obese women. ...

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Residency is hard. The hours are long, the work is grueling, and, simply put, hospital food is not good. Many days, we, as residents, walk the wards in a lifeless haze – coasting on the wings of our white coats, our fuel tanks pointing way past empty. During these times, we find ourselves sitting in wheelchairs that are stored in dark remote corners, questioning whether or not all of this is worth it. For years, ...

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A long time ago, I was very close to becoming a cardiologist.  Really. Even though my fascination with ID and microbiology started in medical school — and believe me, not much fascinated me in medical school — the fact that all the top residents in my program were going into cardiology made me feel that somehow I should be doing this too.  Plus, the guy who was Chief ...

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Early in my career, a local defense attorney working with my hospital would occasionally ask me to review a case in which another physician client of her firm was the defendant. As Medical Director of Evergreen Hospital Emergency Department, I was comfortable with hospital records, knowing where to look in a record for information – both recorded and not recorded – that either helps or hurts a case. I found ...

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It is a rare occasion nowadays when academic journals treat us to an editorial debate of some substance.  The staff at the Journal of the American College of Cardiology can be applauded for publishing last summer two articles representing fundamentally opposed viewpoints on the best strategy to avoid cardiovascular illness.  Amusingly, both claimed in the title of their piece the distinction of promoting a "rational approach" for the reduction ...

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