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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The wrong body was cremated by the county coroner’s office in Los Angeles. Jorge Hernandez died of an overdose, and the body of another Jorge Hernandez, an indigent patient, scheduled for cremation, was also present in the morgue. The distraught family of overdose victim Jorge Hernandez had planned a funeral with a viewing and were shocked when they were told his body had been cremated by mistake because a morgue attendant ...

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When I was heading to a retreat held by the physician who started the ideal medical care movement, Dr. Pamela Wible, I expected an orderly and structured program on how to improve the current culture of medicine. I knew, with about 40 physicians and 10 other medical students, there would be a lot of Type A personalities since that’s typically the sort of people that go into medicine. While I ...

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A young man with chest pains, shortness of breath and heart palpitations had come back for his follow-up visit. His thyroid test and blood count were well within the normal range. His EKG was normal, and his chest X-ray was declared normal by the radiologist. We talked some more about his anxiety and poor sleeping habits. We talked about his late shift at work, and we talked about his late gaming habits ...

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"If you do not cooperate, doctor, we will have no choice but to label you as being 'disruptive' and take whatever steps are necessary to remedy the situation." What physician does not dread hearing these words? Over the past several years, the term "disruptive" has been increasingly used to characterize and intimidate a physician who is perceived as not being a "team player." With hospitals increasing the difficulty in navigating a ...

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