Most of the lawsuits I deal with have more than one named defendant. For example, the plaintiff (typically a deceased patient’s next of kin) might sue a hospital, a nursing home, and the attending physician at each facility. Sometimes they go a bit further and may even include the administrator, the director of nursing, and individual HCPs, such as the wound care nurse or the registered dietitian nutritionist. When a lawsuit ...

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2016 closed around a continued effort to "salvage" the medical profession's reputation, but the notion that it's broken continues to be counterproductive. The brightest students, for example, question the long journey and delayed gratification being a physician entails. They do the math and continue to engage in other professions that are medical but not specifically Medical Doctorate degrees or Doctor of Osteopathic degrees. These same students conclude there is no longer ...

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As I struggle with how best to respond to recent events, one thing has become clear to me: narrative matters. People’s stories matter. Words and how they are presented in written and spoken form matter. I am just a mother, just a doctor, just a writer. My daily life consists of changing diapers, getting my kids to school, managing diabetes in my patients, picking up scattered toys, treating depression, doing ...

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I read it again this week, and I wonder why the editors of our medical journals continue to perpetuating this falsehood. An article in a prominent journal stated again that medical errors are the third leading cause of death in the United States. We all know this is not the case, and yet editors continue to let this be stated in their journals as if it were fact. Ever since the ...

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To say that there is no fear in the examining room is an inaccuracy. I'm not only talking patients here. Physicians may harbor just as much worry and discontent. There are the old standbys of course: The swat team of malpractice attorneys lounging in the waiting room ready to pounce or the old demon of misdiagnosis and the consequences that may follow. Few of us talk about that sinking feeling which ...

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A pediatrician decides a struggling teen with mental illness needs hospitalization to neutralize psychologic demons impacting their personal and social life. A workers’ compensation doctor requests a neck MRI in a powerline worker with growing right arm numbness and weakness to search for potential paralyzing nerve impingement. An orthopedist orders special testing to determine if an elder patient with right hip pain which limits walking and driving might need surgery to improve ...

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When I read a case report in a journal or whenever a patient comes in to see me about a new symptom, all my senses are tuned in, and I know there is a diagnosis to be made. But on regular clinic days with “routine” follow ups, I find myself not being as tuned in as I would like to be. I know my patients well; we are all growing older ...

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In 1949, my maternal grandparents left everything and everyone they knew -- a happy family, a comfortable home, a thriving medical practice -- to travel further across the Earth than any of their family ever had before, to come through Ellis Island, and to trek to the Mayo Clinic so my grandfather could become a pioneering anesthesiologist. Twenty-one of my aunts, uncles, and cousins have since followed in their footsteps and ...

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I burned out, big and bad.  I can see that now.  My practice environment had become gradually untenable and every attempt I made to change it was blocked.  My call schedule was inflexible and a lot more frequent than when I started my job.  The hospitalists and ED kept sending me cases I didn’t feel qualified to manage, but as it was usually the middle of the night and I ...

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The benefits of coaching have long been shown in research, yet is widely underused in the physician community.  For decades, executive coaching has been used to in the corporate world for executives, and their teams to increase efficiency and performance. Business and marketing coaching frequently used by small business professionals helps grow and expand their business. Wellness and life coaching is frequently used by individuals to improve balance and well-being. ...

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