When I was in residency, sexual assault exams were part of our training.  We spent a lot of time learning how to ask the right questions, how to be gentle and empathetic, how to gather evidence appropriately and thoroughly. While many hospitals now have SANE programs (Sexual Assault Nurse Examiner), I have never enjoyed the privilege of working with one of them.  I have, for two decades, performed sexual assault exams on ...

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As much as I have given the "ologists" and other members of the dysfunctional U.S. health care system a hard time in previous posts, it’s only fair that I call out bad family medicine as well. I have a great example. I recently saw patient who is relatively new to the area who had seen another family physician in my community. He is 39-year-old male, and his only significant potential health ...

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Since leaving medicine, I’ve been an entrepreneur and an independent artist. They are similar pursuits, and both have taught me about the experience of living in creative rather than reactive mode. How do you know if you’re living in reactive mode? If you define and measure yourself based on external circumstances, and you believe you really are limited by what’s happening outside yourself, you are in reactive mode. Most of our ...

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Michael Davidson’s death was the result of a senseless act, and it has shaken our community to its core. We physicians are part of a profession that prides itself on healing and restoring lives, and it is difficult to accept an untimely and unjust death in any context. It is all the more incomprehensible that such tragic circumstances could exist as to result in such an irrevocable end to one ...

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As clinicians, we often forget or become desensitized to the image that society has of medicine and doctors. Alongside teachers and scientists, we are seen to be among the most trustworthy of professionals, yet our morale is low, with almost 50 percent describing it as “low” or “very low.” You can imagine, then, why I often describe medicine as a forest: beautiful, scenic and picturesque from afar but ...

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I have to admit, I’ve been excited to see radiology slowly infiltrate into the mainstream of sports.  Fifteen years ago, it was rare for the public to know when an athlete had an MRI. Now I hear people in the coffee shop saying: “Man did you see Derrick Rose go down last night?” “Yeah, we’ll just have to see what the MRI shows.” In this blog, I’m going to give you some things ...

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We all accept that we can't vote until we are 18 and can't order alcohol -- at least legally -- until we are 21. We know that if we speed 60 mph in a 45 mph zone, we risk a traffic ticket or accident. We get used to these numbers and pretty much know the risks if we break them. However, the practice of medicine is becoming more and more ...

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Patient care is at a crossroads in a rapidly changing health care landscape. Going forward, will the majority of patients receive most of their care from a highly trained, well-supported primary care physician and team they know and trust? Or, in contrast, will patients receive care through a series of loosely connected episodes, from a wide array of narrowly focused providers? Who will adjudicate care for the whole person across ...

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My friend, Trent, is an auto mechanic. When he was growing up, he loved to work on old cars. He rebuilt his first one when he was fourteen -- and drove it for 11 years. He loved finding problems and figuring out how to fix them. He never cared about getting rich; his goal was to make a decent living doing something he loves, and his dream had always been to ...

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loyal patients Loyal patients are the lifeblood of a medical clinic. And devoted patients are worth their weight in gold. It’s a lot easier to care for an established patient that lots of one-timers who never return. Beyond ease of workflow, the economic benefits are fabulous. A loyal patient panel will stay with you (and pay you) through sickness and in health ...

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