shutterstock_253710055 Individuality matters to doctors. In the past, being a doctor brought with it an image. A selfless individual revered by his community and compensated well but fairly. The community had high expectations of him, and he could deliver because there wasn't much to know. In those days, being a doctor was an entire lifestyle, and it drew extremely talented individuals to fill the ...

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shutterstock_270431723 Every law, like every drug, has its intended effects and its side effects. EMTALA is a law you perhaps couldn’t care less about, but one that’s kept many a hospital manager awake at night. I’m not a lawyer, politician or administrator and can’t claim expertise on EMTALA subtleties. But I thought I’d touch a couple ways it has shaped our medical lives. The ...

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shutterstock_74932492 For all the talk about patient-centered care and a new health care paradigm -- which is, of course, the right way forward -- the doctor-patient relationship will always remain relatively one-sided because of the nature of the profession itself. Essentially, patients come to doctors for help, and the knowledge transfer, advice, and guidance flows in one main direction. But that doesn’t mean that ...

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shutterstock_108796946 My young patient was dying as a blood clot under the cover of her brain accumulated and began compressing the fragile tissue within her skull. She needed surgery to remove the clot that would save her life. As the team pushed her from CT scanner to the operating room, it was soon realized labs were missing and were needed before opening her ...

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shutterstock_138982304 I got a call from a patient who had a family member sick and in the ICU.  She wondered if I could come over "to offer support."  Even though the family member wasn't a patient, I thought it would be good to go. The ICU brought on flashbacks to my residency years, in which I spent a lot of time in the ICU. ...

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shutterstock_167665019 I found out my mother was dying via text message: YOUR MOM HAS A BRAIN TUMOR IN HOSPITAL -- DAD When the neurosurgery PA wheeled the computer into the exam room to show us the MRI the next morning, I found myself silently uttering an unanswered prayer that the mass would be small, resectable, peripheral. It wasn’t. “Oh my God,” Mom whispered. “I’m going to ...

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shutterstock_177194132 I’m not actually on TV, but there are days I feel like I’ve accidentally stumbled onto the set of a sitcom. When neighbors have never seen your husband in the light of day and friends joke that he is make-believe, then you might be married to a … well, you know the joke. Being married to a busy physician can leave you playing ...

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shutterstock_114520012 In the late 19th century, Dr. William Halsted, a pioneer of modern surgical techniques, performed ultra-radical mastectomies for women with breast cancer. The procedure, soon named after him, involved the surgeon removing not only the breast itself but also surrounding musculature and the associated lymphatic system. Halsted believed, and taught generations of medical students, that the more radical the procedure, the higher the ...

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shutterstock_52832917 Daytime TV advertising is dominated by two players. Pharmaceutical companies with direct to consumer pitches and the so-called "toxic tort." How confusing it must be to the average person to see a new drug pushed by one commercial, to be immediately followed by another commercial from a lawyer trying to sue for the known side effects of the exact same drug. It ...

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shutterstock_173882891 Patients are entitled to receive medical advice 24 hours a day. If you call your doctor at 3 a.m., you will reach a physician who will advise you. Of course, it may not be your own personal physician as this individual cannot be expected to be available 365 days a year until he retires. Physicians partner with colleagues who share on-call responsibility ...

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