Jordan Grumet reads from this new book, I Am Your Doctor: and This Is My Humble Opinion. I highly recommend this poignant look at what's it like to be a physician today.

Some doctors love to do procedures.  Stitching, skin biopsies, removal of ingrown toenails -- you name it, they’ll do it, and then they’ll ask for more.  In fact, I used to have a senior partner who actually told me he preferred doing procedures more than any other type of visit.  When I asked him why he enjoyed procedures so intensely, he shrugged and said, “Because I don’t have to think ...

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shutterstock_216800617 I was recently talking to a patient about having some extra help at home when she left the hospital with home nursing services. The elderly lady -- highly intelligent and fiercely independent -- politely declined with the reply: “No, I’m fine thanks Dr Dhand -- all they’ve done before is just come in with their computers, barely talk to me, enter ...

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That first time there was a moist sweet smell, the hiss of oxygen and pictures of grandchildren on the wall. Unopened juice containers, papers, a Kindle, the phone and some plastic table wear, crowded the bedside stand. Jack was thin, tired, and the tightness of his eyes spoke of uncontrolled pain. “Oh, I know you. You took care of my wife’s friend. You’re the cancer doc.’ “Yes, that’s me, nice to meet ...

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On May 2, 2015, at approximately 6 a.m. local time, the Duchess of Cambridge was admitted to the Lindo Wing of Saint Mary’s Hospital after going into labor. At 8:34 a.m., the Duke and Duchess welcomed a baby girl, Charlotte Elizabeth Diana, into the world weighing 8 lbs. 3 oz. Kensington Palace announced the arrival of the fourth royal in line to the British throne at 11 a.m. At around ...

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medpagetodayFrom MedPage Today:

  1. Costly Hep C Tx Could Still Save Big Money. Treating genotype 1 (GT1) chronic hepatitis C (CHC) patients with ledipasvir/sofosbuvir (Harvoni) would result in an annual societal productivity gain of approximately $2.7 billion in the U.S.
  2. Workout May Ease Pain in Women With Fibromyalgia. A strong association exists between ...

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shutterstock_100854067 I’m a U.S. family physician who has decided to relocate to Canada. The hassles of working in the dysfunctional health care “system” in the U.S. have simply become too intense. I’m not alone. According to a physician recruiter in Windsor, Ont., over the past decade more than 100 U.S. doctors have relocated to her city alone. More generally, the Canadian Institute ...

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“Write your name on the paper,” he said. Since he was a senior who’d just gotten into medical school, and I was a simple sophomore who’d chosen to attend the session, I did. “Now write Dr. in front of it.” I complied. “If you’re reading that and you don’t feel anything, medicine isn’t for you,” he said. I looked at it again, my name with a Dr. in front of ...

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american cancer society It's a headline that I suspect many thought would never be written, but it was -- in the New Orleans Advocate: "Harrah's Casino in New Orleans gives patrons lollipops as it introduces smoking ban." Six months ago, there weren't many who thought this could happen, that the city council of New Orleans would pass, and the mayor ...

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As a freshman in college, I helped my aunt with her obstetric appointments to try and see what it meant to be an obstetrician. After her delivery, I asked her OB about her college majors, and she told me she majored in history. The next week, I signed up to start my history minor. Was that mentorship? No. Granted, having a liberal arts background has been extremely helpful in my medical ...

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shutterstock_112271348 Scene: Medical office, 9 a.m., waiting room full, chairs in hall full Players: 2 nurses, 1 clerk, 2 doctors, lots of patients Doc 1: “Hey, what’s up? I’m sitting on my ass here, and there’s a room full of patients waiting.” Nurse 1: “Hold on Doc, I’m almost done checking one in.” “So, Mrs. Smith, do you feel safe in your own home?” Patient 1: “It’s ...

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It’s very hard to find a product or service that is both lousy and unaffordable. Such expensive duds are usually quickly replaced by cheaper and better competitors. Prior to the Affordable Care Act, health care was becoming more expensive every year while simultaneously becoming less convenient, less personal, and less satisfying. In 2009, I wrote a series of four posts explaining how the health care marketplace reached such ...

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medpagetodayFrom MedPage Today:

  1. Remote Monitoring, a New Paradigm for Cardiac Implanted Devices? Patients who used the remote monitoring (RM) function of their cardiovascular implantable electronic devices (CIEDs) had less healthcare utilization and better survival than those without RM according to a pair of studies.
  2. Migraine, Carpal Tunnel Syndrome Linked in Association Study. ...

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shutterstock_222269452 asco-logo A few months ago, I became aware of the ongoing measles outbreak that has been traced back to visits to Disneyland in Anaheim, CA, which began in December 2014. I remember reading the news reports, including the defense of those who did not believe that vaccines are safe, and witnessed ...

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In just under two months, I will be making two big transitions as I begin life as a resident. The first and obvious change is from student to doctor. The second doesn’t get the same spotlight, but might be just as important: from student to teacher. Residents play a vital role in medical student teaching. With medical training like an apprenticeship, it is the residents with whom third-year medical students often ...

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ZDoggMD's take on prescription drug abuse, set to Taylor Swift's "Blank Space."  The comments from the video are all over: Is it, as one commenter notes, "a genuine reflection of the issue of drug-seeking patient behavior," or, "offensive to people who are truly suffering"?  You decide.

I recently was invited to participate in a research study, looking at the economic impact of a new drug for the treatment of Clostridium difficile infection. The new drug, called fidaxomicin, has been available for a few years and has proven efficacy in thousands of patients but is generally very expensive. The study will follow patients after their hospitalization and delve into analyzing the monetary costs associated with the medicine, ...

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Some time ago, I engaged in a debate with a proponent of GMO labeling. His main point was that the information provided by labeling would allow consumers to make better decisions about what they eat. He went so far as to condense his argument into three simple words: “Knowledge is power.” What my opponent failed to mention is that the truth of this statement is conditional. Knowledge can be powerful, but ...

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shutterstock_82606081 A disclaimer before I even get started on this post. Some of you who know me or work with me will think that by writing this post I am talking about you or even attacking you. I am not. If you’re especially sensitive, don’t read any further. I am simply writing something that has been kicking around in my head for a long ...

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It was a Wednesday in late spring, 1972. I was a nursing student in my final months of training, eagerly awaiting graduation. When I arrived on the maternity ward that morning, my nursing instructor told me that I'd be caring for a baby, only hours old, with special needs. I thought she'd send me to the neonatal ICU. Instead, to my surprise, she motioned toward the linen closet, its doors closed tight. "The ...

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