The job of a doctor isn’t to diagnose, prescribe, or examine.  It isn’t to be well read, efficient, or punctual.  The job of the modern doctor is to convince. We now have radiological studies whose theoretical discernment limit is subcellular.  We can not only map clear and obvious genetic errors of metabolism, but also minor variations of the normal.  In a few years, the majority of codes in the procedure manual will probably be laboratory ...

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To err is human. To really screw things up, you need government. One half of my patient population and one fourth of my receipts are from Medicaid patients. My state has a mandatory balanced budget, which means in this age of perpetual recession Medicaid runs out of money every year. Last year, my state capped the monthly brand name prescriptions to 1 for the summer. Apparently the information that asthma inhalers and ...

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I lost another patient to hospice last week. She was 49-years-old. Three years ago, she was diagnosed with stage 3 cervical cancer. She was treated with surgery and chemotherapy and went into remission and stayed there until she died. After the chemotherapy, she stayed anemic. She was weak, didn't take care of her insulin properly and didn't eat. Her kidneys slowly lost function because of her noncompliance, her HgA1c climbed to ...

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