As a member of the general population, we see physicians as those who were born with a calling. Though society acknowledges that becoming a doctor is difficult, it is near impossible to fathom exactly what that title entails. I was raised in a small rural community in which resources were quite limited. The nearest grocery store was a 35-minute drive away, there were no coffee shops or traffic lights, and we ...

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Most primary care physicians (PCPs) who admit patients to a hospital are family practitioners or internists. Since medicine becomes more complex each day, PCPs must remain up-to-date on the latest treatment related to drugs, surgery, procedures, risks, complications, and costs. This might require your PCP to be a quarterback bringing together a team of consulting specialists to guide you through your hospital stay. The economics of hospitalization are changing, and since ...

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When, aged thirteen, my best friend died of complications from sickle cell disease, her parents could not attend her funeral, or find out where she was buried. My mom explained to me that in the Yoruba culture, because parents are not expected to survive their children, it is considered an abomination for a parent to know where their child is buried. So, the young adults in the extended family attended ...

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“Hey, doc, you’re killing me.” Or, more specifically, us. A recent report from researchers at the Johns Hopkins University School of Medicine points to medical errors as the third leading cause of death in this country. Despite the many safeguards put in place by the government, hospitals, and doctors, themselves, more than 250,000 people a year in the U.S. die from hospital-acquired infections, wrong-site surgeries, medication mistakes and a host of ...

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I am known by my patients and friends for my calm, imperturbable manner.  Yes, I am equipped with the full range of human emotions, but few folks have ever seen me raise my voice or demonstrate bulging next veins.  I am not suggesting this is a virtue or a character flaw, but is just the way I am wired. Sure, I get irritated and frustrated with the absurdities of life, as ...

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As a locum tenens physician in rehabilitation hospitals, I see patients with some of the most unique injuries. From rare brain infections contracted in exotic lands, to the consequences of ill-advised horseplay with guns or ATVs, I’d begun to wonder if maybe I’d seen it all. And then I met a grandma from New Jersey, who had a life-changing encounter on a nature trail out west. In her dutiful effort to ...

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A new research study recently published in the BMJ claims that medical error is the third leading cause of death in America. It is third only to heart disease and cancer. Most of the major news outlets are sensationalizing this report. A few headlines are even slowly starting to replace the phrase “medical error” with “doctor error.” Some comments I noted on social media include, “Medical errors kill eight ...

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A couple of weeks ago I visited the island of Cyprus with family. Having seen a lot of mainland Europe over the last several years, I was keen for something a bit off the beaten track and away from a major city. We thought about a few possible destinations, but opted in the end for Cyprus (partly because of the desperate need for some warmer weather). Booking the trip quite rapidly, ...

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Many stories have been shared by physicians detailing their experiences during their years as house officers. I trained at an inner city hospital in the early 1970s, and my story was unique. Hospital J was built in the early part of the twentieth century. The structure was nine stories tall, with the ICU, the only air conditioned floor, located at the top. The elevators had not been automated and were still ...

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Healthcare Not Fair imagines a world where attorneys, insurers, CEOs, and politicians run health care.  Spoiler alert: It's not pretty.

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