How informed are doctors? The answer is not obvious. Doctors know enormous amounts of data and have years of clinical experience. Many have solid science backgrounds and some conduct research keeping them at the top of their field.  Most rely on published studies to make their decisions on which products to use. However, only a small percentage of all published studies are level 1 studies: the studies with data that is ...

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In the academic world, there is an unspoken rule under which faculty, residents, and fellows collectively live and work. Educational programs are to be separate from industry and its financial stronghold. I understand the rule and its application in certain scenarios and clinical departments. But I would like to challenge it within my specialty of orthopedic surgery. As I finish up residency and look ahead to fellowship, I am constantly thinking about ...

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shutterstock_107400536 This is an open love letter about my left leg. I broke it at a roller derby scrimmage in Detroit on September 6. It was my third time representing the Glass City Rollers on the road and the beginning of a long ordeal that has given me plenty of opportunity to reflect on my body and my wellness goals. Before this injury, my ...

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shutterstock_231296887 Each year as the holidays approach, countless medical families prepare for the dreaded release of the holiday schedule. Will the physician spouse be home this year? Will the non-physician spouse be packing up three kids under the age of five and traveling across the country alone to visit family they may only see once a year? It can be stressful. It ...

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shutterstock_192888809 The phone rang one evening and a pleasant voice was on the other end.  "Hi, my name is nurse so-and-so and I'm the educational coordinator for your upcoming knee surgery. Do you want to go to the patient orientation session?" she asked.  "It's very helpful to go over things before and after  your surgery and to answer any questions you might ...

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Another day, another pacemaker, at least so it seemed at first. The usual greeting the patient, answering the last questions, consent signing, placement of the IV, EKG leads, prepping of the surgical site and initiation of the preoperative antibiotics were all recent memories.  He laid there, smiling, knowing he'd made the right decision after years of struggling with his arrhythmia in other ways.  His heart was showing signs of slight weakening and ...

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shutterstock_166815872 It finally happened. After years of sitting at John’s bedside through multiple serious bike crashes, I had one of my own. I’ve had plenty of time to build up a ridiculous amount of smugness about why he crashes and I don’t. “John is reckless; Staci is cautious. John rides like an airplane engine on a shopping cart; Staci uses her head.” I ...

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An excerpt from The End of Back Pain: Access Your Hidden Core to Heal Your Body. The evolution of our species has been powered and guided by a survival advantage. Our unique adaptation for survival lies in the development of a brain that can plan, worry, and abstract. Perhaps the most ...

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Mrs. D was my last patient. I retired several months ago, and for some time prior I informed my patients so as to give them time to decide where they would like their follow-up care. Mrs. D was an elderly lady who I first met in the ER several years prior after a fall resulting in a displaced ankle fracture. She was pleasant and alert, understanding everything I was explaining after ...

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She was having excruciating pain in her pelvic area.  I pulled the sheets down cautiously and noted the bruising encircling the waist and inching towards the thighs.  I finished my exam and retreated to the nursing station of the skilled nursing facility to comb through the chart.  ER records, floor notes, consultations, but no x-ray of the pelvis. There was no mention of pelvic pain. The emergency room physician had dutifully ...

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