I assumed many things that morning.  For instance, I thought it was likely that Ronald's fatigue was from lung cancer that had metastasized to the liver.  Or that he decided to stay in his room in the nursing facility because the decision to elect hospice had finally taken its toll. I was sure that he was both physically and emotionally spent.  I reasoned that I wouldn't want to get out ...

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My family and close friends have done so much for me since I became chronically ill in 2001, and I’m deeply grateful to them. I’ve written this piece because there are a few important things I want them to know about how I feel. Although this piece is personal in nature, I’ve been hanging out online for over a dozen years with other people who are chronically ill (which includes those ...

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She is a time traveler. She spends an hour with each patient, takes note of each symptom, listens to each emotional concern, takes every call from every worried patient, handles all emergency situations, fills every prescription, handles each every insurance concern, breaks bad news gently, does her hospital rounds, yet is never late to see those in the waiting room. She treats her patients as unique individuals with unique human emotions ...

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It took me until 2010 to buy an iPhone and in just a few years, I’ve become so dependent on it, without fail, I will always make a U-turn to make sure it’s with me -- my smartphone is essentially a new limb for me. I know I’m not alone. Most did not predict the rocket speed adoption and transformative power of modern smartphones when the iPhone launched in 2007. But, in ...

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shutterstock_211099459 In the pediatrics playroom, the medical team and I, a medical student, hunkered down in child-sized chairs to review patient progress notes. A television screen nearby diverted my attention. On CNN, video of protesters alternated with Eric Garner’s final moments. The television was mute, but I could hear Garner say, “I can’t breathe ...I can’t breathe …” One moment, he is ...

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80 percent of prescriptions in the U.S. are for generic medications. Generics are supposed to be less expensive alternatives to brand name drugs. However, prices for certain generics are rapidly increasing. 50 percent of generic medications increased in price in the last year and 10 percent more than doubled in cost during the same time period. Among them are thyroid replacement hormone, doxycycline, digoxin and other heart medications, tetracycline, albuterol ...

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While millions of Americans are re-enrolling in Obamacare, signing up for health insurance for the first time, or double-checking the plans their employer offers, many will undoubtedly ask what’s affordable for them. Good luck defining affordability. Like beauty, it’s in the eye of the beholder. To better understand what affordability in health care means from the vantage point of the ‘kitchen table,’ the National Quality Forum, with support from the Robert Wood ...

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shutterstock_104522027 I have to thank my colleague @SusannahFox for alerting me to this on my Twitter stream. It was a link to a Washington Post article about about a campaign to get people in Belgium to stop Googling their symptoms.

shutterstock_110958092 We sit, we listen, we attempt to focus and absorb what we are required to know. We learn how to give bad news, even using one another as makeshift “standardized” patients. How does one “standardize” a patient anyway? Who knows, who cares, time to cram for the endocrine exam. But what happens when you stop pretending? When you wake up one morning ...

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Illness is the night side of life, a more onerous citizenship. Everyone who is born holds dual citizenship, in the kingdom of the well and in the kingdom of the sick. Although we all prefer to use the good passport, sooner or later each of us is obliged, at least for a spell, to identify ourselves as citizens of that other place. - Susan Sontag, Illness as a Metaphor Words are important. ...

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