shutterstock_124482742 The insurance company insisted that they would be saving money in the end.  So they sent the PA (physician assistant) to my patient's house.  They didn't take into consideration that I was just there a week before.  Or that I made home visits on a regular basis.  In fact, they didn't even inform me about the appointment. My patient later told me ...

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shutterstock_173798813 My daughter was born, three months premature, during my third year of residency.  Following a harrowing three months in the NICU, we joyfully welcomed her home. After eight blissful but isolating weeks, I was eager to return to the wards. I happily reunited with colleagues and patients, but I also deeply missed being home. During quieter moments, I daydreamed about stroking ...

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shutterstock_228580378 I have written previously about some “aha moments” that I have had as a clinician, when something that I knew was coming seemed to arrive with a thud in my own practice. I had another one of those moments a couple of weeks ago. I was finishing up with a new patient, and had explained to him and his wife my assessment ...

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shutterstock_216140242 Question from a reader: "What are your feelings about when a patient breaks up with you? I love love my doc, but ..." Patients “break up” with me all the time. Well, not all the time, but it’s not uncommon. There are many reasons, some of which are under the patient’s control, and some which are not. Moving across the country is ...

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shutterstock_117895975 I often wondered what got me here. I am a reader. Give me a book, an apple and a bus ride home and I was lost in the words. Send me to school and make me create 3x5 word cards for hundreds of new words and I was hooked. Then off to high school where science gave me a new vocabulary. ...

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DoctorsThankPatients-640x480 I’m a family physician in Eugene, Oregon -- a sweet town where folks are pretty darn friendly.  I still do house calls. Patients often surprise me with gifts. And nearly every appointment ends in a hug. Kindness is contagious. I like to return the favor. So every few weeks I celebrate “patient appreciation day.” I thank patients with balloons and chocolates. Why? For ...

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shutterstock_228969187 Racism and prejudice are endemic in America. Many of us reflexively answer, No, if we are asked if we are prejudiced. I don’t. I say yes. While I do my best to give everyone a fair shake, I grew up in a white suburban family in the latter decades of the last century. My friends, my parent’s friends and all those we ...

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caitlyn_jenner_e This piece will likely draw ire from many, but I do not intend it to be inflammatory.  I write it to explain why Bruce Jenner’s recent, and very public, transformation into Caitlyn shouldn’t necessarily make us feel all warm, fuzzy, and optimistic.  This is not meant to insult or degrade any individuals who are transgender or merely confused about their own ...

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A continuing series on physician online reputation.  Created in partnership with The Doctors Company as part of their social media resources for physicians There are two ways that physicians can establish their online reputation. The first way is to use existing physician rating sites. What physician rating sites will do is create a profile page of every single doctor in the United States. This ...

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Statistics from the Pew Research Center indicate that the majority of people use the Internet to find information on health. As online resources improve and proliferate, this fraction will continue to climb higher. There is no doubt that patients see the Internet as one tool to learn about a condition, diagnose themselves, or read about the range of treatment alternatives. Patients understand that knowledge is power. So how should patients ...

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