shutterstock_31681267 On Monday March 30, 2015 our Greenway PrimeSuite electronic health record had a system-wide failure at the level of the Edgemed Computer service center in New York State. It meant that I was back to using pencil and paper to interview patients and record the answers and physical findings. With much trepidation, I began seeing patients with two sheets of white blank ...

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Those of us in health care face tough decisions every day. Should we spend less time with patient A so we can have more time to tell patient B about a bad pathology report? Should we work through lunch to see a few more patients but risk burning out our office staff at a time when morale is at an all-time low? Should we skip our child’s piano recital to attend that ...

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shutterstock_92410900 For my entire life as a physician, from medical school, through residency and now until this 22nd year in practice, I have subscribed to the idea that I should have a chaperone when performing breast, pelvic or rectal exams on women. I was taught to do this from the beginning, and I still do it. Why is this? On some level, the ...

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When I was a resident at the University of Virginia, my wisest mentors gave me one piece of advice that far exceeded all the scientific and statistical jargon that others expected me to swallow. Consider this: When patients walk into your room and sit down, shut up and look into their eyes. When they are done talking, have a conversation. The key word is conversation. The visit should not include a lecture or statistics ...

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medpagetodayFrom MedPage Today:

  1. Hearts Different for ART Kids? Cardiac systolic and diastolic function were altered at age 5 among Chinese children born of assisted reproductive technology (ART).
  2. Doctor Reviews the Ethical Review Boards. When Robert Klitzman, MD, first began researching institutional review boards (IRBs), he was struck by how little he -- ...

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Have a little faith in me. - John Hiatt Spring ushers in major holidays in many faiths and religions. The rites of spring and the vernal equinox, new life and rebirth are springtime themes and touchstones across many cultures. Faith is important to many people and across many cultures and religions. I would assert faith is even important to atheists and agnostics, and those without a formal religious tradition. Faith is important ...

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I never thought it would go on for so long -- seeing Donald Wyatt, I mean. I certainly didn't plan it this way. More than six years ago, I retired at age sixty-six from my social work job at a mental-health agency. Donald had been my client there for about eight years. As I was cleaning out my office, his mother called. She explained how Donald's father had left when Donald was ...

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This is important to you. Trust me. If you’re young at heart, it matters because it’s your tax dollars this April. If you’re wiser in years, it directly affects your health and the system you’ve been pumping money into for decades. This is the same medical system that you thought would take care of you later in life. Again, this is about your money and your health, so read on. Government-funded health insurance in the United States is administered ...

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According to OECD data, Americans see doctors less frequently than people in any developed nation. We are hospitalized less frequently, and we stay in the hospital less time than citizens of other nations. The vast majority of Americans, more than any other nation, describe themselves as healthy, and America has the largest percentage of young people in its population. So why is health care in America so much more expensive ...

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shutterstock_278653268 A couple of months ago I finally joined the swelling ranks of Uber customers. Several friends had been trying to persuade me for some time to start using the service, but me being generally skeptical of new technology (what they call a “late adopter”), it took an extreme situation to get me to finally download the app. It was a freezing February ...

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