On November 1973, I had an epiphany.  My first week on my internal medicine clerkship, I realized that I had found my specialty: internal medicine. Prior to medical school, I had worked with emotionally disturbed children in an inpatient hospital.  I really enjoyed the experience, and learned a great deal.  During my first two miserable years in medical school (I disliked how they taught the basic sciences and even more how ...

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If we, as a country, focused on and invested in prevention as the basis for health care, the system in the United States would be transformed. However, the physicians who provide primary care services tend to have the least status and are paid lower than other specialties. They are often mandated to do tasks and paperwork that are burdensome, time-consuming, and unrelated to their skills as a physician or their ...

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ZDoggMD's take on mind-body medicine: "Western medicine has historically been appropriately skeptical of so-called mind-body approaches, given our tendency to want to explain causality in terms of molecules, receptors, and other such reductionism. After all, what do we call 'alternative medicine' that actually works? Medicine ... Let’s study it more, and let’s stop being afraid of the hippies."

Dear doctor mom, I’ve been a physician for 13 years.  For the past 7 years, I have also been a mom.  A growing number of experiences made me decide to write this letter.  I hope other moms don’t attack me.  I do not mean to downplay their struggles, or to insinuate that doctor moms necessarily all have a harder time compared to other moms.  I only focus on you, because I ...

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Two years ago, I wrote about my experience in a London emergency department with my son Victor. That post has since been viewed over 450,000 times. There are over 800 comments with no trolls (a feat unto itself), and almost all of them express love for the National Health Service. I was in England again this week. And yes, I was back in an emergency department, but this time ...

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It’s hard to find time to pay attention to all the messages I receive. There are voicemails, emails (work, blog, and personal), and the nonstop notifications from Facebook and Twitter. Post-it Notes on the desk and the refrigerator. I am bombarded with messages. Urban Meyer, head coach of the Ohio State football team, doesn’t have a lot of time to leave messages. Right now, he’s gearing up for a likely bid in the ...

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What an upset, right?  Your voices were heard, loud and clear.  The current system wasn’t working for you, and you won a major paradigm shift.  The insulting irony of the word "progress" hidden in "progressive agenda" wasn’t lost on you.  You looked around your respective communities and what you saw sure didn’t seem like progress.  Employment opportunities were scarce, your health insurance costs had risen, and your infrastructure had eroded.  ...

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Reading about the opening of the Noah’s Ark Theme Park in Kentucky brings to mind the days when I worked as a physician in that state. I had moved from an academic position in Colorado and joined a large group of private practice cardiologists in Louisville. I found that people in Kentucky were different from those in Colorado. They were much more overtly religious. As an interventional electrophysiologist, I would meet ...

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When I was heading to a retreat held by the physician who started the ideal medical care movement, Dr. Pamela Wible, I expected an orderly and structured program on how to improve the current culture of medicine. I knew, with about 40 physicians and 10 other medical students, there would be a lot of Type A personalities since that’s typically the sort of people that go into medicine. While I ...

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A young man with chest pains, shortness of breath and heart palpitations had come back for his follow-up visit. His thyroid test and blood count were well within the normal range. His EKG was normal, and his chest X-ray was declared normal by the radiologist. We talked some more about his anxiety and poor sleeping habits. We talked about his late shift at work, and we talked about his late gaming habits ...

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