When it comes to the review of systems, I've been a natural, a savant — a prodigy you might say. During my first few weeks of medical school, I remember doing mock interviews with fake patients. This was long before I learned anything about "HPI," "ROS," physical exams, billing or anything medically relevant for that matter. As other students stuttered, trying to figure out what to ask a lady pretending to ...

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During medical school, my head was buried in the books while I was studying pharmacology and pathophysiology. In residency, my body remained in the hospital for most of my waking hours while I was caring for patients. And, during fellowship, my hands were busy learning how to perform endoscopic procedures. All the while, my friends working in other industries were tapping into a different kind of skill set. They learned how ...

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Hardly a week goes by without hearing about another case of police brutality. Many times, seemingly unnecessarily lethal force has been used, and these incidents have sparked protests across America. Each case is unique with differentiating circumstances, but the result is all too often — death. Many people have grouped these incidents together concluding that white officers have unnecessarily killed black men. This has initiated and reinforced mistrust of the ...

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I drive a fast car. Which if you know me, is quite uncharacteristic. I would say that it is one the few possessions that generally doesn't reflect upon who I am. How I chose this car, the make, and model, are a long story not to be discussed here. But let's just say that it has quite a kick. These thoughts jostled through my mind this morning as I pulled into ...

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With the ruination of American teaching using “value-based” purchasing and payment concepts virtually complete, the U.S. government is now training its sights on medicine with similar intentions. With the new MACRA pay-for-performance program, CMS bureaucrats believe they can force health care providers to practice better “quality” care by collecting clinical performance, practice-related, and cost data, and basing payment increases and penalties on the results. There is one big problem associated with ...

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Although every technology product released today seems as if it is “powered by artificial intelligence,” the actual AI revolution is ahead of us. When it arrives, it will be on par with the industrial revolution in changing our lives, especially in the world of medicine. John McCarthy, a legendary computer scientist, coined the term “AI” in 1955. He defined it as “the science and engineering of making intelligent machines, especially intelligent ...

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An excerpt from Confessions of an American Doctor: A true story of greed, ego and loss of ethics. The Medical Board of California attorney, Mr. Arnold, proceeded to read the discussion I had with the undercover agent regarding the source of the human growth hormone, including the ...

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For many centuries medical practice was a black art. What physicians did was based upon theories of how the body worked that turned out to be fanciful at best, dangerous at worst. The late nineteenth century brought breakthroughs in the biological sciences, such as the identification of bacteria and new understandings of physiology, which increasingly placed medical practice on a scientific basis. That process has continued over the past 150 years, ...

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Now, I’m just a country doctor, but I have to say I find it very hard to understand why folks in this country, on one hand, keep talking about a doctor shortage in primary care and, on the other hand, keep piling sillywork on those of us who are still here. The net effect is that the doctor shortage is going to be a whole lot worse than it has to ...

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During a recent internal medicine rotation, a senior resident expressed disappointment that I've chosen a career in family medicine. He was concerned that my talents would be wasted, because -- in his words -- I wouldn't get to care for the "more complex patients" he sees in internal medicine. Although I appreciated his confidence in my abilities, I felt my heart sink, as it does each time I am faced ...

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