"I can do that?" During a recent morning practice session, a resident was presenting a patient who had had several episodes of syncope which culminated in a trip to the emergency room. She had a brief stay there, and on the discharge plan was written "follow-up with PCP and with cardiology."

We went through her history and physical examination, we talked about how to further ...

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Health care guidelines are produced in ever-increasing numbers. The National Guideline Clearinghouse, a U.S.-based public website compiling summaries of “clinical practice” (health care) guidelines, has over 1,000 entries and is updated weekly. The National Institute for Health and Care Excellence in the U.K. has over 180 clinical guidelines. The Conversation Health care guidelines cover all aspects of medicine, from using ...

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A recent publication in JAMA Internal Medicine clearly demonstrated that female physicians were able to provide better care when compared with their male counterparts. Researchers from Harvard University studied the relationship between physician sex and 30-day mortality and readmission rates of over 1.5 million Medicare patients between the year of 2011 and 2014. What they discovered was that female physicians had lower mortality and readmission rates ...

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In August of 1991, I became a family practitioner in the United States Air Force and was sent to Clark Air Force Base in the Philippines. During my time there, I was asked to go on a medical mission. This experience struck me with the missionary bug to provide my talents and to care for others in another country. With medications that were near expiration date in USAF stock and ...

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To my beloved patients and your families, Over the years, it has been an incredible experience and honor to be allowed to enter into your world. It is a world that I know few people are privy to, and it is an intimate world where the deepest questions about life tend to arise. I know that when you are confronted with sickness that leads you into this world, it can be ...

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The building contractor chatted pleasantly while I checked his blood pressure, waist circumference, cholesterol levels, fasting glucose and urine protein. We discussed bowel and prostate cancer screening in detail, and I gave him written information as we were out of time. As I signed his script for the blood pressure medication, he winked. “That was easy money for you, wasn’t it?” Thirty-seven dollars and five cents is the value the government places ...

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I have only been able to make it back to my hometown once a year for many years now, but I recall my father having a very friendly dog many years back, a black Labrador mix named Abby. She was well behaved, would stay in the yard if you let her outside, didn’t cause problems, and was great with children. Then about ten years ago, another dog was added to the ...

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Since the study of science is the most common route taken to a career in medicine, there’s a tendency among doctors to neglect, if not outright scoff at the arts and humanities. That’s a shame, and not only because an appreciation of history or philosophy might make you a better doctor. I’m in complete agreement with that notion, but as an opinion, it can’t be definitively proven. Instead, I think it’s ...

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The onset of the new millennium has brought about a shift in not only the technological aspect of our industry, but also the mindset of physicians who are entering the field. Gone are the days of "work 40 years at the same practice, retire and live the good life."  Physicians are finding more creative ways to be doctors including entering non-clinical careers, being entrepreneurs on the side, and moving into ...

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"I've got to use the right tool," I thought to myself as I attempted to pound a nail into the wall with the bottom of my coffee cup. Kneeling on the exam room table, I was attempting to hang a picture on the wall before the clinic day began. I have all sorts of useful tools in my clinic: scalpels, special scissors and a multitude of precision instruments for surgical ...

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