shutterstock_101193772 I have this life. It's not a cubicle life -- there's a lot of everything in it, and I never really know what the next hour will hold.  Whenever I talk to people about what I do, it's surprising to me that almost no one has any real clue what my life is really about. Here are the impressions that they tell ...

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I was incredibly impressed by the announcement that three top U.S. health systems -- Dartmouth-Hitchcock Medical Center, Johns Hopkins Medicine, and the University of Michigan Health System -- will be enforcing standards that prevent low-volume hospitals from performing certain surgeries. This comes on the heels of a major US News story which showed that patients who had surgeries at low-volume hospitals faced significantly higher risks of complications ...

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shutterstock_111214139 A chief resident about to graduate wrote the following to me:

I just read -- twice -- the New Yorker's review of Henry Marsh's memoir you tweeted about. Wow. It seems like he is grappling with so many of the things I'm feeling now, as I'm trying to sort out if I'm trained "enough" to head out into the world. Of ...

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shutterstock_115412092 At my institution, we have a decades-old tradition known as Girls’ Night Out.  Once a year, the female surgical attendings treat the female general surgery residents to a night out at a fancy North End restaurant.  At its infancy, in the late 1970s, the dinner consisted of the only two female members of the department of general surgery.  It has since ...

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american society of anesthesiologistsA guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Earlier this year, I spoke to an audience of physician anesthesiologists about setting up a basic quality assurance (QA) program within their departments. At the end of the presentation, one physician anesthesiologist stated that his group “will not let anyone out of the operating room ...

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shutterstock_74535430 I like to think that doctors are still a profession made up of people who want to help others. Sure, there are other benefits to our jobs. The technical challenge, the intellectual rewards, the financial security. But honestly, we do really get a lot from helping others. It's satisfying to look to your fellow man in a time of need and heal ...

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shutterstock_260680658 I wasn't the first simple country surgeon, you know. When I was a resident, our training program broke us into two teams -- one that served general surgery, pediatric surgery, and trauma; the other, general surgery, transplant, and oncology.  Every day was an intricate dance to see all the patients (generally between 20 and 40) for the assigned team, operate all day, ...

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shutterstock_118623196 I’ve been a doctor for more than 20 years, and I hate to break it to you, but it’s time I came clean: We lie. Doctors lie. Not always. Not necessarily on purpose. But we do. Sometimes the lies are to our patients. Sometimes, the lies are to our families. And sometimes the lies are to ourselves. But, nonetheless, we lie. A lot. ...

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medpagetodayFrom MedPage Today:

  1. Costly Hep C Tx Could Still Save Big Money. Treating genotype 1 (GT1) chronic hepatitis C (CHC) patients with ledipasvir/sofosbuvir (Harvoni) would result in an annual societal productivity gain of approximately $2.7 billion in the U.S.
  2. Workout May Ease Pain in Women With Fibromyalgia. A strong association exists between ...

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We spend a lot of time in medicine in education. Pursuing medicine as a career requires embracing learning for a lifetime, because there is always something new, always something different, new approaches, new medications, new discoveries -- we want what's best for our patients, and you can't deliver on that promise unless you know what's out there. As a consequence, we spend time trying to organize information, categorize it, study it, ...

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