You’ve seen the ads, and you may have even gotten a flyer in the mail directly from your insurance company. Use an app to make a quick video call to get the medical care you need. No waiting rooms, no appointments, no having to be touched, or even sit in a room with a physician – just the magic of the internet, and you’ll get what you want. But will you ...

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I think it’s time for physicians to end the assault on the clinical practices of PAs and NPs. Are you worried about PAs and NPs taking your job? If you’re a good doctor, you should stop worrying. Great PAs and NPs are everywhere, and I think it’s time physicians embraced them. PAs and NPs have excellent skills My first rotation as a third-year medical student was in the emergency department. There was a ...

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If physicians are “muggers” and co-conspirators in “taking money away from the rest of us,” then journalists and economists are pontificating parasites who produce no goods or services of any real value. I don’t think either is true, but the recent attacks on physicians by economists Anne Case and Angus Deaton, and “media professional” Cynthia Weber Cascio, deserve to be called out. You ...

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I sometimes work as a church security volunteer.  And when I do it, I get to simply stand and watch.  Watch for someone sick or injured (we have defibrillators and wound care equipment).  Watch for someone coming to cause harm.  Watch in order to call the police.  Watch to keep the children safe. And it occurs to me, when I do it, that watching is incredibly important.  I know this as ...

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I carry you in my heart. Not your cold and quiet and still little body.  No. I carry the you that I never knew. The you that your parents grieve. The you that will never grow up. The you that laughed and played that nobody new will ever meet again. I carry you in my heart. It was that you that made me grit my teeth when I heard they were bringing your body ...

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The start of a new decade seems more meaningful than the beginning of other new years. I tend to think more long-range at these mileposts. For 2020, I've made three resolutions that I hope will have a positive impact on my life for years to come: 1. Ramp up reading Starting now, I intend to consume more books on a regular basis. Crucial to meeting this goal will be diverting my gaze ...

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Stress is one of the epidemics of modern-day living—especially work-related stress. At a basic fundamental level, it’s just simply a chemical reaction. Your adrenaline and cortisol levels shoot up in response to a stressful stimulus, the primitive “fight-or-flight” response kicks in, and your brain and emotions go into overdrive. The problem with this acute response, is that it tends to lead to illogical thinking and an inability to really find solutions. Research also confirms that having chronically elevated stress hormones is very detrimental for your long-term health and ...

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It’s been liberating and eye-opening and sometimes a pain to have all three of my kids in grade school. The benefits of one drop off and not paying for daycare do outweigh the downside of figuring out what to do with the kids when they have days off. Usually, I plan my schedule accordingly, but I still have to fit in the requisite number of shifts for my ...

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The physician burnout crisis and a national provider shortage have fueled a growing trend in health technology focused on better utilizing physicians and reducing administrative burdens. I became a surgeon because I wanted to help people, not because I had a strong desire to push paper. The high volume of administrative tasks increasingly consumes a physician's time that could be better spent with patients. For example, primary care physicians
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If my hypertensive patient develops orthostatism and falls and breaks her hip, I fully expect the orthopedic surgeon on call to treat her. I may kick myself that this happened, but I’m not qualified to treat a broken hip. If my anticoagulated patient hits his head and suffers a subdural hematoma, I expect the local neurosurgeon to graciously treat him even though it was my decision and not his to start ...

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