A friend and I made a pact today.  No more hanging out halfway, it’s all or nothing.  Each of us has a dream for our lives. Our respective dreams are almost the same, and they’re dreams that we’d almost cast aside or given up on.  Why? Because they require so much faith, dedication, focus and endurance to pull off.  Neither of us had wholeheartedly committed to the dream. I've had a small ...

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They’re everywhere, all of a sudden: little medical kiosks tucked into the back of drug stores, grocery stores, and big box outlets. With names like “Minute Clinic” or “RediClinic,” they stress speedy, in-and-out service. And of course, you’re already there in the store, ready to buy whatever has been prescribed. A win-win, no? No. Everyone knows that if you’re ...

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The relationship a physician has not only with their patients, but also with their patient’s families, has long been the foundation of the medical system. Over the course of time this once valued bond has had its ups and downs; however today with the internet, Obama healthcare reform, and Medicare cuts to name a few, the doctor-patient relationship finds itself in its ...

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I have a suggestion for all of those federal workers who were concerned about a government shutdown.

To all those who already have better insurance and better benefits than most in the private sector; for all those whose jobs pay more than equivalent private sector jobs for the same activities. Do what hospitals do. ‘Go to your jobs, and do the necessary work anyway.’ It is ironic, but hardly surprising, that the ...

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Year: 1987 Setting: Pitie-Salpetriere Hospital in Paris, France Position: Specialist in tropical diseases I am a consultant in tropical diseases at the Pitie-Salpetriere Hospital in Paris in professor Marc Gentilini’s department, which has been receiving HIV/AIDS patients from all parts of the world since the onset of the pandemic. Indeed, in the early days most patients came from Haiti and Africa and were seen primarily in tropical disease ...

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I recently wrote about the importance of a differential diagnosis.  Today I want to assume that you have a definitive diagnosis and discuss how we deal with that illness.  First, some ground rules. There are hundreds of medical texts and unlimited amounts of information on Google that help define an illness.  They all portray the “textbook” description of how the illness should present, what symptoms ...

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Recently, while jogging through my community, I had the pleasure of bumping into a former colleague and his brother who were out for their daily five mile walk. Dr. G. had attended a local medical school, finished near the top of his class, and had gone on to do his internship and residency at the premier private hospital in Miami Beach, Florida. After completing his residency ...

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After an exciting and challenging day of caring for patients and teaching students, a third-year medical student on his family medicine rotation says to me, "I really like what you do, but I just cannot afford to go into family practice." I realized that by “afford,” he was referring not only to finances but also to the expectations of his parents, friends, and
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My mom is sick. Because of what can only be described as my crazy family dynamics I did not find out for 24 hours that she was taken by ambulance to the hospital in septic shock from pneumonia. She was hypotensive on arrival (not good) and pancytopenic (low white cell count, low hemoglobin, and low platelets – not good either). A CT scan showed multiple large, irregular lymph nodes in her ...

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I am infinitely blessed by The Girl Effect.  As I look back through the generations of my family, I see it rolling toward me, through me like a wave. I am sure it started even before my grandmother stole her parents’ car with intent to drive by herself from Austin to Chicago to see the World’s Fair in 1924; I just don’t have much history to work with prior to that.  ...

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