I like to poke fun at real estate agents (please, forgive me if you are one, it is all in good fun). My experience has been that, despite what I describe as my preferences, they always end up showing me what they have, even if it does not bear the remotest resemblance to what I need. This holds true for politicians, with this cardinal rule: always answer the question you want ...

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Editor's note: This post was originally written this past winter. Boston had another blizzard today. I was really worried about this one. It was supposed to snow hard, about three inches an hour from 3 a.m. to 12 p.m. with poor visibility, impassable roads, etc. I've driven home in snow like that, and I find it terrifying. Your car won't do what you want it to, and worse, other people can't ...

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As Kevin Pho pointed out in his piece, "How malpractice hurts doctors and their future patients," physicians who have been through trial are often never quite the same. Physicians who have been sued in medical malpractice case are often referred to as the "Second Victim," a term that says it all.   When a mistake is made and a patient is injured, the physician also suffers, often in silence and ...

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by Eric Marcotte, MD Associated Press health writer Marilynn Marchione recently reported on the rapid growth of so-called "fix-me-it is" in orthopedic surgery.  Healthier and younger than the typical patients undergoing joint replacement, Baby Boomers are driving the next big wave of joint replacements in medicine. This is definitely welcome news for Zimmer, Biomet, and our other fine biomedical companies here in Indiana.   Whether this ...

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A Florida study assessed the rate of needle versus surgical breast biopsies over a period of five years. What we're talking about here are non-palpable abnormalities that are identified on screening mammography. A mammogram report will come back that assesses the relative risk of an abnormal collection of calcifications harboring an invasive or pre-invasive cancer (staged on a scale from I-V). With such data, one is obligated, as ...

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As far back in history as in the day of Hippocrates of Cos, often referred to as the father of Western medicine, 460 BC - 370 BC, a physician was viewed in a paternalistic manner, one in which a physician's opinion(s) were simply just believed and their recommendation(s) were followed without question.  The prevailing culture was definitely one of passive, submissive acceptance. Although there will more likely than not always be ...

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Recently I was interviewed by a reporter about the effects of the newest baby monitors on parent-child relationships. A teddy bear with a camera in its nose hooks up to a TV, allowing parents to watch their baby's every move. One product called an exmobaby is actually worn against the baby's skin and measures heart rate and respirations. A CEO of ...

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by Aroop Mangalik, MD A man has lung cancer that has spread to the brain. The cancer in the brain has been growing despite full dose radiation. His lungs have failed and he has been on a respirator for 10 days with progressive worsening of lung function. Despite multiple discussions between the doctors and the Intensive Care Unit’s team ...

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Dear "Robin," Nothing in my career in medicine has prepared me for being a friend to someone with such a terrible disease.  As a doctor I dispense advice on a daily basis, but those interactions remain strangely impersonal.  With you, cancer has invaded our inner circle, and we all share your shock and despair. No one can know exactly what it feels like ...

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Hospital costs are out of control. We have an aging population living longer with more complicated presentation of disease. We have an insurance driven platform instead of a health driven accountability. The long term sustainability of that architecture is one of guaranteed insolvency. One way or another hospitals are going to find their lifeline cut off. Medicaid is bankrupt. Hospital ...

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