My goal with this post is to try to answer some of the more popular questions that we get asked about multi-level marketing (MLM). Why write about it? Besides the fact that my wife and I are involved in one, and it’s made a significant impact on our income, the number of physicians getting involved these days is huge. My goal is not for everyone to go out and ...

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STAT_Logo At his recent confirmation hearing, Alex Azar, President Trump’s nominee for secretary of Health and Human Services, was grilled by senators who wanted to know where he stands on requiring employers to provide oral contraception coverage in their employee health plans — even if employers object on religious or moral grounds. While avoiding specifics, Azar ...

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In the wake of the recent flood of allegations of sexual harassment against so many men in so many different positions of power, the refrain has begun, “The rules have changed.” Frivolous concerns about office holiday parties threaten to trivialize the remarkable transformation of women finally being believed, and men finally beginning to be held accountable for their actions. The rules have not changed. What has changed is that, at long ...

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“Wow, cool case,” was the response from the residents in continuity clinic on Monday morning as I told them about a patient I had seen over the weekend at our main campus urgent care. Ironically, or maybe more tellingly, I thought the same thing; “that was a cool case.” The “cool case” was a senior in high school who was eagerly looking forward to her college career but woke up with ...

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Doctors who wear scrubs outside of a medical setting.  Here's what this physician thinks about that. Brad Nieder is a physician and comedian and can be reached at the Healthy Humorist.

When I read the Washington Post article about the CDC censoring seven words last Friday night, my mind immediately jumped to the youth I take care of every day in my Baltimore clinic.  It felt like a direct attack on the very patients I became a doctor to treat: the transgender young person initiating gender-affirming hormone treatment; the young woman seeking inpatient addiction treatment for the first ...

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In January of this year, I wrote one of my favorite posts after helping a retired couple free themselves from their financial advisor, greatly simplify their portfolio, and saving them more than $20,000 per year in the process. For details, please read "From 28 Funds to 3," then return here for a follow-up. In summary, the couple previously owned 28 funds (with 48 positions between three accounts). The ...

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Sometimes there are no words. Not even a eulogy. Then one courageous family writes this obituary. (This obituary was written by Rachel Dawson, his wife, with the blessing of his parents.) In it, they share how their son lost his battle with severe depression. How he adored his children. How he sacrificed fun, free time, and relaxation to receive his medical ...

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Medical student Peter Rezkalla with a spoken word on burnout.  See more at his YouTube channel.

How excited would you be about a medication that lowered your risk of cardiovascular death, heart attack or stroke by 1.5%? Excited enough to spend a few thousand dollars a year on the drug? I expect not. What if, instead, the drug reduced those same terrible outcomes by 20%? That’s probably enough benefit to interest some in the drug. Well, those statistics come from the same clinical trial, evaluating the same drug. ...

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Many of the everyday coalface problems we face in health care are simply due to suboptimal communication. It could be the patient or family member who doesn’t know what’s going on in the hospital, the nurse who is confused about orders, or the doctor who doesn’t understand the reasoning behind the seemingly terrible administrative directive they are receiving. Take it from me, as someone who has seen health care at close ...

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You’ve probably heard of the Starbucks latte effect. As the theory goes, small changes, multiplied and compounded over time, can end up becoming big savings. For example, if you drink 1 Starbucks latte for $3.50 every day for 250 work days a year, then over 10 years, you’ll have spent tens of thousands of dollars on Starbucks coffee. Cut the Starbucks coffee from your life, and you could buy a nice car ...

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Yup, I won the lottery! $785 million dollars. Pinch me because I must be dreaming. I am a physician finance blogger; I would not recommend buying a lottery ticket. But I did. So screw all the people who said it was a waste of $2. So here I am, the big time winner: What to do now? Well, that is what this post is about. (In reality, I did not win the ...

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It’s been 21 years since Drs. Robert Wachter and Lee Goldman, in an article in the New England Journal of Medicine, first described a new delivery model called “hospitalists” – clinicians whose primary professional focus is the care of hospitalized patients. Since that time the healthcare system has seen rapid growth of hospitalist programs across a variety of specialties. In the OB world, I have had the opportunity to ...

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Did this delivery go according to the birth plan?  It did, until this physician received the hospital bill. Brad Nieder is a physician and comedian and can be reached at the Healthy Humorist.

Doctors are all the same: A sea of uniform “white coats without a face” caring for “patients without a face.” They heal the sick. They save lives. And they drive their fancy sports cars to their expensive homes and cushy lives. Not. I am embarrassed to admit, as a pre-med/medical school hopeful, this was my perception of physicians and patient care before completing two summer internships at a doctor’s office. A problem that the majority ...

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Practicing medicine with all of its responsibilities often reminds me of a black hole. It seems each time something new is added it gets pushed into the vast vortex of the black hole, hidden from those around you and jumbled with everything you are expected to do. People around you see the world as you present it. They rarely get a glimpse through the pinhole to the expansiveness that is beyond ...

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In my post, "Use it Or Lose It," I talked about the awesome benefits of the Roth IRA.  You do have to pay taxes on the money now, but it grows tax-free, and you can withdraw the money after age 59.5 without owing any taxes.  It’s the only way to win the tax game.  It is 100% your money, forever! In comparison, money in a traditional IRA, traditional 401k, ...

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As the national opioid crisis takes center stage, I want to make a case for the authority of the family physician in managing and treating this problem. I am a family physician and have been treating patients with opioid dependence and addiction for 12 years. These patients comprise about half of my practice. The other half is representative of a typical primary care practice. I have patients who have been treated ...

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Too much data, big and small. Every morning when I log onto our electronic health record, one group of messages are from patients with their self-recorded health information data that they've sent to me for review. Here's my home blood pressure over the past 24 hours. Here are my fingerstick glucose readings over the past 24 hours. Here's my weight over the past 24 hours. Here is my depression score over the ...

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