The mother of the dead baby sat in her husband's arms and simply asked "why?" over and over through the Vietnamese interpreter. I had no way to answer the question. I didn't know why. There was nothing to point to. No defect in the child or mother or the actions taken in L&D. All I could do was say "I am so sorry" ... for your baby, for you ... for ...

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Studies, medical societies and position papers are unanimous in their condemnation of inappropriate antibiotic prescriptions for an uncomplicated URI ... but not a single voice tells us how to do that. Let me give you a three part structure you can use in your patient conversations in the future - and some exact words to try out.  This structure is adapted from the Parenting literature, another role where boundaries and inappropriate ...

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Every day physicians and other healthcare professionals are engaged in an invisible battle at work. In one corner is our desire to help other people, make a difference and practice the skills we worked so hard to perfect. In the opposite corner is burnout and it's entire gang. Most of us don't recognize burnout has a whole team on its side. We are outnumbered at least ten to one. I call this ...

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Numerous studies have shown that an average of 1 in 3 practicing physicians are suffering from symptomatic burnout on any given office day worldwide, regardless of specialty. The three classic signs and symptoms of burnout are measured by a standardized evaluation: the Maslach Burnout Inventory (MBI). They are: 1. Emotional exhaustion The doctor is tapped out after the office day, hospital rounds or being on call and is unable to recover with time off. ...

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