Recently, I took a few minutes to fill out a survey on physician burnout.   A slew of studies offer estimates of physician burnout of up to 50 percent.  In my field of primary care, the documentation and regulatory burdens may cause the number to soar even higher. I am rounding out my fifth year in a busy suburban private practice and I am not burned out.  These questions moved me to ...

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The key to staying on time in a busy clinic and to finish the day unscathed is to be in battle mode from the get go. The ten rules outlined below will help you to achieve that goal. 1. Make sure your bladder is empty, and that you are well hydrated. This goes without saying. You don’t want to finish the day with ...

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The patient is a 27-year-old Caucasian woman: slender, well-groomed. She is sitting in the office of her urologist, and she is unconsciously twisting her hands as she interrupts the doctor, having finally worked up the nerve. "I know you told me to expect some pain for a while after the lithotripsy. But I've been having pain in my bladder, even when I don't think there are any stones. It started two ...

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Since the Department of Transportation (DOT) requires an annual checkup, and getting a yearly physical is generally a smart way to take care of one’s health, it’s a wonder why many truck drivers tend to avoid their yearly exams. Are they tired of the long waits, which may seem like more time spent away from home and family? Do they fear that the stress of their jobs, and perhaps ...

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This is a special moment of female liberation, sisterhood, and solidarity. Tens of millions of women have used the #MeToo hashtag to share long-held secrets of sexual harassment and assault. The disgust generated by one extremely slimy Hollywood mogul has triggered a spontaneous worldwide outburst of disgust, righteous anger, and determination to effect social change. The movement is worldwide and includes women from all races, religions, and social classes. It started with ...

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Countless times as a patient both at two hospitals in New York City, I have witnessed doctors arrogantly waltzing into an examination room and arriving not alone but with an entourage. Like Greeks bearing gifts, they arrived with something unwanted and threatening: medical students, interns, residents, and fellows. And not once, in all the many times that I have been subjected to this ignominious practice, was my consent ever obtained ...

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It’s 3 a.m., and I wake with a jolt. My heart is pounding out of my chest. I stumble out of bed to take a beta blocker hoping it’s enough to quiet my heart so I can doze off again. I sleep fitfully the next three hours, experiencing weird dreams and terrifying nightmares. At 6 a.m., I take my Valium. Nauseated, I lie in bed for 30 minutes, so I keep ...

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Every patient eventually asks the same question: “How can I find the best hospitals and doctors?” The solution might seem easy, since we live in a world where information is readily available on the Internet. In a few clicks we can shop for goods, review consumer products, market ourselves on social media, and complete financial transactions instantly. You would think that health care, which accounts for 17 percent of the GDP, ...

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Here’s the typical story we come across every day: Jack was overweight and had a terrible cardio-metabolic profile. Jack changed his diet: He eliminated X, Y, Z and added more A, B, and C. He’s now lost 30 pounds, and he feels fantastic. His numbers are also perfect: His HDL is through the roof, his LDL is undetectable, and his A1c is smack in the normal range. Todd was overweight and had ...

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Have you ever wondered why your computer often shows you ads that seem tailor-made for your interests? The answer is big data. By combing through extremely large datasets, analysts can reveal patterns in your behavior. A particularly sensitive type of big data is medical big data. Medical big data can consist of electronic health records, insurance claims, information entered by patients into websites such as PatientsLikeMe and more. ...

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