Peg began internal medicine residency with altruistic goals. She didn’t want to become a specialist or seek personal financial wealth. She just wanted to help people. With a prior career related to her degrees in art history and sculpture, she had a unique way of truly embracing medicine as an art. Rarely spotted without a smile on her face despite long training hours in the hospital, she eagerly embraced taking ...

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One evening in the clinic’s bullpen provider office, a colleague of mine wondered aloud how to respond to a difficult question a patient asked via patient portal message. A physician within earshot responded, “Just because someone asks you a question doesn’t mean you have to answer that question.” I tried to empathize with where the physician was coming from. Surely after decades of practicing medicine, one might become weary of spending ...

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When a patient seeks the care of a professional, they expect that person to be well trained, experienced, and constantly continuing their education. As an ophthalmologist, I completed a 4-year undergraduate program at Virginia Commonwealth University, 4 years of medical school training at The University of North Texas Health Science Center, a year of a rotating internship, and a 3-year residency program in ophthalmology at Tulsa Regional Medical ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. In the late 1800s, William Osler stated, “… if you want a profession in which everything is certain, you had better give up medicine.”  He made this observation at a time when the science underlying health care was nascent, and little was understood ...

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As I age, the probability of acquiring yet another health condition seems to, unfortunately, increase. There's always one test or another that is on my to-do list, be it bloodwork, X-ray, MRI, or maybe a CT scan thrown in for good measure. I comply usually with a sense that it is for the benefit of my health, i.e., to enable my doctors to determine the best mode of treatment for ...

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I am a mid-40s female rheumatologist. Fortunately, I consider myself to be fairly healthy; my diet and weight are OK, I run 30 to 35 miles per week, and my only medication is a low-estrogen oral contraceptive that I have been self-prescribing for years. Work and life are busy, and my health maintenance could be better. I have been getting regular mammograms since age 40 (some self-prescribed), maybe I see ...

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I am a small-town family physician, and I am blessed enough to be living my dream. You see, I have always wanted to be a doctor. I cannot think of one other occupation choice that has ever entered my brain. I have wanted this since I was four-years-old, and I can remember in vivid detail telling the world this was what I was destined to be. So what happens when your dream ...

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Anyone familiar with Nintendo's Mario franchise is probably very confused by the title of this blog but stay with me here. My kids have recently become obsessed with Mario. It's brought back great memories from my childhood of playing Super Mario World on the Super Nintendo Entertainment System way back in the day and "Super Mario Bros." before that. As I've assisted my kids in defeating a boss here or there, I ...

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Each year, Medical Economics surveys physician readers to find out what irks them most. Topping the latest list: insurance paperwork, followed closely by electronic health records (EHRs). The reason is the same for both. Insurers and EHRs get between doctors and their patients. When it comes to medicine’s computer problem, the obstacle is literal. Doctors sit behind a screen, focused on the EHR and not the patient. ...

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Have you ever wondered why your personal health information essentially belongs to your health care provider or institution? I mean: why do they keep your information under lock and key, and you have to sign a release to get it? After all, it’s your blood that they just pulled out and tested, it’s your body they just shot up with X-rays or operated on — and you paid for these ...

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