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Last Build Date: Sat, 21 Apr 2018 12:00:27 PDT


How to raise a doctor

Sat, 21 Apr 2018 12:00:27 PDT

An excerpt from How to Raise a Doctor: Wisdom From Parents Who Did It! I know what you’re thinking, I thought this book was about how to raise a doctor, and now this guy is telling me not to raise a doctor! That’s exactly right. I’m telling you to not raise a doctor. Instead, raise a […]

Empowering young women to use their voices in health care

Sat, 21 Apr 2018 08:00:48 PDT

Women’s voices are finally being elevated on a national level to the prominence they deserve on workplace, political, and social issues. But as a physician (and father of two adult daughters), I’m concerned that women may not feel empowered to use their voices for their own health care. A 2015 survey found that only 22 percent of women […]

MKSAP: 62-year-old man is evaluated during a routine visit

Sat, 21 Apr 2018 04:00:43 PDT

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 62-year-old man is evaluated during a routine visit. He is asymptomatic and walks 1 mile most days of the week. Medical history is significant for aortic stenosis, type 2 diabetes mellitus, hypertension, and hyperlipidemia. Medications are aspirin, metformin, lisinopril, metoprolol, […]

Advice for graduating medical students

Fri, 20 Apr 2018 16:00:24 PDT

Since graduations will soon be upon us, this is a graduation speech that I’d like to give one day: Hello everyone, and welcome. To the practicing doctors in the audience, I hope you can look back on your own graduations. To the med students, I hope you can look ahead. And, hopefully, everyone can look […]

A call for cost transparency

Fri, 20 Apr 2018 12:00:21 PDT

Physicians are the building blocks of value-based care, yet the cumulative human and financial cost of our decisions are mostly hidden from us. Instead, our reality is analogous to being on a diet and a budget at a restaurant that doesn’t put prices or calorie counts on the menu. We need and want cost transparency. […]

My first objective structured clinical examination

Fri, 20 Apr 2018 08:00:37 PDT

After a semester of studying and taking written exams, we had our first OSCE in medical school. An OSCE — or an objective structured clinical examination — is the real deal. Instead of filling out multiple choice boxes, we instead work with a real human being, which for me is a welcome change. The actor […]

6 things this physician learned after retiring

Fri, 20 Apr 2018 04:00:22 PDT

In February 2017, I saw my last patient and left clinical medicine. Most people would say I retired. I have chosen to say I have repurposed. I no longer see patients, but I still work. I am writing the Doctors Guide series of books, keeping up a blog and working with physicians who need help […]

Breaking the silence: 3 stories of opioid abuse

Thu, 19 Apr 2018 16:00:57 PDT

When I was 12, my father got into a bicycle accident resulting in traumatic brain injury. Although I was unaware of it at the time, this day became the first day of the rest of my life. Despite having never seen either of my parents so much as have a sip of wine with dinner, […]

Why can’t my doctor get it right? Here are 4 reasons.

Thu, 19 Apr 2018 12:00:23 PDT

When you see your doctor, you want to know what’s wrong, follow the steps to recovery and get predictable results. Sadly, this is not always possible. Medicine is an art based on science that is constantly changing and full of things we don’t know. Here are four reasons why it seems like your doctors didn’t […]

A medical intern’s 3 greatest fears

Thu, 19 Apr 2018 08:00:24 PDT

A 76-year-old gentleman with a history of kidney failure, myasthenia gravis and recently diagnosed with esophageal cancer presented for evaluation of melena and hypotension. The patient was my first admission to the medicine team as an intern, and he was as near to an ICU admission without actually being admitted to the ICU as one […]

How physicians can start lazy side hustles

Thu, 19 Apr 2018 04:00:16 PDT

How do I start a side hustle? I have heard this plea so often, It is no wonder there are many how to blog posts trying to answer this exact question.  As helpful as they may be, most of the ideas espoused are both time and energy-consuming.  For instance, starting a blog is great!  But if you want […]

Outrage at how the health care system “cares” for women

Wed, 18 Apr 2018 16:00:13 PDT

On a weekend night, I received a strange phone call from an emergency room resident. “This is an emergency,” he said, adding fragments of details, “… vaginal bleeding … her heart rate is in the 150s.” It was hard to figure out what was happening and his tone was oddly calm. “Is she in an […]

An awkward encounter with a hypochondriac

Wed, 18 Apr 2018 12:00:50 PDT

A warning about examining your friend’s medical condition. Brad Nieder is a physician and comedian and can be reached at the Healthy Humorist. Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.

Some very old-school medical methods

Wed, 18 Apr 2018 08:00:58 PDT

CPR was first endorsed by the American Heart Association in 1963. When I took a Red Cross Life Saving Course in 1965, we learned about the “chest pressure arm lift” form of resuscitation which worked about as well as burning incense. I began working as an orderly in a community hospital in 1967. You probably […]

Gun violence in America is a multifactorial problem

Wed, 18 Apr 2018 04:00:14 PDT

Let me warn you — I own guns. I love to shoot. And I’m a strong supporter of the Second Amendment. This may seem hypocritical coming from a doctor, but don’t shoot me figuratively speaking, of course — before I make my case. Any mass killing is a horrifying event. Any senseless death is riveting. […]