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Last Build Date: Fri, 30 Sep 2016 16:00:55 PDT

 



I don’t apologize for being a fast doctor

Fri, 30 Sep 2016 16:00:55 PDT

When we think about the technology revolution, we often get excited at the thought of getting what we want instantly. We wait in line for new smartphones. We instant message. We love fast. Getting something done faster, with as good a result, is usually seen as a virtue — unless one is a doctor. In […]



The statin wars expose 2 factions in medicine

Fri, 30 Sep 2016 12:00:35 PDT

It is the beauty of evidence-based medicine (EBM) that a scientist can at once be a Pope and a Galileo. His transmutation is as effortless as it is discretionary. If you think you’ve met Galileo — a rebel, a free thinker, a rocker of the establishment — the following week he is a Pope, castigating […]



Patients want to make their own informed choices. We need to let them.

Fri, 30 Sep 2016 08:00:42 PDT

Growing up during the 1970’s and 80’s, Little House on the Prairie was an iconic part of my childhood.  Doc Baker was the physician and veterinarian for all of Walnut Grove, in spite of limited resources.  Medical lessons were everywhere in the beloved television series:  Mary experiencing onset of blindness (most recently attributed to viral […]



Physicians can lead from the bedside

Fri, 30 Sep 2016 04:00:56 PDT

A recent movie series called Divergent depicted a dystopia that created five factions: Abnegation (selflessness), Dauntless (bravery), Erudite (intellectual), Amity (peaceful or charitable), and Candor (honest or just) or Divergent (a unique combination of traits that thinks for the whole more seamlessly). This movie’s premise made me wonder: What faction would a modern day doctor […]



How Captain Sully inspired this physician

Thu, 29 Sep 2016 16:00:25 PDT

“I’ve had 40 years in the air, but in the end, I’m going to be judged by 208 seconds.” This is a line spoken by Tom Hanks, who played the title role of Captain Chesley “Sully” Sullenberger. I remember being on Twitter on Thursday, January 15, 2009, when I started seeing pictures of a plane […]



The Hamilton lyrics that resonate with this trauma surgeon

Thu, 29 Sep 2016 12:00:12 PDT

Like much of America, my family is obsessed with everything Hamilton. We jammed to the soundtrack all summer. The season culminated with a late August trip to the show which I described on social media as the best day of my life. Seeing the show, the actors, the set, and choreography, come to life with […]



3 Dutchmen walked into an eye clinic and the rest is history

Thu, 29 Sep 2016 08:00:03 PDT

As a severe myopic, it is no wonder I have always had a certain interest in ophthalmology. And just the other day I had reason to ponder the peculiar Dutch dominance in the history of optics and ophthalmology. When I was a nearsighted young school boy in Sweden, my mother brought me on the bus […]



It’s time to unbreak healthcare

Thu, 29 Sep 2016 06:31:13 PDT

ZDoggMD’s latest.  It’s time to start a movement. #unbreakhealthcare Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.



6 unintended consequences of online doctor reviews

Thu, 29 Sep 2016 04:00:44 PDT

Online reviews for doctors are here to stay. Letting patients review their doctor sounds great right? What could go wrong? That being said, there are several things that reviews do that is, in fact, damaging to the care of patients in medicine.  Here are six things that many physicians now do in the world of […]



Being ashamed to acquire knowledge is a tragedy

Wed, 28 Sep 2016 16:00:43 PDT

I began one of my medical oncology rotations alongside my co-resident: an MD/PhD, fast-track (pre-matched into fellowship) future oncologist. Among my three interns that rotation, two were “Harvard kids.” Needless to say, I was intimidated. My colleague and counterpart not only had the entire catalogue of genomic alterations at the tip of his tongue, he […]



The medical histories of Hillary Clinton and Donald Trump shouldn’t be a big deal

Wed, 28 Sep 2016 12:00:32 PDT

When you are 70 years old, you are bound to have some medical problems, so I am not sure why the media and the public are making a hoopla about the medical histories of Hillary Clinton and Donald Trump. For an elderly patient, my usual medical dictation reads “Mr. A is a 70-year-old former truck […]



When EMTALA forms meet EMRs, chaos can ensue

Wed, 28 Sep 2016 08:00:28 PDT

Ah, EMTALA! The revered Emergency Medical Treatment and Active Labor Act! It’s one of those things which is like a nursery rhyme to emergency medicine folks like me. We’ve heard about it from the infancy of our training.  “And then the bad doctor sent the poor lady to another hospital because she couldn’t pay!  And […]



Sharing medications happens more often than we think

Wed, 28 Sep 2016 04:00:57 PDT

Many men experience significant erectile problems after having a radical prostatectomy, and many of the men treated by the urologists I work with eventually land in my office. We talk frankly about the quality of their erections before the surgery, what they are like now, and what they have tried to do to resolve the […]



I wish my patients knew

Tue, 27 Sep 2016 16:00:31 PDT

Referencing a recent New York Times article “What Kids Wish Their Teachers Knew” got me thinking about both sides of the coin.  Physicians are human beings and sometimes this fact gets lost when a patient is angry or frustrated seeking help from the medical system.  Here is a primer on what I wish my patients […]



The value of a spiritually competent doctor

Tue, 27 Sep 2016 12:00:29 PDT

Whenever he meets with a new patient, Harvey Chochinov likes to ask one important question: “What should I know about you as a person to help me take the best care of you that I can?” It’s a question every doctor should ask, says Chochinov, author of Dignity Therapy and director of the Manitoba Palliative […]