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Last Build Date: Sun, 21 Jan 2018 12:00:07 PST


13 things every doctor wants their patients to know

Sun, 21 Jan 2018 12:00:07 PST

1. We worry. We lie awake worried sick about you more often than you’d think. The stakes are so high, and we know it. 2. We wonder. I ran into a friend who’d met a patient I’d had sixteen years earlier. She gave me some follow-up, and it made my day — maybe my month. It was […]

A near-death experience taught this medical student a lesson

Sun, 21 Jan 2018 08:00:47 PST

I had just taken my final anatomy exam and finished a long two-month ordeal dissecting through and memorizing every component of the human body. At the beginning of the course, I had been excited, energized, honored to commence such a foundational experience in medical training. By the end, I was exhausted, wanting nothing more than […]

Physicians: Beware lifestyle inflation

Sun, 21 Jan 2018 04:00:16 PST

At some point in our lives, most of us have learned to live on very little.  For example, if you’ve ever been a college student, you’ve mastered the art of living in the same house with a dozen other people, finding free meals, and using public transportation. Back in the early 2000’s, when I was […]

10 ways this primary care physician will work smarter in 2018

Sat, 20 Jan 2018 16:00:28 PST

I don’t regularly make any New Year’s resolutions, but this year I am tossing around a couple of ideas. One reason is that I have so many things going on that I need to be clever about how I use my time. I work four days a week at my regular clinic, and I also […]

What a toddler can teach physicians about the stock market

Sat, 20 Jan 2018 12:00:44 PST

We are now almost 2 1/2 years into this parenting thing. It is a pretty amazing thing, raising a toddler. There are a lot of awesome days, watching him learn and explore his surroundings. The sentences that are coming out of his mouth now are pretty wild. He is funny, has a good amount of […]

If politicians really want to address the problems in health care, this is what they should do

Sat, 20 Jan 2018 08:00:10 PST

Americans witnessed the many failed attempts of our elected officials to reform our broken health care system over the past year. Some call for repealing and replacing the Affordable Care Act (ACA) while others think it is the cure-all for what ails our system. The simple fact that politicians fail to consider is the fact […]

MKSAP: 55-year-old woman after bariatric surgery

Sat, 20 Jan 2018 04:00:34 PST

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old woman is evaluated during a routine examination. She underwent biliopancreatic diversion with duodenal switch 8 years ago for treatment of obesity-related complications and lost 68.0 kg (150.0 lb) in the first year following surgery. Her weight has been relatively […]

Young surgeons are learning robotic surgery in the shadows

Fri, 19 Jan 2018 16:00:27 PST

Artificial intelligence and robotics spell massive changes to the world of work. These technologies can automate new tasks, and we are making more of them, faster, better and cheaper than ever before. Surgery was early to the robotics party: Over a third of U.S. hospitals have at least one surgical robot. Such robots have been in […]

5 ways poorly thought out health IT can worsen patient safety

Fri, 19 Jan 2018 12:00:11 PST

The frontlines of health care have been transformed over the last decade as electronic medical records have been rolled out across America. Unfortunately, information technology has yet to live up to its immense promise in health care­ — a topic that I frequently write about. As somebody who has worked with every single major EHR […]

A 16-page note with little information to help physicians

Fri, 19 Jan 2018 10:00:07 PST

My pediatric practice is one which harkens back to days long ago when physicians knew their patients and pertinent medical histories by heart. My 81-year-old father and I were in practice together for the past 16 years; he still used the very sophisticated “hunt and peck” to compose emails. The task of transitioning to an […]

Women in medicine: Getting to this point came at a cost

Fri, 19 Jan 2018 08:00:21 PST

Sometimes life just walks right up and slaps you in the face. It happened to me while attending the dynamic FIX17 conference in NYC, and it led to an epiphany: At the ripe old age of 59, I am officially a dinosaur. I was giving a talk on the history of women in medicine. Passionate about the […]

Please show more interest in your health than my looks

Fri, 19 Jan 2018 06:00:33 PST

In 2017, more women than men were accepted into medical school for the first time. 2017 also brought attention to the sexual harassment many women face that often goes ignored. Medicine is not immune to behavior that objectifies women and ignores their complaints. My experiences are mild in comparison to many of my peers, but […]

The story of how this physician got into debt

Fri, 19 Jan 2018 04:00:37 PST

When I was a young lad, just heading off to college, I had no debt. I had no credit cards. My family didn’t use debt for purchases other than buying our house. I really didn’t have any knowledge about how to best use debt. My student loan package included a scholarship, a work-study program and […]

Solving major problems in medicine through innovation

Thu, 18 Jan 2018 16:00:20 PST

Solving major problems in medicine through innovation can be boiled down to a process that teaches doctors how to be inventors. It’s called biodesign. In this episode, surgeon David Hindin  traveled to Silicon Valley to visit Stanford University and learn more about their biodesign program. Your patients are rating you online: How to respond. Manage […]

Physician burnout is caused by systems problems. Here’s how to fix that.

Thu, 18 Jan 2018 12:00:42 PST

I am very resistant to burnout solutions that focus solely on the individual, as these seem to imply that the problem originates in the affected person. This approach pokes at a sore spot, because of the years I spent secretly worried that the reason I left practice was personal weakness or inadequacy, something I lacked […]