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Last Build Date: Fri, 09 Dec 2016 12:00:02 PST


We must cross the political divide for the sake of our patients

Fri, 09 Dec 2016 12:00:02 PST

I spent the evening of the 2016 presidential election and the morning after on an emotional rollercoaster. It began high and then descended into shock, disbelief and grave concern about the future of our country. Now that we have selected a candidate who intends to take the country in a radically different direction, and I […]

Don’t judge anti-vaxers. Talk to them.

Fri, 09 Dec 2016 10:00:03 PST

When you hear people say, “I don’t want to vaccinate my kid. Why would I give them autism?” It’s hard not to get upset and meet your patients with some judgment. John and Carly were middle-class Americans that had a lot of misconceptions about vaccines — mostly from the media. They loved their two-year-old daughter […]

Why we must temper our unregulated free-market philosophy in health care

Fri, 09 Dec 2016 08:00:20 PST

Quick, name the most watched, financially successful and competitive sports league in the United States? The NFL. Right? Now, name the most tightly regulated, transparent sports league, one that has a multilayered system of wealth redistribution and the one of the strongest unions of any profession in the United States? The NFL. Surprised? Continue reading […]

End-of-life decisions aren’t any easier for a doctor

Fri, 09 Dec 2016 06:00:54 PST

As an internist and geriatrician, I deal with elderly patients all the time. We always end up talking about end-of-life issues: “Should I be resuscitated if my heart stops and I stop breathing?” “Do I want a feeding tube or gastrostomy tube if I stop eating and require nutrition?” “Should I be kept alive on […]

How this medical intern deals with stress

Fri, 09 Dec 2016 04:00:35 PST

Tests and exams are the most challenging part of campus life, especially when it is in medical school where students will frequently encounter different types of examinations. One of the things which makes it special is that in medical school, exams are not only given as a written examination but also as oral and practical […]

This liberal physician wants to give Tom Price a chance. Here’s why.

Thu, 08 Dec 2016 16:00:40 PST

Recently, President-elect Trump selected Rep. Tom Price, MD to lead the Department of Health and Human Services.  Suffice it to say, this signals Mr. Trumps’ resolve and commitment to definitively repealing and replacing.  Dr. Price has already sunk his teeth into health care reform, having proposed alternative health care solutions in every Congressional session since […]

Endorsing Tom Price: Does the AMA owe us an explanation?

Thu, 08 Dec 2016 15:59:18 PST

On Tuesday, November 29, President-elect Donald Trump named Dr. Tom Price, a former orthopedic surgeon, current Republican congressman, and chair of the House Budget Committee, as his pick for Secretary of Health and Human Services. The same day, the American Medical Association issued a press release enthusiastically endorsing Price for the position. The next day, […]

A patient’s hypertension and the war on science

Thu, 08 Dec 2016 12:00:01 PST

Madame Laurent came to my office one day last year with bloodshot eyes and a two-day headache. She’s well known in our clinic – kind to all the staff and always smiling even when she’s in pain. Despite a stroke a few years ago, she is mentally sharp, often able to read what I want […]

What does a doctor’s white coat really mean?

Thu, 08 Dec 2016 10:00:04 PST

For a century, the white coat has been the symbol of the medical doctor. Today, the vast majority of medical schools in the U.S. begin with a white coat ceremony. There, the fledgling, future doctors stand together and recite a modified version of the Hippocratic Oath before being called up one-by-one to receive the white […]

Please dear doctor, give me my results. My life is on hold.

Thu, 08 Dec 2016 08:00:19 PST

You will probably never meet me in person. Your name will be on the bill my insurance receives from the hospital. Your signature will be on the line after the end of the report as you mumble report after report into the system. You will never know my story. I am my organs to you; […]

What’s at the root of physician burnout?

Thu, 08 Dec 2016 06:00:11 PST

Physician burnout has received a lot of well-deserved attention lately. Characterized by emotional exhaustion and professional frustration, it’s tied to an array of adverse consequences, from physician suicide to poor patient outcomes. Organizations are waking up to the need to measure its prevalence and ameliorate its impact. There seems to be two broad schools of […]

Why this emergency physician is thankful this holiday season

Thu, 08 Dec 2016 04:00:19 PST

I hugged them longer than any 10- or 11-year-old wants to be hugged by their mom, and tried not to cry tears of gratitude that they were in my arms. The last kid their age I saw was the one I had resuscitated and admitted to the PICU just hours before, and it took my […]

Why this physician chose internal medicine

Wed, 07 Dec 2016 16:00:37 PST

On November 1973, I had an epiphany.  My first week on my internal medicine clerkship, I realized that I had found my specialty: internal medicine. Prior to medical school, I had worked with emotionally disturbed children in an inpatient hospital.  I really enjoyed the experience, and learned a great deal.  During my first two miserable […]

An emergency physician’s brush with death

Wed, 07 Dec 2016 12:00:16 PST

One of the terrible things about being a physician who has spent his adult life working in emergency rooms is that you have a certain terrible clarity about the dangers of this life. It’s why we’re forever pestering our loved ones with phone calls and texts: “Are you there yet!” Or telling the children, “Be […]

Is there sex after cancer?

Wed, 07 Dec 2016 10:00:24 PST

Ten years ago, I first met this patient, newly diagnosed with intermediate-risk prostate cancer. As I walked into the examination room, I was struck by the juxtaposition of his wife, crumpled in a chair and weeping silently, with the patient himself, pacing the 12′-by-4′ room with a look of either anger or frustration. This difference […]