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Last Build Date: Sat, 25 Mar 2017 16:00:41 PDT

 



How to fix the NHS. And what the United States can learn from it.

Sat, 25 Mar 2017 16:00:41 PDT

I grew up in the United Kingdom and have friends and family who rely on the National Health Service. I’ve written previously how I believe that, despite the idea of a completely free at the point of use health care system sounding very noble — and there are certainly many great things about the NHS — it’s […]



How peer-to-peer review helps hospitals

Sat, 25 Mar 2017 12:00:42 PDT

The moment that an accreditation team shows up unannounced can spike the pulse of even the most seasoned hospital executive. The next several days will amount to one big exam for the safety and quality of care, as surveyors meet with executives, managers and care teams, and watch first-hand as care is delivered. Make the […]



How a mathematician developed an algorithm to help treat diabetes

Sat, 25 Mar 2017 10:00:31 PDT

When people ask me why I, an applied mathematician, study diabetes, I tell them that I am motivated for both scientific and human reasons. Type 2 diabetes runs in my family. My grandfather died of complications related to the condition. My mother was diagnosed with the disease when I was 10 years old, and my […]



Is nonoperative treatment of appendicitis in children safe?

Sat, 25 Mar 2017 08:00:55 PDT

After writing my 21st post about appendicitis back in November, I swore I would not write about it again for the foreseeable future. Well, the future is now because investigators from the United Kingdom and Canada just published a meta-analysis including ten papers and 413 children about the efficacy and safety of nonoperative treatment for […]



The new generation of physicians will reconcile the patient-provider relationship

Sat, 25 Mar 2017 06:00:31 PDT

There’s absolutely no good reason why Sally should have been in the hospital. Not a day over 60, she had come to the emergency department for severe gastrointestinal pain and was then moved to a bed on the 10th floor of one of the hospital’s two towers. I met Sally (not her real name) during […]



MKSAP: 81-year-old man after a percutaneous coronary intervention

Sat, 25 Mar 2017 04:00:33 PDT

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. An 81-year-old man is evaluated in the office 3 days following a percutaneous coronary intervention with placement of a bare metal stent in the left anterior descending artery for angina refractory to maximal medical therapy. He indicates that he feels well […]



This 2-minute video shows you why you need a colonoscopy

Fri, 24 Mar 2017 16:00:51 PDT

March is colon cancer awareness month. Created by gastroenterologist Amit Sachdev, this video was selected by the American Society of Gastrointestinal Endoscopy as part of their colorectal cancer screening campaign.  Enjoy. Image credit: Shutterstock.com Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.



Why the American Health Care Act must be stopped. Now.

Fri, 24 Mar 2017 12:55:11 PDT

When I tweeted this on Monday morning about the House GOP bill to “repeal and replace” the Affordable Care Act, I had no idea that it would result in me appearing on MSNBC’s Last Word with Lawrence O’Donnell or that it and my other tweets would be referenced by NBC News, a New York Times editorial, or for […]



The American Health Care Act isn’t perfect. It’s pragmatic.

Fri, 24 Mar 2017 12:45:34 PDT

The CEO of the Mayo Clinic, Dr. Noseworthy, was last heard recommending patients fire their physicians suffering from burnout. While he does not have truckloads of compassion or empathy for colleagues; he is, at least, honest. Dr. Noseworthy recently confessed, “We’re asking … if the patient has commercial insurance, or they’re Medicaid or Medicare patients, […]



Physicians must speak out on heath reform to make a difference for patients

Fri, 24 Mar 2017 12:32:30 PDT

Uncertainty surrounding health system reform and the future of the Affordable Care Act has left many physicians with questions about how current proposals will affect them and their patients. Stakes could not be greater for patients who may again face the stark, life-or-death choices arising from the possible loss of health insurance. As a longtime […]



Help me help you: I’m not a politician. I’m just a doctor.

Fri, 24 Mar 2017 12:27:33 PDT

At this point, much has been made of the health care bill the Republican administration has put forth to replace the ACA. We’ve heard the details of the bill, we’ve seen the numbers. We know that the U.S. Congressional Budget Office has forecast that 24 million more people will be uninsured by 2026 if House […]



A tribute to the pharmacist

Fri, 24 Mar 2017 12:00:57 PDT

Dear pharmacist, You just paged me and, I must admit, I’m not feeling excited to call back. I estimate that I probably get paged, called, texted or stopped in person by you exactly X·102 per day, where “X” is the number of days I’ve been on service. Despite all of the interactions over the years, […]



Let’s pay doctors like we do athletes

Fri, 24 Mar 2017 10:00:21 PDT

  Think about it; athletes aren’t the ones who document their performance. It’s other people that keep the score. That’s a whole science in itself. People talk for hours after the game or tournament is over about how each athlete did this or that in whatever way they did it, and the numbers are in […]



When anyone can be a cancer doctor

Fri, 24 Mar 2017 08:00:24 PDT

Earlier this month, a mourning widower stormed the office of the physician who had been providing life-saving cancer therapy to his young wife which failed. He shot and killed him. Or did he? Before judging, let’s examine the facts associated with this case. 1. Juan Gonzalez, BCND was not a medical doctor. In fact, his […]



A hospital, a stranger and a bottle of beer

Fri, 24 Mar 2017 06:00:58 PDT

Once upon a long 18 years ago, I got sick. I was sick from a growth in my brain. The growth was found after I’d shuttled from doctor to doctor, from appointment to appointment, from X-ray to scan. It took a year. By then, my pain was clothed in shame. Undiagnosed pain does that: It […]