Obesity is America’s self-inflicted preexisting condition

Consuming too many potato latkes and Christmas cookies has left its mark on our waistlines. Unfortunately for Americans and their medical care, the seasonal overeating seems to last all year. Indeed, the American Medical Association has declared that o…

Patients Want A ‘Good Death’ At Home, But Hospice Care Can Badly Strain Families

Fewer Americans are dying in a hospital, under the close supervision of doctors and nurses. That trend has been boosted by an expanded Medicare benefit that helps people live out their final days at home in hospice care. But as home hospice grows, so has the burden on families left to provide much of the care.

Patients Want A ‘Good Death’ At Home, But Hospice Care Can Badly Strain Families

Fewer Americans are dying in a hospital, under the close supervision of doctors and nurses. That trend has been boosted by an expanded Medicare benefit that helps people live out their final days at home in hospice care. But as home hospice grows, so has the burden on families left to provide much of the care.

A quick CT scan for the frail and elderly

First, you have to call up your daughter to pick you up and take you to the lab. It’s hard for the nurse to find your vein. The pain from his fishing around in your arm is not nearly as bad as the pain you always have in your hip, and back, and shoulde…

Are physicians allowed to be human?

I knew Friday was not going to be a good day. A leak in the ceiling of my family room.   A pet who would need surgery.  I was already stressed well before Friday. But at work, the issues started on Thursday with an osteoporotic patient for whom I had r…

This is a real problem in our ER. This is a real problem nationwide.

One of the largest problems in our ER, it seems, is that there is a subset of patients who visit us on a routine basis. Commonly known as “the regulars,” these familiar faces are sprinkled throughout our day between all our other patient vi…

What to do if your doctor is excessively egotistical

Egotism is a common trait among doctors, although most of us keep it under adequate control when dealing with patients. The ideal doctor-parent encounter has been described as a collaboration among equals, each of which brings expertise to the exchange…

Why sometimes you need to be your family’s doctor

My uncle died last year. As physicians, we are all too familiar with death. Even if we are practicing primary care, we are touched by death and the line between life and death. That patient who had what statistically should’ve been acid reflux, but who…

Why sometimes you need to be your family’s doctor

My uncle died last year. As physicians, we are all too familiar with death. Even if we are practicing primary care, we are touched by death and the line between life and death. That patient who had what statistically should’ve been acid reflux, but who…

The power of peer mentorship in medicine

If you asked me five years ago what my career goals were, I may have said something about getting more grant funding and writing more manuscripts so I could eventually become an independently funded physician-scientist. But honestly, at that time, I ha…

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