More in White Coat Chronicles
And what kind of doctor do your patients want you to be?
In the past, many providers would have referred the child to an ER or possibly a local walk-in clinic. Instead, here's where modern technology enters.
A doctor experiences the misuse of a hospital pager.
Why are physicians practicing antiquated medicine without a modicum of evidence or common sense?
The thought of caring for a crying infant wasn't appealing. In fact, it was frightening. We did want to have kids — at some point.
"I know they never taught happiness in medical school, but you deserve happiness just as much as anyone else."
It is certainly clear that alcohol, tobacco products, and fast food don't just harm our physical health.
A primary care physician reflects on the different roles he plays in his patients' lives.
What stands in the way of the doctor-patient relationship?
Farmers have been intentionally changing the genetic makeup of plants for more than 10,000 years.
Presenting to the ER with another MI had become so routine for them that it was almost like just "another day at the office."
One of the most overlooked functions of communication is establishing the patient relationship.
Working with a large number of attending physicians can be one of the biggest difficulties of being an advanced practice provider.
The term clearance implies that a patient can proceed with surgery and will have no risk for complications — which is a fictional state.
Can primary-care physicians keep up with our current economic and regulatory reality?
Today's voice-recognition capability, especially for medical providers, is phenomenal.
Physicians struggle with the non-medical work we are often tasked with.
I am starting to think that our seeming acceptance of drunk driving must be because such a large percentage of the population is guilty of this behavior.
When clinicians write informal prescriptions, their supervising physicians may also suffer the consequences.
A primary care physician sees the peril of pharmacy-owned clinics.
Sometimes we identify too much with our patients and our advice becomes too personal.
The indication? Doctor attitudes and a tendency to complain. One tablet PO TID and QHS. #120, with unlimited refills.
I feel confident that PAs and NPs will continue to play a growing role in the future of primary care.
If you really want to give your fitness and weight loss efforts a boost, track calories — and get enough exercise.
Only way we can build a better health care system is to depoliticize it and put it back into the hands of doctors and patients.
Health-care providers often overlook the unique health needs of lesbian and bisexual women.
Despite the myths surrounding residency, many physicians-in-training are helpful and willing to learn new techniques.
Consider altering your interviewing style to improve relationships with your patients.
Same-sex marriage has positive mental health benefits for gays and lesbians.
A large study connects marriage to improved outcomes for patients with cancer.
Factors such as poverty, income inequality, violence and racism influence public health.
Patients who remain cheerful, despite personal drama, deserved to be recognized for the effort they put in.
It is important for providers to find time to de-stress with enjoyable hobbies.
It's important to counsel your patients on the difference between a Pap smear and a pelvic exam.
Not only do these TV ads stink, but they also drive up the cost of health care.
"There are all kinds of options for encryption that they can take advantage of. It works well."
A physician struggles with his own fallibility.
Doctors fumble with the art of prognosis.
Clinicians have overwhelmingly moved to recognize the implicit biases in their practice of medicine.
It is estimated that between 60% and 75% of adolescents with HIV are not aware of their infection
It may not be in a person's best interest to limit his or her ambulation.
Socioeconomically disadvantaged children have a higher rate of sleep difficulties than children from high-income households.
An easy-to-read handout could help patients overcome their sleep issues.
I found it refreshing that the people in my group were not in the medical field, but instead were diverse both in terms of careers and culture.
The number of distractions pulling physician attention away from where it should be — on patients — has increased.
We need to reconsider how we train our doctors to be sure that they acquire the skills they will need.
What Arthur and his family did not know is that that home visit had at least as much impact on me.
We marginalize people in pain to the point where shooting up black tar heroin under a freeway overpass makes the most sense to them.
Patient evaluations performed through teleconferencing may lack the accuracy of a physical exam.
Commenting about patient behaviors on Facebook is becoming a common practice among clinicians.
This physician discusses her experience with opting out of Medicare and offers advice to physicians considering doing the same.
Battle-worn and weary, we were hungry for news, and any sign that the tide was starting to turn gripped our attention.
I have come to realize is that it was never the sanctity of the exam room, nor the long white coat that droops from my shoulders.
EHRs continue to spread untold misery, and with each year a new EHR comes along that promises to be "better" than the last.
Patients can be confused by such off-label use, so providing informed consent becomes a challenge.
This got me wondering what actual amounts of caffeine are safe to consume, and how much is too much.
But here's the weird thing—photography has helped me to be a better doctor.
Is winning the primary goal? Or should coaches be aware of a bigger responsibility?
To say that primary care physicians are squeezed for time these days is a grossly negligent understatement.
If you've ever dictated a progress note or a discharge summary, you can write an article. Just get the basic idea down to start.
An accent on a particular syllable, even if done unconsciously, is significant and draws attention to hidden information.
I was worried that the hectic, high-pressure process of medical education was somehow diminishing my humanity.
I have noticed that my patients who undergo successful bariatric surgery seem to get divorced at a higher-than-average rate.
The art of medicine doesn't matter anymore. All that matters is checking the right boxes and attaining some minimum customer satisfaction score.
Doctors see patient volumes and administrative burdens increasing in an ever more complex, fragmented, disjointed and dysfunctional system.
A physician laments his last interaction with a patient.
It's time hospitals and doctors re-branded themselves.
One of the goals of the ACA was to end coverage discrimination for preexisting conditions. However, even if it is unintended, the ACA does still discriminate against other groups.
Bravery is the crutch of the buffoon and a poor substitute for knowledge and skill.
I pondered the phenomenon. Why do we perceive time to pass more quickly as we age?
There is no profession more worthy. There is no pastime more challenging. There is no calling more sacred.
Behind every doctor is just a person: You and your doctor have much more in common than what separates you.
There is an increasing body of evidence suggesting at least mild efficacy and safety of certain complementary supplements for specific conditions.
Mindfulness meditation is a frequently studied, complementary tool for managing anxiety, depression, and ill health
Why this physician supports the use of antipsychotics in palliative care.
A physician sings the praises of a much maligned medical institution.
The ever-growing gulf between doctors and patients is due to disjointed, unnatural intimacy.
The fictional story of a dying breed: the independent practitioner.
A physician expresses appreciation of his patient's struggles.
Attempting to make sense of new brand names of medications is more like an exercise in futility.
A physician recounts one of his first experiences with death.
A physician laments the absurdities of Meaningful Use.
Clinicians are often faced with patients who are certain they know what is plaguing them, but it takes courage, concentration, and determination to make the right diagnosis.
A travelling patient experiences the ravages of the primary care health system.
An article was recently published in USA Today discussing the importance or lack thereof of the annual physical exam.
A physician reaches his limit while trying to get a motorized scooter covered by Medicare.
This time of year, several times per day I ask patients if they would like to receive a flu vaccine. This elicits a variety of responses. I am often impressed by the passion that some patients display against the flu vaccine.
The practice of medicine takes time and concentration, something that is often lacking in today's healthcare system.
The doctor-patient relationship can be both rewarding and trying for all parties involved.
We have all seen an increase in direct-to-consumer advertising from pharmaceutical companies over the last several years. Now, durable medical equipment suppliers are getting in on the act.
A private practitioner discusses the benefit of existing in a silo.
In family practice, attention-deficit/hyperactivity disorder (ADHD) is a condition that is diagnosed and treated on a regular basis. Often people express their opinion that it is overdiagnosed and overtreated.
The winds of change are driving primary care physicians out of the hospital.
A physician struggles to reconcile the difficult aspects of doctoring with normal everyday life.
Over the last few years there has been a significant push toward the legalization of marijuana. Marijuana is now legal for medicinal purposes in 23 states plus the District of Columbia. Four states—including Colorado, Oregon, Washington, and the District of Columbia—have now legalized marijuana use for recreational purposes.
A primary care physician opines on how he has become like a nurse to the specialists who see his patients.
A medical student poignantly learns the meaning of humility when dealing with a difficult patient.
Several months ago a colleague asked me to participate in the fundraising event, Dancing With the Doctors, at the Twin River Casino in Lincoln, Rhode Island. He had participated a year earlier and had a wonderful experience.
We are constantly bombarded with messages in the media and in our own minds about things we need to have or do. But what if true happiness lies in needing nothing at all?
A few years ago several of the large pharmaceutical chains started offering automatic refills for convenience. On the surface this seems like a great idea for patients, as they no longer need to call the pharmacy for refills.