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Engaged Patients Make Better Patients

Reflecting on a couple of tough cases I’ve had myself and my girlfriend, who is a rheumatologist, complex cases don’t require complex thinking or complicated workups. It’s Sunday, and you decide to review your patient cases for Monday. 93 yo with recent hospital discharge for sepsis and partial pneumonectomy and a drain in place. WTF. […]

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How Does The Kool-Aid Taste? Standard of Care Practice of Medicine

As physicians, we get a very one-dimensional exposure to the medical sciences. To the family medicine doctor, it’s all about medication management; to the psychiatrist, it’s all about personality disorders; the orthopedist wants to cut; the radiation oncologist wants to radiate; and the interventional cardiologist wants to roto-rooter. But how significant or impactful are our […]

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Striking a Balance – Defensive Medicine & Reassurance

As a family medicine doctor, I get a lot of vague patient complaints, all of which could be something sinister. Got a little tingling on your lower jaw? It could be your snaggle tooth, or it could be Giant Cell Arteritis — defensive medicine vs reassuring the patient. Blame the tooth or go in for […]

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Building An Ideal Practice On The Side

Yesterday, after going to an artist pop-up, we all decided to grab some fancy Mexican food at Casabel, where I met a dude named H. He is an actor and does a lot of theater work. He’s a very fit 47 yo guy, originally from Holland, working as a waiter to fuel his real passion. […]

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Catastrophizing the Practice of Medicine

Got an email from one of the 4 people who follow this blog and this doctor said that after practicing for 30 years he’s just realizing that maybe he’s meant to practice medicine. Imposter syndrome aside and looking past any potential catastrophe we imagine, there is the part where you get paid to care about […]