As a medical specialist I like to stay in my lane. The patient may have heart disease, kidney failure, and emphysema but I try to only address the infection for which I am consulted. Well, I saw a patient for follow-up in the office the other day. He had multiple medical problems and had been […]
A Guide to Your Annual Physical Exam
I admit I’m increasingly frustrated with people who vilify physicians out of ignorance and misinformation. Case in point. A fictional patient with hypertension has a health insurance program that allows for a “free” annual physical exam. You know, one without a co-pay or deductible cost to the patient. He makes an appointment, sees his physician, […]
The Care of the Patient (Peabody)
I recently attended an excellent Grand Rounds on Palliative Medicine. The speaker quoted Dr. Francis Peabody’s “…for the secret of the care of the patient is in caring for the patient” while apologizing for using a quote that “we’ve all heard over and over, I’m sure”. Well, I’m guess I’m one of those in medicine who […]
Patient Satisfaction Linked with Higher Healthcare Costs and Mortality
The other day, a few physicians were discussing frequent fliers, patients who when discharged from the hospital find their way back to an inpatient status within days and sometimes within hours. Such patients are notorious for threatening to sign out of the hospital AMA (against medical advice) when refused pain medications for example, despite having […]
Happy 200th Birthday to NEJM
200 years ago today, January 17th 1812, the New England Journal of Medicine and Surgery and the Collateral Branches of Science was born. The oldest continuously published medical journal in the world adopted its current name, the New England Journal of Medicine, in 1928 and has remained one of the most authoritative medical journals with […]
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