Not only have we shortened medical appointments to 15 minutes — we sometimes double book them.
I get the feeling that non-providers think of this as something fairly ordinary, and even reasonable. But it is often a very difficult and destructive thing to do.
The term “double booking” and the way it looks in an ordinary doctor’s scheduling grid suggest that the physician might possibly be expected to be in two places …
Another child has been severely harmed by a naturopath—this time, in the UK.
A four-year-old boy with autism received naturopathic treatments that landed him in the emergency room. The boy had severe dehydration and dangerously elevated calcium levels. A naturopath had prescribed a regimen of vitamin D, calcium, cod liver oil, zinc and a long list of other substances that included silver, enzymes, salts and trace minerals
As a …
As an internal medicine physician, the #3 question people most often ask me is why I chose to be an internist. (The top two being “What is internal medicine?” and “What’s this thing growing on my genitals?”) So I thought that I would pull back the curtain and show how I made my decision.
According to Wikipedia, “Internal medicine or general medicine (in Commonwealth nations) is the medical specialty dealing with …
Waiting to get help to improve your life and relationship is like waiting for the cancer to spread. You feel a lump on your body. Do you wait a few months to see if it gets bigger? Do you make an appointment right away? Do you avoid making an appointment altogether and hope it just goes away on its own?
Many times, we wait until after the divorce, after the accident, …
I was working at the free clinic late in the first semester of my third year of medical school when I met a patient I will call Mary, the last patient to be seen for the evening. Mary had a fairly typical story among uninsured individuals. She was 26 years old and worked three jobs near minimum wage to make ends meet, none of which offered cost-sharing for health insurance. …
I quickly finished my day’s work in the resident’s clinic (documentations, relaying results) and raced home to hurriedly double check the list of things that I would need for my week long medical mission in Roatán, Honduras.
The air was frigid, and my pace matched the wind. In the 2-hour car ride to the airport, my mind was alive and restless; making mental note after mental note about our endeavor but …
Once upon a time, there was a land where parents were anxious, information was pervasive, and trust was hard to come by. Misinformed celebrities with impressive influence (despite minimal education) were spouting ideas that provided concrete solutions to poorly understood situations, and parents were clinging to them as if their (child’s) life depended upon it.
Pediatricians everywhere were scratching their heads, wondering, what has happened? Why are our patients doubting us? …
As a physician, I knew exactly what was happening when I walked into the emergency room. My eyes were nearly swollen shut. My throat was closing. I was in the midst of a severe allergic reaction known as anaphylaxis. I urgently needed epinephrine, a potent medicine that could halt my life-threatening symptoms. When I told the nurse what was happening, she rushed me to the trauma room where doctors and nurses encircled …
When we think about the technology revolution, we often get excited at the thought of getting what we want instantly. We wait in line for new smartphones. We instant message. We love fast. Getting something done faster, with as good a result, is usually seen as a virtue — unless one is a doctor.
In these times of fast information, we find ourselves bombarded with surveys. Part of the downside of …
Growing up during the 1970’s and 80’s, Little House on the Prairie was an iconic part of my childhood. Doc Baker was the physician and veterinarian for all of Walnut Grove, in spite of limited resources. Medical lessons were everywhere in the beloved television series: Mary experiencing onset of blindness (most recently attributed to viral meningoencephalitis, likely from measles), the death of Laura’s infant son by unknown cause, and Rose’s …
Ah, EMTALA! The revered Emergency Medical Treatment and Active Labor Act! It’s one of those things which is like a nursery rhyme to emergency medicine folks like me. We’ve heard about it from the infancy of our training. “And then the bad doctor sent the poor lady to another hospital because she couldn’t pay! And the King came and crucified him for doing it!” The end.
EMTALA, for the uninitiated, is …
I recently watched the movie Sully. It was the first time I’d ever watched a movie on its actual release date. Knowing what a legendary actor Tom Hanks is, and what a fascinating and near-tragic story unfolded on January 15, 2009, I felt confident that my choice to venture out to the cinema on a beautiful Boston September evening, would be a good one.
The movie sure didn’t disappoint. Brilliantly directed …
Early on a random Tuesday morning, I walked into the burn unit and found my 87-year-old patient, Mr. Gray, in septic shock. While Mr. Gray’s burn injury was small by our standards, it appeared that the sequelae of the injury might prove fatal. I called Mr. Gray’s wife to obtain consent for a vascular catheter through which I planned to begin continuous dialysis and was surprised when she declared, “No …
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I was seeing a patient who brought me a bag of supplements she bought from another specialist. I looked skeptical and then she pulled out the list of lab results the other doctor ordered on her. I reviewed the results with her and asked why all these tests were ordered in the first place, some of which I had never ordered in my life. She said she told the specialist …
Do doctors make too much money?
I don’t think so. I read with great interest the blog by Dr. Michael Kirsch defending physicians’ salaries: “If you think doctors make too much money, think about this.” Unfortunately, the public’s perception of physicians’ incomes has been that physicians make too much money.
Whenever I hear this remark from patients or even non-physicians, I show …
“Any alcohol use? Any tobacco use? Any other drugs?”
These are the three main questions that most health care providers ask their patients when documenting a social history on a note.
“What stressors do you have in your life? What social support do you have? What is your home life like? What do you do for fun? Do you wear a helmet when you ride a bike? Do you wear a seatbelt?”
I …
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My mother-in-law died last week.
She’d single-handedly raised two sons on a social worker’s salary after the love of her life, her husband, died with metastatic melanoma. After her sons left home, she stayed alone on the farm in the middle of nowhere. When she turned 73 and felt the swell of grandmotherly love in her chest, she moved to the city to help raise her first set of grandkids, now …
The month of September has been Women In Medicine Month (according to the AMA) since 1989.
Statistics are always telling:
I write this while sitting in our sailing catamaran, swaying in the wind and current eight feet above sand and sea grass. I know this because I can see right through the water in the Bahamas. There is clarity here.
When I started this journey thirteen months ago, I was burning with anger. I was angry at insurance companies for developing complex, mutable formularies, coverage policies, and appeal procedures, maximizing my …
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Think keeping your life organized is hard? Try keeping your doctors organized.
In this era of fragmented health care, patients find themselves in the impossible position of having to coordinate their care themselves — a task that many can’t meet. Having multiple chronic medical conditions often means being subjected to a dizzying assortment of specialists, medical terminology, and tests that can quickly overwhelm patients.
How many times have you found yourself in …
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