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The job of the modern doctor is to convince

Tiredoc, MD
Physician
December 29, 2013

The job of a doctor isn’t to diagnose, prescribe, or examine.  It isn’t to be well read, efficient, or punctual.  The job of the modern doctor is to convince.

We now have radiological studies whose theoretical discernment limit is subcellular.  We can not only map clear and obvious genetic errors of metabolism, but also minor variations of the normal.  In a few years, the majority of codes in the procedure manual will probably be laboratory …

Read more…

The job of the modern doctor is to convince

There is only one reason why I still accept Medicaid

Tiredoc, MD
Physician
December 15, 2013

To err is human. To really screw things up, you need government.

One half of my patient population and one fourth of my receipts are from Medicaid patients. My state has a mandatory balanced budget, which means in this age of perpetual recession Medicaid runs out of money every year.

Last year, my state capped the monthly brand name prescriptions to 1 for the summer. Apparently the information that asthma inhalers and …

Read more…

There is only one reason why I still accept Medicaid

Losing a patient to hospice

Tiredoc, MD
Physician
December 1, 2013

I lost another patient to hospice last week.

She was 49-years-old. Three years ago, she was diagnosed with stage 3 cervical cancer. She was treated with surgery and chemotherapy and went into remission and stayed there until she died. After the chemotherapy, she stayed anemic. She was weak, didn’t take care of her insulin properly and didn’t eat. Her kidneys slowly lost function because of her noncompliance, her HgA1c climbed to …

Read more…

Losing a patient to hospice

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  • Most Popular

  • Past Week

    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions
    • Your doctor saved your life but won’t return your call [PODCAST]

      The Podcast by KevinMD | Podcast
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
    • Why bipolar II is not just a milder version of bipolar I

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  • Past 6 Months

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      The Podcast by KevinMD | Podcast
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      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • A humorous parody of medical specialties and the modern patient

      Sidney J. Winawer, MD | Physician
    • 13.1 reasons running a half marathon beats practicing medicine

      John Wei, MD | Physician
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    • Recurrent sinus infections leave damage beyond your sinuses

      Franklyn R. Gergits, DO, MBA | Conditions
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      Kayvan Haddadan, MD | Policy
    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • 3 reasons credentialing delays push past 90 days

      GetPracticeHelp | Finance
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      Ann Lebeck, MD | Physician
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