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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

    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Whole-body MRI screening: a radiologist’s guide to preventive scans

      Amit Newatia, MD | Physician
    • Debunking 4 myths about fertility treatments for women of color

      Ilana Ressler, MD | Physician
    • Insulin resistance is a survival mechanism, not a broken system [PODCAST]

      The Podcast by KevinMD | Podcast
    • How artificial intelligence sycophancy distorts clinical decision-making

      Arthur Lazarus, MD, MBA | Tech
    • How competency-based education is driving medical education reform

      Ben Reinking, MD | Physician
  • Past 6 Months

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      Stephanie Waggel, MD | Policy
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      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Recent Posts

    • How artificial intelligence sycophancy distorts clinical decision-making

      Arthur Lazarus, MD, MBA | Tech
    • The dysfunctional medical malpractice marketplace and tort reform

      Howard Smith, MD | Physician
    • The cost of time constraints in primary care: Why doctors feel rushed

      Ann Lebeck, MD | Physician
    • Medicine and the United Nations Sustainable Development Goals

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      Rao M. Uppu, PhD | Tech

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