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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

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
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      Radhesh K. Gupta | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
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  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

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      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • AI-enabled clinical data abstraction: a nurse’s perspective

      Pamela Ashenfelter, RN | Tech
  • Recent Posts

    • Ambiguous billing rules threaten every doctor in practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Deprescribing in health care: Why less medication can be more

      American Medical Association & John Whyte, MD, MPH | Meds
    • What the folinic acid retraction means for autism treatment

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      Farid Sabet-Sharghi, MD | Conditions

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