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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

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

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    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, 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
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

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    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician

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