As doctors, we have all been guilty of anchoring bias, which means we put too much weight on the first complaint. When a patient presents to the clinic with a complaint that sounds vaguely like a headache due to a sinus infection, we whip out the script pad and write a script for Augmentin. We tell them to return if they are not better in two days. That latter statement …
Work dread. Even if you didn’t know it had a name, you know the feeling. It is that sensation in the pit of your stomach when you realize that the start of your workday or workweek is fast approaching, and you don’t want it to come. Sometimes it begins on Sunday afternoon when you want to be enjoying time with your family. Other times, you might find yourself sitting in …
Modern medicine, a system originally designed to fix acute health care problems, now creates more chronic health care problems than helping to solve them. I see the dangers of over-testing and over-prescribing taking place each day in my day-to-day pediatric clinical practice.
It scares me to see how many doctors reflexively prescribe pills designed to merely mask symptoms rather than take time to understand the underlying cause or that most chronic …
March is Colorectal Cancer Awareness Month. Share these gems with your family, friends, and patients. Take the time to reflect on your personal history and encourage yourself and others to get screened when appropriate.
1. The large intestine or the large bowel consists of the colon, rectum, and anus. The colon and rectum have a cumulative length of 150 cm or 4.9 feet.
2. Gastrointestinal contents are received from the small bowel …
The calls started during dinner.
“I forgot to get my med refilled, and now I’m out. Can you call it in?”
“I’m reading these colonoscopy prep instructions, and I see I was supposed to stop eating seeds a week ago. Should I still take the prep?”
“I haven’t had a bowel movement in three days. What should I do?”
The calls continued during the night. As usual, there were a lot of bowel prep …
The cost of health care in the United States continues to rise, totaling over $3.8 trillion per year. Gastrointestinal diseases contribute significantly to health care costs and were recently estimated to be $135.9 billion annually. Innovation in gastroenterology has traditionally focused on expensive pharmaceuticals, devices, and new procedures. Many of the conditions and …
How did we Americans allow health insurers to dictate how physicians practice good medicine? The hypocritic oath says, “Do no harm.” We should not allow insurance company profits to prevent proper care for patients.
Our insurer is now telling our young adult son, a Crohn’s patient (Crohn’s is not yet a curable disease), who has been in remission since he began taking Remicade over 11 years ago to switch to a …
Hidden in the epigastric region of the abdomen concealed by a curtain of peritoneum is a moody, often forgettable little organ. Of course, the term organ is a somewhat generous description for this rather overqualified gland. The pancreas has its own set of rules as it mischievously lurks behind the stomach waiting for its cue for chaos.
In a moment of theatrical exaggeration, it can go from completely forgettable to a …
May is Celiac Disease Awareness Month. Physicians and others in the medical community need to be more aware of celiac disease. Celiac disease is an autoimmune disease triggered by the ingestion of gluten that affects approximately 1 percent of the U.S. population. However, most physicians didn’t learn much about it in medical school or during training. As a result, physicians don’t include celiac disease in their differential diagnoses and …
As a physician who helps administer and analyze our medical staff’s wellness data, I have been puzzled by one consistent finding from our semi-annual physician wellness survey – the group of physicians with the highest level of distress are the mid-career physicians, those who, like me, graduated from medical school 15 to 24 years ago.
Our hospital, a community-based, semi-academic hospital, utilizes a nine-question survey to track physician’s well-being. Some of …
When a patient is dissatisfied with his or her care, he or she can consult an attorney, who will enlist a physician “expert” to determine if a doctor has deviated from the standard of care and whether that deviation caused a negative outcome. Over the past decade of reviewing cases involving medical malpractice, I have identified five categories of medical error, which has improved how I care for my patients.
1. …
“The blood test shows a genetic mutation at MLH1. You have Lynch.” The words were spoken by my genetic counselor the minute I sat in my chair should have hit me harder, but I only felt numb. I glanced at my closest friend, the person they had insisted go with me to the appointment, and watched as tears filled her eyes. I glanced back at the genetic counselor and the …
An excerpt from 50 Years in the OR: True Stories of Life, Loss, and Laughter While Giving Anesthesia.
Chronic long-term alcoholism causes many health problems, not the least of which is cirrhosis of the liver. In advanced cases of cirrhosis, the liver becomes full of …
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Every death related to anesthesia is a tragedy; even more so when a minor procedure such as a colonoscopy leads to a completely unexpected death. Everyone knows that open heart surgery carries a mortality risk, but few of us walk into the hospital for a colonoscopy thinking that death is a plausible outcome.
We know so few facts at this point about what happened on January 21 at Beaumont Royal Oak …
An excerpt from Scope Forward: The Future of Gastroenterology Is Now in Your Hands.
Over a decade ago, many of us still used landline phones, watched cable TV, rented DVDs, called for taxis, took photos using cameras, and drove over to Borders to browse and buy books. …
“Each morning before the doctors came in for rounds; I’d paint feverishly whatever abstraction came to mind and what evolved from my situation. When I completed my pieces, I felt like I had not only gotten out my frustrations and worry, but also found a place of joy and gratitude. I would put each canvas outside my hospital room, and soon …
“Three Fleet enemas?” I ask the nurse. She isn’t much interested in a conversation with me about anything. She is busy.
“This man, so far as I understand it, does not have a colon.”
It looks to me like they want to reconnect his colon,” she says as if I hadn’t said what I just said.
“I am not a doctor,” I remind her, “but I don’t see how that is possible. Too …
The first five liver transplant recipients were all dead within 23 days. The year was 1963, the surgeon was Dr. Thomas Starzl, and the operations were actually deemed a success for their surgical complexity. Since then, liver transplant (LT) has evolved from an experimental, often fatal procedure to the standard of care for end-stage liver disease (ESLD). Compared to the 0% 30-day survival rate of LT in 1963, the most …
Fat.
One tiny word. One voluptuous, full-figured concept.
Several weeks ago, amidst a conversation regarding the risk factors for cholelithiasis (i.e., gallstones) during a chief concern small group session for preclinical students, my preceptor ushered in an aurally convenient yet unsettling mnemonic utilizing alliteration that has apparently been in the works among medical education for a while now, known as “the 4 Fs”: female, fertile, forty, and … fat.
Yes, you read that …
“I have a riddle,” Paul says, as the dining room falls silent.
“You’re at the bottom of the stairs. And on the wall, there are three light switches labeled one, two, and three. There’s a room upstairs with three lamps, labeled X, Y, and Z.
You can turn on and off as many switches as you want while you’re downstairs, but you can only go upstairs once. And once you’re upstairs, you …
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