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Life’s Lessons And Playing Dolls

I’m not very good at the sort of play that grownups enjoy. I almost killed a goose once when I sliced and very nearly combined bird hunting with a golf tournament. I can serve a tennis ball — across the fence and into traffic. I once swung at a baseball no less than 20 times as teammates kept encouraging me.

However, I have a great imagination. Imaginary play was my delight as a child, and I rediscovered it when my own children became my born-again playmates.

Unfortunately, I felt inadequate when it came to dolls. Since my poor daughter, Elysa, is blessed with three older brothers, she’s always looking for someone to play dolls with her. Often, that someone is ‘papa.’ Read more »

*This blog post was originally published at edwinleap.com*

The “Expensive, Overused” ER

I’m always fascinated by the complaints that the emergency department is so overused and expensive. I admit that it is used a lot, and that care can seem expensive. But I want to make it clear that the reasons are myriad.

Whenever we in the specialty say that we feel that patients abuse our services, someone in academia reminds us that only a small number of those patients do not actually have serious illnesses. Whether or not that’s true, one of the reasons we are overused is due to none other than other physicians.

I’ve been paying attention lately to the way physician referral patterns happen. I suspect it’s the same in other facilities. Read more »

*This blog post was originally published at edwinleap.com*

Insurance Or Not, The Patients Nobody Wants To See

In the practice of medicine, as in any human endeavor, we encounter a wide variety of human beings. While thinking about this recently, in light of the passage of the healthcare reform act, I realized something startling that supporters of the bill may not realize: There are some patients that nobody wants to see.

This uncomfortable truth exists irrespective of the presence or absence of insurance. Sometimes physicians are accused of dismissing or avoiding certain patients on the basis of their finances alone. While that problem exists (and I have seen it), a great many of the patients who can’t find (or keep) a doctor simply aren’t much fun to be around, much less to treat. Read more »

*This blog post was originally published at edwinleap.com*

How To De-Stress By Finding Inertia In Your Personal Life

Recently, my wife and I went away for a weekend. I can’t remember the last time we packed our bags and left the children with their grandparents for two whole nights. Frankly, our preference is always to do things with them when we can, because in addition to loving them, we like them! But we decided to seize the moment and take that rare opportunity to go on an extended “date.”

I know that it must have been a while since we had been away, because we couldn’t stop smiling. We laughed and shopped. We ate quiet meals together without negotiating the best restaurant for four children and two adults. We held hands, but no one else was touching us, pulling us in different directions, or asking us to find anything. It was positively, delightfully spooky. Read more »

*This blog post was originally published at edwinleap.com*

What Distinguishes The Emergency Medicine Physician From Other Specialists?

Woof, I used to do some emergency medicine, too!

‘Woof, I used to do some emergency medicine, too!’

Years and years in emergency medicine have given me a very enlightening look at the various specialties that make up the ‘house of medicine.’ I am constantly amazed by the other professionals I meet. It astounds me that pediatricians can manage the tiniest of humans, barely larger than my palm. I am fascinated by the way an orthopedic surgeon can look at a fracture and reconstruct it in her mind; a kind of spatial organization totally foreign to my cerebral hemispheres.

General surgeons can navigate the complex plumbing of the human body and leave it running smooth as silk after injury or cancer. And neurologists are at home with the awe-inspiring, labyrinthine pathways of the human brain. Read more »

*This blog post was originally published at edwinleap.com*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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