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How Are Dieters Like Congress?

I am mad at congress.

I don’t care if they are Democrats or Republicans, I am sick of healthcare being treated as a political football.  How much more of a crisis do we need before we actually start working on a solution?  Why does each party have to sit on its side of the aisle shooting spitballs at the other?  Each side has its pet issues that are tied to contributors, supporters, and lobbyists.  Each side will work to see the other side fail even if the other side is right.  Each side seems unable to do anything unless there is political value in it.  Power is more important than service, and power is a short-term project. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

Physicians, Technophobia, And Costly Communication Gaps

I was talking to a fellow physician about a mutual patient.  I had information  that would help him in their care and he was taking the unusual step of asking me for my information.  I was impressed.

“Could you fax me those documents?” he asked.  ”Here’s my fax number.”

I scrambled to get a pen to write down his number.  Then I had a thought: “I could email you those documents much easier.  Do you have an email address?”

Silence.

After a long pause, he hesitantly responded, “I would rather you just fax it.”  He said no more. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

The Man Who Died Well


One of my favorite patients died last week.

My reaction to this was not quite what you would think: I smiled.  No, I didn’t smile because of his death; I smiled because of his life.  I smiled because I got to be a part of that life.  His death wasn’t his tragic end, it was the exclamation point to his life.

I am around a lot of death – it’s one of the things that makes being a doctor different from other jobs.  My goal with all of my patients is to keep them healthy, to relieve their pain, and to do my best to keep them alive.  Ultimately, though, it’s a losing battle; 100% of them will eventually die.  That’s why I don’t like statistics about how many people who die due to inadequate doctoring.  Our job is to resist an irresistible force.  We are standing up to the hurricane, the avalanche, the flood. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

Why Educating People Is Rarely Enough To Fix A Problem

Every year it happens: people come to me telling of what they are going to be doing different in this fresh new year.  People are going to stop smoking, start exercising, and (especially) lose weight.  This year, I am among the resolvers.

Every year, most people fail.

Which makes me wonder what it is about us humans that allows us to act against what we know is best.  Why is it that educating people is rarely enough to fix a problem?  Why should we have an obesity “epidemic” when very few people really want to be obese? Read more »

*This blog post was originally published at Musings of a Distractible Mind*

Dr. Rob’s New Year’s Wish List

This past year was a big year.  We got:

  • A new president, whose name rhymes with “llama” (which is cool)
  • A healthcare reform bill (results pending)
  • I got to meet a bunch of bloggers (including the South African blogger, Bongi)
  • I became a podcaster, joining Grammar Girl’s posse
  • Idaho remained in the union despite the underhanded actions of the plumbers’ union
  • The long-awaited sequel to Alvin and the Chipmunks (although I too was disgusted by the violence of the fans)
  • Oprah was still afraid of me, announcing her retirement from TV.
  • Dr. Phil’s badgering phone calls continued.
  • I was on NPR, was in Medical Economics, authored the chapter of a book (forgot to tell you), and bought some really comfortable shoes.
  • I got stressed-out (although not more than Oprah) and took some time off.  People were really nice to me when I did. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

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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