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A New Form Of Blogger’s Block

bloggerblockTrying to get some early morning writing in… but having a hard time reaching the keyboard with both hands.

This is a new, feline form of blogger’s block! (I’m sure Kerri @sixuntilme knows what I’m talking about).

Happy weekend…

Dr. Val

Is Medicine No Longer A Calling?

As I sit here in a medical innovation conference – I find myself becoming more and more angered by one of the speakers. A man with an MBA and fancy title from PriceWaterhouseCoopers is lecturing us about how doctors are essentially money-grubbing, change-resistant, quality-care avoiding “pains in the you-know-what,” obstructing progress in healthcare reform and blocking technology adoption.

His lack of understanding of the complexity of medical care was breathtaking. And yet, he expresses a sentiment that I’ve witnessed all too many times.  Here are a few choice quotations: Read more »

The Friday Funny: Odd Hiking Signage

beware-of-missing-foot

Much Ado About George: My Father In Law’s Trip To The ER

georgezMy father in law is 83 years old. He has high blood pressure, high cholesterol, and occasional “senior moments.” He rarely complains about anything, and spends most of his time doing household chores, playing with grand kids, and watching TV. So it was with some degree of concern that I raised my head from my morning cereal when George announced at the breakfast table that he was having chest pain.

I looked at him with narrowed, clinical eyes and began asking the usual rule out MI type questions – did it feel like pressure? Where was the pain exactly? When did it start? Does anything make it better or worse? Does it radiate down your arm or up your jaw? Have you ever had this pain before? How severe is it on a scale of 1-10? Read more »

Reflections On World AIDS Day – Our Global Dilemma

world-aids-dayWhat does America’s economic recession have to do with a school teacher in Kenya? A lot more than you realize. If there’s one thing I learned at the World Bank’s World AIDS Day event yesterday, it’s that our lives, economies, and health are all inextricably intertwined on a global scale.

Beldina Atieno (second from the left in the photo) traveled all the way from Nairobi to offer her first hand account of life as an HIV+ school teacher in Africa. Ms. Atieno’s story was both heart-wrenching and eye-opening. She was first diagnosed after her youngest daughter became very ill from an opportunistic infection, which prompted HIV testing in both daughter and mother. After discovering that they were both positive, she was abandoned by her husband and was plunged into poverty and despair. Read more »

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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