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A Humorous ER Admission For Marijuana Use

Whenever drugs are involved in a patient’s admission, the outcome is either craziness or comedy.  Methamphetamines and cocaine seem to be the popular drugs of choice requiring admission. These people are usually angry and agitated.  However, it seems like pot humor always adds a little touch of the unexpected to an otherwise boring admission.

Take for example the 27 year old truck driver who was brought in by his roommate for “acting weird’. What happens when you mix a little marijuana and a little alcohol?  You get Happy’s pot humor post of the day. Read more »

*This blog post was originally published at The Happy Hospitalist Blog*

Insurance Rules And Overprescribing Expensive Drugs

I have yet another example of how third party insurance rules obstruct efficient patient care. I was asked to see a patient with fibromyalgia who was asking about about the drug Lyrica she heard about on television (one example of how direct to consumer marketing increases health care expenses).  Lyrica is about the only medication approved by the FDA to treat fibromyalgia.  I don’t know if it really works or if it’s just an expensive placebo effect.

Maybe fibromyalgia is all in the head, and that’s why this medication works.  I don’t really care.  I know it’s FDA approved, which means it has more going for it than most pharmaceuticals used for off label purposes.  At least doctors who prescribe Lyrica for fibromyalgia aren’t going to get charged with homicide for prescribing medications for unapproved reasons. Read more »

*This blog post was originally published at The Happy Hospitalist Blog*

What’s The Most Dangerous Day Of The Year?

With 365 days a year, one would think the law of averages would win this battle.  And you would be wrong. Because there is a deadliest day of the year?  It’s none other than Christmas.  Who would have thought that?  Why would Christmas be the deadliest day of the year.

Researchers examined 53 million natural deaths between 1973 and 2001.  What they found was cardiac and non-cardiac deaths peaked during Christmas and New Year’s (between 4-5% higher than expected).  They also found that the proportion of holiday deaths was increasing with time. Read more »

*This blog post was originally published at The Happy Hospitalist Blog*

How To Help Your Dog Survive The Snow

If you’ve ever had an Italian greyhound you know they hate the snow.  They hate the cold.  In general they hate the water but ours are starting to discover how fun water can be.  They hate being uncomfortable.  Mrs Happy and I have discovered that Marty and Cooper, our precious little babies, have a very tight range of comfort between 72 and 72.5 degrees Fahrenheit.  Anything below that and they’re shivering.  Cooper, our grey Iggy with the white boots, is slightly more tolerant of having cold feet.  But Marty, our little white Iggy with the grey helmet, has no tolerance for snow or cold feet.

Just the other day I heard a whimper coming from outside only to discover little Marty struggling to climb the stairs of our deck.  He hobbled into the house limping on three feet and  crying, making high pitched shrieking noises and trying to garner all the attention he could get.  Why you ask?  Because his feet got cold after walking on the snow for less than a minute. Read more »

*This blog post was originally published at The Happy Hospitalist Blog*

Should Physicians Accept Gifts From Patients?

Are gifts for doctors appropriate in the physician-patient relationship? Or should doctors refuse all offerings of gratitude that come their way?

Patients often give gifts to doctors as an appreciative sign of great thanks for  for the care they provide.  Some years I may go unappreciated for my efforts.   Some years I get thanked for a job well done for spending time with the patient and their family.   Some years I have patients that hate me.  Some years I even I have  patients that hate me and love me.   Read more »

*This blog post was originally published at The Happy Hospitalist Blog*

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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