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How The System Affects Our Doctors: A Must-See Documentary

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Yesterday a much-anticipated package arrived in the mail containing a documentary film directed (and acted) by a young emergency room physician, Ryan Flesher, M.D., and produced by a former clinical social worker, Nancy Pando, L.I.C.S.W. The film is called “The Vanishing Oath.”

As background, the film is a 3-year project born in 2007 just before the great U.S. healthcare reform debate began. Over 200 hours of interviews were conducted to explore a simple question:

Why Dr. Flesher had grown to hate medicine. Read more »

*This blog post was originally published at Dr. Wes*

When Grief Turns Into Rage

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Twice in the last few months I have encountered grief as rage. Both were in the setting of the cardiac arrest of individuals who were already very ill. One was aged, with severe, end-stage heart disease. One was of middle age, but with metastatic cancer and on hospice.

In one instance, family members became angry because we did not leave the body in the ER for eight hours so that everyone could come and pay their respects. (Which I always thought was the purpose of a funeral home.) 

In another, a family was angry because we did not allow everyone back into the room during the resuscitation of their cancer-stricken loved one — a resuscitation the family insisted upon, and which required rescinding hospice status. From observing their demeanor, their presence would have caused total chaos. Read more »

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

Stress Is Like A Tsunami

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StressedSo I’ve been thinking a lot about stress lately.

Obviously, it’s because I’m in one of those work/personal periods where the word comes in all capital letters and my dreams seem to be caught on a continual loop of taking-an-exam-in-a-class-I-forgot-to-attend-all-semester (and yes, I’ve been out of school for 26 years now)/realizing-I-just-bought-a-new-house-and-have-to-move/or, finding-that-I-have-10-stories-due-tomorrow (for the newspaper at which I haven’t worked in years).

This latter dream comes closest to my own situation at the moment given that I find myself with just a wee bit too much work for the time allotted (ok, maybe a lot too much work). I’m coping — going to bed later, getting up earlier, reaching out to a couple of writer friends for help) but it nonetheless has my cortisol and norepinephrine hormone production on overtime.

Which brings me to the point of this blog. Your health on stress. Read more »

*This blog post was originally published at A Medical Writer's Musings on Medicine, Health Care, and the Writing Life*

Medical Moonlighting: How About Doctor Derby?

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Medical moonlighting. That’s what you’d better be thinking about as the healthcare finance reform trap continues its destined pursuit of bankrupting America.

The only possible outcome to all of this mess is the biggest man-made healthcare recession of all time that will make the current economic implosion look like a walk in the park.

What are some possible second jobs for doctors? Every week I get offers to respond to surveys and telephone conferences by private industry asking for my opinions on up-and-coming pharmaceuticals. Just the other day I was offered $500 for a 90-minute interview. (That reminds me, I had better call them back!)

Other second jobs for doctors? Read more »

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

Health And Medicine: Scientific Or Miraculous?

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I was recently listening to an audiobook about diet, written and read by a “famous” doctor who gets people healthy through dietary changes.

Since my podcast pushes me a little into the mainstream (more than this blog does), I thought it would be good to hear what the “average” person is reading about health. Plus, I am not exactly the most compliant patient when it comes to diet, so I thought I could possibly get something out of it personally.

I did my best to listen with an open mind, ignoring what I thought were gimmicks and trying to glean the valuable information from what this doctor was saying.

I had to stop, however, before finishing the book. It wasn’t the content so much that gave me cause to feel the desire to smash my iPod, it was the hype. The author was constantly using words like “amazing,” “magical,” and “miraculous.” 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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