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Romance, Hypotension, And The Little Blue Patch

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A patient was brought in around midnight as a “possible stroke.” She was a 60-something woman who had suddenly become unresponsive.

She and her husband had been making love at the time, and he noticed that she was no longer conscious. Unable to revive her, he had called 911. She looked bad — but it was strange. Read more »

*This blog post was originally published at Movin' Meat*

Becoming A Doctor And An American All At Once

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I [recently] attended a fascinating session offering advice to international medical graduates (IMGs) on how to fit in and succeed in U.S. medical practice. Here’s a slightly-silly example of the kind of cultural differences that can cause confusion for IMGs:

Speaker Vijay Rajput, FACP, started to make a point using the good-old analogy of Lake Wobegon. Then he paused and asked how many attendees knew about Lake Wobegon. Only two raised their hands.

“That’s the problem right there,” he said, only half-jokingly. “You need to be listening to NPR!”

Clearly it takes a lot to become an American and a doctor at the same time.

*This blog post was originally published at ACP Internist*

How Direct Access To A Doctor Can Save A Person’s Life

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At my front door stood my neighbor and his daughter making their annual Girl Scout cookie trek. “Should I make it a baker’s dozen?” the girl asked, knowing I wouldn’t refuse. Her father chimed in, “I was just at a wedding where I sat next to someone who said you saved her life. She said some very nice things about your medical practice.”

The name of the patient he was mentioning flashed me back. Mrs. BB (whose name has been altered to maintain privacy) was referred by a mutual acquaintance who already used our practice. This acquaintance felt that maybe I could solve Mrs. BB’s problem, specifically because all of our practitioners are paid for time, which means we can listen and communicate to determine how we can best help our patients.
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What Can Diet And Exercise Actually Help Do?

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First, an article in the New York Times talks about whether exercise can actually help you lose weight. Short answer: Probably not, but it may help you keep the pounds off. Click here to read the article.

Second, I’ve done a podcast about my post on whether diet can be used to control blood pressure long term. Each week Razib Khan, Kevin Zelnio and I discuss an article we’ve covered on one of our blogs, and it was my turn. Click here to listen to the podcast online, or click here if you’d like to subscribe to the podcast. You can also visit iTunes and search on “ResearchBlogCast.”

*This blog post was originally published at The Daily Monthly*

Should Doctors Retire At A Certain Age?

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Many people like to make a comparison between the airline industry and the medical industry when it comes to protocols.

Is there a maximum age restriction for commercial pilots in the United States? Yes, there is. In 2007, Congress raised the age of forced retirement for commercial pilots from 60 to 65 years old.

In light of that, should physicians be forced to retire after a certain age as well? Should we trust our health to the abilities of a physician who is 70, 75, 80 years or older? Read more »

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

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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