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Managing Your Blood Sugars: Pregnant With Type 1 Diabetes

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Yesterday was World Diabetes Day.  While my best friend’s baby shower is this weekend and I’ll be busy preparing for and helping with that event, I know there are lots of events taking place to celebrate the big, blue circle (including the Big Blue Test … more on that later).

But today is just another day in diabetes management, and it happens to be another endocrinologist appointment for me and the ol’ BSparl.  BSparl is getting bigger, as evidenced here: Read more »

*This blog post was originally published at Six Until Me.*

The Wrong Way To Convince Employees To Get The Flu Shot

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to inject or not to inject, that is the question

To inject or not to inject, that is the question

Last week I took my wife and children for our yearly family flu vaccination.  The one Elysa used to call her ‘flea shot.’  Lord knows we’ve had enough fleas; if that would work, I’d consider it.  But I digress.

The same day, I went to work and found that the employee health/infection control folks were offering H1N1 vaccines.  I was told that as long as I took it in the opposite arm, I could go ahead and have mine.  So, possessor of two punctured arms, I went back to work and felt fine.  In fact, that was four days ago and I still feel fine. Read more »

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

Donut Shop Owner Brutally Attacked, Can’t Pay Hospital Bill

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crime-sceneSam Nouv runs a little donut shop about a mile from my house.

When John was in the hospital, that’s where I bought the donuts for the nurses.

After immigrating to the U.S. from Cambodia in 1987, Sam started working at the shop and by 1990 he owned it (Update via Steve in comments: When he was 13, his parents were murdered by the Khmer Rouge. He spent several years in a displacement camp in Vietnam before finally being sent to the States as part of an entire plane load of orphans).

With the exception of a few holidays, Sam is in the store every morning at 3:30 am and works until 6:00 pm.

Seven days a week.

His wife, Lori, works with him, but she wasn’t there on that Wednesday morning in October.

Thank God. Read more »

*This blog post was originally published at Emergiblog*

Speak, But Don’t Tell The Truth

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I thought of not telling this story at all. Recently when it was in the news here it seemed wise to rather bury it altogether. But it is something I experienced and, after all, this blog is about my experiences, so…

Six years in a department gives you enough time to do a few things that can be legendary (like this story). This was one that most at the time thought was one. However, at the time it impacted me on a different level.

The surgery department had a fairly intensive academic session every Tuesday. The highlight was a discussion delivered by one of the registrars on some or other topic. He was required to reference the absolutely newest literature and the standard was very high. It was a big deal. Most guys spent a few months putting their talks together. Read more »

*This blog post was originally published at other things amanzi*

One Doctor’s Fight To Get His Patient The Right Medication

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“Doc, I’ve got good news and bad news.”

“What’s that?”

“Well, I’ve lost six more pounds!”

“Wonderful! What’s the bad news?”

“Well, you know that new-fangled drug you gave me that works so well for my atrial fibrillation?”

“Yes.”

“We’ll, I’m part of that AARP Medicare Advantage Part D drug plan, and I just got the “partial” approved drug list for 2010 in the mail. My drug’s not on the list, so I called and found the drug’s been moved from a Tier II drug to a Tier III drug. That means it will cost me twice what I paid for it this year. That’s gonna be tough, doc. I can’t afford it.

But I also read that if you call this ‘800’ number and speak to them, they’ll allow me to obtain an exemption to keep the drug on Tier II for next year.” Read more »

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

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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