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When Incompetence Kills

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Some things make me feel so powerless (yes, even i can be powerless in the face of incompetence).

I have previously mentioned a thing or two about my opinion of where medical training is going in this country. Basically the powers that be are not-so-gradually degrading the degree. To them somehow it seems like a good idea. Ideas I suppose can easily seem good when you are safely hidden away in your nice air conditioned office far from the reality of the consequences of essentially negligent doctors released into the community. Well I get to see the consequences up close.

He was referred from an outlying hospital on a Friday. The peripheral hospitals so like to empty their wards for the weekend. After all there is some good fishing in these parts. Thank goodness for good fishing. Otherwise many more would die unnecessarily. Read more »

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

Losing The Battle Of The Bulge: Portion Sizes In America

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icecream1I was hanging out with my friend and fellow blogger, Dr. Ted Eytan this evening. We were talking about the problem of overweight and obesity in America and he showed me this iPhone image of a small and large ice-cream cone that he and his friend bought at McDonald’s recently. He asked me to try to figure out which was which.

Sometimes a picture’s worth 1000 words…

Suicide Rates Climbing Among US Military Personnel

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This topic has become more real for my family. My first cousin’s son-in-law committed suicide this past weekend. He had had difficulty adjusting since his return from Iraq, but the family was still caught off-guard. If you can make it any worse, he chose his wife’s birthday to take his life. Fortunately, neither she nor their toddler son was home at the time.

The issue of soldier suicide concerns many. Maj. Gen. William D. Wofford, Arkansas’ National Guard Adjutant General, recently made a public plea for help asking family members, friends and employers of the state’s 10,000 Guardsmen to watch for personality changes or signs of stress overwhelming his soldiers and airmen. There has been four suicides in Arkansas Guardsmen since January.

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*This blog post was originally published at Suture for a Living*

Family Murders In South Africa

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Of the things I encounter in my work, the one I find most disturbing is family murders. For some reason they happen with too much frequency in our country. It seems that some people, when life is too much for them are not happy to only put a bullet through their own head, but they feel the need to wipe out their entire family first. In my opinion it is a dastardly and cowardly act for which there is no excuse…ever.

The last one I was indirectly involved in was a typical story of a man that had lost it. He killed himself. But just before doing that he shot his wife and two children. His little girl made it to the hospital. I was asked to evaluate her, but she died before I even got to her. I was so disturbed I decided I didn’t want to see the body. I did, however see the scan. Besides the two bullet wounds through the head, the thing that struck me most were the two hair clips clearly visible on the scan in her hair on the back of her head. it was somehow disturbingly poignant and it stayed with me for some time.

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

You Know You Have Diabetes When …

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You know you’re a diabetic when … you see what appears to be this:

Owie!!

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

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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