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The Choice Of Taking Tests In Life

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Do you remember the visceral sensations of angst over an upcoming final exam? Or the first procedure as an independent doctor? A major presentation, perhaps?

Life’s exams test not only specific knowledge and skill, but one’s self esteem as well. And it’s the self esteem portion that creates the stomach churn, the palpitations, and the random thoughts of doom.

The future lurks over you for weeks, like a weighty backpack, or the possibility of encountering the bully on your walk home from elementary school. (For my bony self, her name was Marilyn.) Read more »

*This blog post was originally published at Dr John M*

Life Insurance Companies And Cancer Survivors

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I have always heard that Northwestern Mutual Life (“The Quiet Company”) was a grade-A company. And for years I have been happy to have a disability insurance policy and a term life one with them. I got those policies back in the early 1990s, and it was a good thing I did.

In 1996 my health changed. I was diagnosed with leukemia. I knew I was very lucky to have insurance in place because, as many told me: “You’ll never get insurance now.”

Now fast-forward 14 years, and 10 years after receiving treatment in a phase II clinical trial. I have no evidence of disease and have not had any evidence for nine years. The drug therapy I received in a trial has now been approved by the FDA and in Europe as the standard of care. People are living well with this leukemia and it is extending life — some people may even be cured.

So I asked the insurance company to consider giving me the ability to change my policy, to take advantage of lower rates and optimize my coverage for a longer life. Read more »

*This blog post was originally published at Andrew's Blog*

A Doctor’s Feelings About Caring For “Abnormal” Kids

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I’ve been practicing for sixteen years now, doing both internal medicine and pediatrics. One of the joys of that is watching kids under my care grow up and not having to give up their care just because they get older. The spectrum is wide, with some kids growing up in “normal” families with “normal lives,” others in “abnormal” families, and yet others with inherently “abnormal” lives due to illness or disability.

But the kids aren’t the only thing that has changed over the past sixteen years. Their doctor has changed as well. My comfort zones have widened, not getting rattled by “abnormal” as I once did. I used to feel uncomfortable with the mentally and emotionally disabled, now I am not. I used to feel sorry for parents with “abnormal” children. I used to feel bad for kids who were “abnormal.” I still do now, but not nearly as much. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

On The Battlefield Against Diabetes

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We.  Are.  DIABETES WARRIORS!

I have no idea how it happened, but yesterday was a crummy day, diabetes-wise. Somehow, early in the evening, I heard the Dexcom singing from the kitchen countertop, and BSparl and I went over to investigate.

“High.” With a long line at the very top of the Dexcom screen.

“Hi to you, jerkface,” I said, pulling out my meter to see just what the greeting was about. And I saw a sticky 451 mg/dl blinking back at me.

What the fern?” I couldn’t figure out how I ended up so high, especially since after lunch I was 174 mg/dl and flatlined on the Dex.

And I was so angry. How does this happen? Did I eat the wrong thing? Take a shallow bolus? Is the pump ferning with me? Could the insulin have spoiled? Did I just lose track of everything and my numbers went berserk on me? Read more »

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

A Poem About An Ending

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She coughs
and heaves a breathless goodbye
into the bedside phone.

Her lungs
damp, bloated, sacked honeycomb
wheeze with vanishing bees.

The room
of sensors and startling noise
has not air to float upon.

Morphine
slakes a thirst for breathable sky
and calms the panic within.

The shame
of living, of death smiling,
savoring smoke and ash.

Eyes closed
she imagines her son, boy,
man, precious evermore.

Flowers.
Beautiful white, red, and black
from a husband who waits.

Starstuff
spinning in galaxies far,
with summer lightning bugs.

And then
it is upon her, the moment,
dreaded, practiced, boundless.

We run
through soft sands lit by moonlight,
now tumbling under waves.

All that matters
doesn’t.
And all that happens
matters.

The absence of pain and hunger
the end of struggle and story
mark an indifferent,
yet decent,
finish.

*This blog post was originally published at The Examining Room of Dr. Charles*

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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

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