November 24th, 2009 by DrRob in Better Health Network, True Stories
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It’s that part of the job that I’ve never gotten used to. I hope I never do.
I saw a man recently with an unexpected finding on his exam – a “lesion” that should not have been there. I was seeing him for his diabetes and blood pressure, and was doing my “ritual” physical exam, when the “lesion” blared into my vision.
I say “ritual” exam because the exam itself had little to do with his medical problems. It is just my practice to do a cursory exam of the head, neck, chest, and lungs of most everyone who comes to the office. I guess it’s the “laying on of hands” part of the practice of medicine that makes me do this; there is something about the human touch that makes a doctor’s visit different from a visit to the accountant. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
November 16th, 2009 by DrRob in Better Health Network, Humor, Opinion
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Someone suggested I was being mean or making fun of patients in my previous post. Those of you who read this blog regularly (aside from needing serious psychiatric evaluation) are aware that I am quite sympathetic of my patients’ position in this relationship. Mine is a position of power, while they are coming to me with an admission of weakness. There is no doubt that I would rather sit in the doctor’s chair than that of the patient – and that’s not just because my chair has wheels on it.
My intent in writing this blog is to show the doctor/patient interaction through the eyes of a physician – a perspective most people don’t get very often. Even though I have lots to be thankful for in my profession, I still have things that regularly annoy me. For me to voice that annoyance in a light manner is meant to both educate people of my perspective, and entertain those who share it.
Enough of that. Now it’s time to move on to the strategies we physicians use to get back at patients for their shenanigans. You may not realize it, but we have a special class in medical school dedicated solely to the ways to annoy and embarrass our patients. It’s an art, really. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
November 13th, 2009 by KevinMD in Better Health Network, Opinion
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By Danielle Ofri, MD, PhD
If asked what a doctor does, most people would probably come up with the standard description of diagnosing and treating disease, usually while wearing an ill-fitting white coat. Before I entered practice, even during my medical training that probably would have been my answer too.
But my years in the trenches of real medicine have altered that definition greatly. I do spend time doing the things I learned in medical school like diagnosing disease and writing prescriptions, but that turns out to be only a part of the job, often a very small part.
Much of the time I find myself acting as sounding board. Read more »
*This blog post was originally published at KevinMD.com*
November 9th, 2009 by DrRob in Better Health Network, Humor
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Top 10 lists are back!
I forgot about this kind of post, and a reminder by a reader is bringing them back. They are really a fun and easy kind of post to write, so you may see a fair number of them (read: Rob is getting lazy). I thought I’d start back with some suggestions for disgruntled patients (or gruntled ones, for that matter) to make their doctor’s day much worse.
1. Require the doctor to keep things secret from your child or your elderly parent. Insist that they can’t know about their cancer, depression, ADD, or foot fungus. Call the medication the doctor prescribes “vitamins.” Alternatively, you can threaten your child by saying that if they don’t behave better, the doctor will give them a shot. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
October 28th, 2009 by DrRob in Better Health Network, Opinion
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They say that breaking up is hard to do
Now I know, I know that it’s true
Don’t say that this is the end
Instead of breaking up I wish that we were making up again
There are times that relationships need to end. Usually something happens to undermine trust; it’s hard to build trust, but it’s very easy to destroy it.
I had a discussion today with the other physicians in my practice as to when patients should be “discharged” from our practice. I have always found it somewhat ironic that we use the term “discharge” when we are basically telling patients we don’t want them to be our patients anymore. Doctors deal with discharges of various sorts – most of which are not pleasant. Here is a dictionary definition of discharge: the emission of pus, mucus, or other liquid from an orifice or from diseased tissue. True, there are other definitions of discharge that don’t cary that connotation (we discharge patients from the hospital), but if I see an appointment on my schedule with the word discharge as part of the reason for visit, I am not excited. I am praying for a no-show. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
