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A Doctor’s Hauntings

2:30AM: The beeper sounds. “Please call the ER x2222.” Why are they calling me? I’m not on call. A flash then a clap of thunder outside. “Your patient from a few days ago is here in the ER.”

The mind races. You remember the case clearly. No problem at all. What could be going on? You ask 20 questions, you get 20 answers. All of the bases have been covered. “Doin’ better now,” you’re told. “We’ll just admit ’em and you can see ’em in the morning.” Hesitantly you return to bed, mind racing. Read more »

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

Despite Uncertainty, Why Doctors Should Hang In There

There is discontent in the house of medicine. So many physicians struggle. They seem to wade through uncertainty every day — uncertain about diagnoses, about pain, about disposition. We find ourselves uncertain about our jobs, our futures, our finances.

The consultants we call are uncertain about their practices and whether they can remain viable in the coming years as medicine evolves into something we may find unrecognizable.

Some days, as I enter my 17th year of practice, I don’t know if I can bear to walk around our little department for 10 or 20 more years, like some gerbil on an exercise wheel. I am uncertain if I can bear the weight of more entitlements, more confabulated stories, more regulations, and manufactured drama. I wonder if I can endure decades more of circadian assaults on my brain. Read more »

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

An Earful And A Mouthful: Insulted Woman Bites Off Man’s Ear

So I’m listening to the radio [yesterday] when I hear a story about a woman who was called “fat” by a 24-year-old man at a party. What does she do?

The Omaha World Herald is reporting that she bit off more than she could chew by literally biting off his ear.

Police at a Lincoln, Nebraska hospital responded to a call in the emergency room at 3:25AM on April 28th when the unnamed, one-eared man claimed 21-year-old Anna Godfrey bit off his ear for calling her “fat” at a party. The ear chunk is missing in action. Read more »

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

The Lesbian And The Lipstick

red-lipstick.jpgThe woman in bed six informed me immediately on my arrival and introduction that she was a lesbian. I don’t know why it mattered because she was there for a scald injury on her arm, and I hadn’t inquired about it. In fact, I hadn’t even begun my history before she made her announcement in a somewhat belligerent tone.

So…ooookaaay. I tried not to let this non sequitur throw me too much off my stride, and I went through the brief history necessary for a minor injury such as she had.

As an aside, this self-proclaimed lesbian was quite feminine. She was well-dressed for the hour of the evening and quite pretty in her own sort of way. She even had a choker of pearls on, along with earrings, lipstick, and well-coiffed hair.

I asked a few questions, though, and was surprised at the frankly-aggressive tone of her responses. Nothing too blatant, nothing that I could call her on, but quite definite. And her story seemed to not quite add up. Read more »

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

The “Expensive, Overused” ER

I’m always fascinated by the complaints that the emergency department is so overused and expensive. I admit that it is used a lot, and that care can seem expensive. But I want to make it clear that the reasons are myriad.

Whenever we in the specialty say that we feel that patients abuse our services, someone in academia reminds us that only a small number of those patients do not actually have serious illnesses. Whether or not that’s true, one of the reasons we are overused is due to none other than other physicians.

I’ve been paying attention lately to the way physician referral patterns happen. I suspect it’s the same in other facilities. Read more »

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

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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