Musings of a Distractible Mind
Thoughts of an odd, but not harmful primary care physician.
After 18 years in private practice, many good, some not, I am making a very big change. I am leaving my practice. No, this isn’t my ironic way of saying that I am going to change the way I see my practice; I am really quitting my job. The stresses and pressures of our current [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.It happened again. I was talking to a particularly sick patient recently who related another bad experience with a specialist. “He came in and started spouting that he was busy saving someone’s life in the ER, and then he didn’t listen to what I had to say,” she told me. ”I know that he’s a [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.“I want you to get me a new doctor,” she told me, a bit of disgust coming out in the sharp tone in her voice. “What happened?” I asked. “He asked me if I was nauseated, and I told him no, I was just vomiting. Then he asked if I was feeling pain in my [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.I wrote the title to this post and now have the Stevie Ray Vaughan song with that name running through my head (which is a whole lot better than last week, when some of my office staff were talking about Michael Bolton, and I got one of his songs – that shall not be named [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.The Law Offices of Facmee & Diaz 2 – watch more funny videos It was during my residency that the first indication of heart toxicity of antibiotics affected me personally. The threat was related to the use of the first of the non-drowsy antihistamines – Seldane – in combination with macrolide antibiotics, such as Erythromycin causing a [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.Source Hello, Pandora. What do you have in that box? Yes, I am going to talk about…autism. The last time I did so I was inundated with people trying to convince me of the dangers of immunizations and their causal link to autism. I really, really, really don’t want to go anywhere near that one. [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.Compliance - noun 1 compliance with international law: obedience to, observance of,adherence to, conformity to, respect for. ANTONYMS violation. 2 he mistook her silence for compliance: acquiescence, agreement, assent,consent, acceptance; docility, complaisance, pliability, meekness,submission. ANTONYMS defiance. (New Oxford American Dictionary 3rd edition © 2010 by Oxford University Press, Inc.) “Why aren’t you taking your cholesterol medication?” I asked the woman. With the coronary disease I diagnosed a year ago, my discovery that she had not taken her medication was very [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.Sit down. Really, sit down. Trust me, please. You are going to be shocked with the news I am going to give you and I don’t want any contusions, closed head injuries, street riots, or revolutions taking place in South American countries on my conscience. Are you sitting? OK, here it goes: Medicare got something [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.“I know this is all because of my weight,” she said to me, explaining a myriad of symptoms she had just unloaded on me. “My mother constantly tells me I need to lose weight, and whenever my brother gets mad at me he calls me ‘Fatso.’” Obviously, coming to the doctor would be another opportunity [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.I got dealt a hand of hearts this week. A mother brought her infant for a well-baby visit, and my heart leaped. Last I heard, she had such bad postpartum heart failure that the word “transplant” was being mentioned. Her heart “ejection fraction” (how well her heart was pumping) was reported as an impossibly low [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.
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