May 2008

The patients.  This is the only reason I still take it.  I would very much miss taking care of my elderly population. That makes the pain worth it…so far.

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Reimbursement – At least in my field, it is nearly impossible to run a practice off of what it pays.  Most physicians who are on Medicare offset its bad reimbursement with private insurance or procedures that are outside of Medicare. Prevention is discouraged – A person cannot come in if they are well.  They have [...]

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Depression

by Rob on May 28, 2008 · 18 comments

in Being a Doctor, Personal Musings

The decreasing number of PCP’s is well documented (perhaps too much).  This means job security for me (to some extent) and hopefully will eventually give physicians like me some leverage. At this moment in time, this scarcity does not affect me nearly as much as the lack of good psychiatric physicians in our area.  I [...]

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Ode to a lost companion

by Rob on May 26, 2008 · 8 comments

in Being a Doctor

I recently replaced my beeper with a cell phone. It is the first time I have been without a beeper for over twenty years. In honor of this fact, I felt that I owed my long-time companion a farewell O BEEPER! my Beeper! our fearful trip is done; Technology has passed you by, the cellular [...]

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Go to MedPage to see what the CDC is doing to fight shingles and what I think of it.

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Mere Mortals

by Rob on May 20, 2008 · 26 comments

in Personal Musings

I had a 40-Year old in my office today who I diagnosed with heart disease fairly recently. He is 5 years my junior and is no higher risk for heart disease than I am. In discussing his diagnosis, he commented to me that the hardest thing for him was to think about his young son [...]

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Quote of the Day

by Rob on May 20, 2008 · 4 comments

in Uncategorized

From a woman in my office yesterday: "Why did God make it that you have teenagers at the same time you are going through menopause?"

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I am back now. Back from Washington DC. I was in DC to give a talk for the American College of Physicians national conference. Here is the link to the Power Point for the presentation if you are interested. I even included llamas. The talk went fine – although the fact that it was on [...]

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Tired

by Rob on May 15, 2008 · 14 comments

in Just Stuff Kind of Thingies

I am tired (see MedPage).

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I am skipping town this week to go to the ACP meeting in Washington DC (and am giving a talk on Saturday).  Any med blogger types going to be there?  There don’t seem to be a lot of IM bloggers (I guess we are generally too boring to be of interest to most). Please drop [...]

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