August 2009

Taking a page from Dr. Anonymous, I recorded a video for this post.  But there is a problem: it’s long.  Sorry about that, but I got rambling about all sorts of things.  To somehow make it possible for people to listen to any of it without falling into catatonia, I’ve broken it up into smaller [...]

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School starts early here in the South, with my kids starting school this next week.  This means that we have the honor of doing sports participation physicals to a throng of uncomfortable teens.  I can’t say this is a bad thing, as these exams are really quite simple to do – usually taking less than [...]

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Hornets’ Nest

by Rob on August 6, 2009 · 112 comments

in American Medicine

Let me kick the hornets’ nest again.   I still have misgivings about sending information like this to my patients: How does one not trained in what to overlook interpret the above?  To me, this lab result is entirely expected for this patient – given the other medical history that is there.  My concern is [...]

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Podcast up: Breastfeeding

by Rob on August 5, 2009 · 24 comments

in Pediatrics, Podcast

My latest podcast on breastfeeding is up at http://housecalldoctor.quickanddirtytips.com and in iTunes.  My bottom line is that breastfeeding is the best way for babies to be fed. When I was discussing this with Dr. Gwen, we got into an interesting discussion.  The dilemma pediatricians face is that if we strongly push nursing, we are criticizing [...]

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The central relationship of healthcare – the doctor-patient relationship – is in tatters in many ways.  The invasion of the exam room by insurance company rules, malpractice threats, and the media barrage has made things increasingly uncomfortable.  But a good relationship is essential to really get/give good care.  Obviously there are two players in this [...]

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Happy Birthday to Emergiblog, and its every shy and demure blogmistress Kim.  I don’t think it’s Kim’s birthday, but it is her blog’s birthday.  I wanted to make that clear. I have to say that I recently got to meet Kim at the summit it DC, and she is exactly as expected.  She is friendly, [...]

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Today has been dull. At one point I started Googling various words looking for stuff to blog about.  I struck gold. A search for the word “llama” led me to the following webpage: Captured Bat and a Llama on the Lam.  I was intrigued.  How could I resist this kind of website?  What I found [...]

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