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+17 rating,
31 votes)

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I’ve been practicing for sixteen years now, doing both internal medicine and pediatrics. One of the joys of that is watching kids under my care grow up and not having to give up their care just because they get older. The spectrum is wide, with some kids growing up in “normal” families with “normal lives,” [...]
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+11 rating,
11 votes)

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I was planning on leaving behind the seriousness of the past few posts and going back to my usual inane writing, but some of the comments have made it too hard for me to keep quiet. The response has been largely positive, and overall it has been overwhelming. More people have read or commented on [...]
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+6 rating,
6 votes)

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I went to a patient’s funeral this past weekend. I generally don’t do that for people whose relationship I’ve built in the exam room. It’s a complex set of emotions, but invariably some family member will start telling others what a nice doctor I am and how much the person had liked me as a [...]
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+74 rating,
86 votes)

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Dear Patients: You have it very hard, much harder than most people understand. Having sat for 16 years listening to the stories, seeing the tiredness in your eyes, hearing you try to describe the indescribable, I have come to understand that I too can’t understand what your lives are like. How do you answer the [...]
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+3 rating,
3 votes)

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OK, I am an EMR fan-boy, I will admit it. I seem real “rah rah” in my approach to computers in the exam room, and to many I seem to have my head in the clouds; I seem to be out of touch with reality. In response to posts I have written on the subject, [...]
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+1 rating,
1 votes)

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I just got back from an extended time off, which brings to mind a post I wrote 2 years ago: —————– Here’s an observation: most physicians in private practice don’t take enough vacations. I am often (rightly) accused of this sin. My staff, colleagues, and even patients regularly encourage me to take time off; but [...]
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+7 rating,
7 votes)

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Today has been lousy. It’s one of those days where you start to worry about being hit by meteors or lightning bolts. Nothing huge happened, just an accumulation of many little things; but it got under my skin. I keep my personal journal entries on on a program on my computer, and all of my [...]
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+3 rating,
3 votes)

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Chicken – noun – A game in which the first person to lose nerve and withdraw from a dangerous situation is the loser. This definition is wrong. As of June 18, 2010, the definition is as follows: Chicken – noun – A game in which members of congress put Americans in a dangerous situation, with the healthcare system being the loser. In my lament about losing [...]
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+4 rating,
4 votes)

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“I’m sorry I waited so long to come in to be seen,” she told me after having symptoms for two weeks. She had a truly apologetic expression on her face, looking to me for reassurance that I wasn’t too mad at her. “That’s OK. It’s hard to know when you felt bad enough to come [...]
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(
+8 rating,
8 votes)

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Credit He came in for his regular blood pressure and cholesterol check. On the review of systems sheet he circled “depression.” “I see you circled depression,” I said after dealing with his routine problems. ”What’s up?” “I don’t think I am actually clinically depressed, but I’ve just been finding it harder to get going recently,” [...]
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