Category Archives: patient care

6 Things to Be Thankful For in Modern Medicine

Public sentiment about our healthcare system has certainly seen better days.  In the spirit of Thanksgiving, let’s take just a few minutes to reflect on what we can be thankful for in the current state of medicine: Informed consent: The concept … Continue reading

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“Thank you for your consult…”

Until recently, there was a financial difference between performing a “Consultation” and a “New Patient Visit” for office visits (Medicare stopped paying for Consultations at a higher rate than New Patient Visits in 2010).  I won’t get into the ins-and-outs … Continue reading

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“This is a very pleasant patient…”

As an attending and the program director in a university practice, I have the opportunity to read a lot of notes that other people have written. Many of these notes are written by residents and fellows, often from my own … Continue reading

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Anonymity and Professionalism on Twitter: Room to Educate

A well-established medical blogger Dr. Bryan Vartabedian (aka @Doctor_V, a fellow gastroenterologist whom I recently had the pleasure of meeting at DDW 2011 #DDW11) seemed to ignite a firestorm this week amongst #hcsm tweeps with his post about a specific … Continue reading

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Presenting on a consult service: Rules number one and two

As an attending gastroenterology consultant, I have heard many a presentation from medical students, residents, and fellows that start something like this: This is a 64-year old woman with Afib, hypertension, diabetes, congestive heart failure, osteoarthritis, cholelithiasis, and depression, whom … Continue reading

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What do your patients fear?

As an academic gastroenterologist at a tertiary care university medical center, I often see patients who have failed traditional therapies that many of my colleagues in the community have tried.  Over the past several years my practice has evolved, from dealing with … Continue reading

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A Physician’s View about Medical Necessity

“Doc, do I really NEED this medication?” In my practice, I seem to hear this question (or something like it) on a daily basis.  The question is not always about a medication, maybe it’s about a lab test or a … Continue reading

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