Tag Archives: patient care

Let’s stop using adjectives to identify patients

We have all heard it, we have probably all said it: “My diabetics never follow my instructions” “That schizophrenic is back in the hospital again” “How should I screen cirrhotics?” “Did you hear about my CHF-er?” It might be easy to … Continue reading

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Are we really training learners to manage diseases?

If you pay close attention to medical education and training, you have surely read something like this as an goal or learning objective: “Manage inflammatory bowel disease and its complications” However, this is not exactly what our goals should be. One push in the … Continue reading

Posted in cancer, gastroenterology, GERD, Heartburn, IBD, medical education, patient care | Tagged , , , , , , , , , , , | 3 Comments

Can you have your colonoscopy and endoscopy on the same day?

I’ve heard it dozens of times: My gastroenterologist says s/he can’t do my endoscopy and colonoscopy on the same day. Sometimes it’s because it was considered too “dangerous”. Occasionally it’s because “that’s not the way we do it”. Sorry, that doesn’t … Continue reading

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In The Absence of Evidence…

In this week’s JAMA, Scott Braithwaite, MD, MS wrote a Piece of My Mind editorial, “EBM’s Six Dangerous Words,” which made me think back to a former blog post of mine from 2011, “Doc, can I use this natural supplement?” What … Continue reading

Posted in CAM, medical education, patient care | Tagged , , , , , | 2 Comments

Presenting on a consult service: Rule number four

A while back, I posted three “rules” of presenting on a consult service. I’d now like to add a fourth rule. Rule Number 4: In patients with chronic disorders, consider more than simply a “disease flare” in your differential diagnosis. … Continue reading

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How to Become a Famous Doctor: A 4-Step Primer

After years of languishing and trying to figure out how to become famous in medicine, I have finally realized the key! How did I finally reach my epiphany? Well, one particular doctor (who shall remain nameless) has become famous in my … Continue reading

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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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The Endoscopy: An Original Poem

It just doesn’t look right in the blog format, so click here if you’d like to read my poem. Below is the brief backstory…if you’re interested in what happened.  Please read the poem first.

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