Could it get any better at the top? Corporate executives seemingly have many perks; private jets, golf club memberships, and events held at exotic locations. Companies and their boards justify these perks, due to the stresses and strains of the job and the need to keep their top executives healthy; otherwise these companies risks declining […]
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The Doctor Will See You NOW!
January 26, 2011 
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If you’re looking for the front door of a hospital and assume it’s under the grand awning, straddled by ornate Corinthian columns and under a brightly lit sign reading “St. Elsewhere,” you’d be wrong. Most hospital administrators might not like to admit it, but the front door is really through the emergency room. By far, […]
Continue readingEMR and the Falling Patient
January 19, 2011 2 Comments
Is Mom at risk of falling? Electronic medical records (EMR) efficiently capture physician’s keystrokes—yes or no—to this question and tuck it along side other data about our so–called medical lives. The physician’s judgment has to take into account many factors: is the patient elderly and ‘frail,’ do they have an orthopedic or neurological problem causing […]
Continue readingThrough Thick and Thin
January 12, 2011 0 Comments
To whom do we complain? I thought about this question while watching a talk given by Dr. Deborah Rhodes at a recent TED conference. Dr. Rhodes, the Director of Mayo Clinic’s Executive Health Program, spoke about the possibilities and politics of screening for breast cancer. She discussed her work with engineers on developing a new […]
Continue readingThe Neverending Story
January 2, 2011 1 Comment
We’re hearing a lot about the use of electronic medical records (EMR) in medicine. The government is all for it—providing financial incentives for those with EMRs and disincentives for those still relying on paper charts to make their way through the world. Most health professionals, especially new physicians in training, simply can’t imagine a world […]
Continue readingTop Ten Tips for 2011
December 29, 2010 3 Comments
We should all have a wish list for the new year. Looking back at the year in medicine, I’ve chosen what I believe are ten goals, that if we were to meet them, could fundamentally change our lives for the better. These apply to both men and women and are in no particular order: Have […]
Continue readingHow the Grinch Stole Medicine
December 22, 2010 0 Comments
When I was young, I often heard my elders say, ‘there ain’t no free lunch.’ It wasn’t until becoming a medical intern and resident that I discovered not only are some lunches free, but also dinners, books, bags, shirts and even trips to wonderful resorts and hotels. That is if you didn’t mind having them […]
Continue readingPainful Progress
December 19, 2010 1 Comment
The problem with pain is that it is what we say it is. One patient may rate their pain a 10 (on a scale of 1 to 10, with 10 being the absolute worse), while a similar patient with similar pain may rate theirs as a two. And there is no objective way to tell […]
Continue readingShare and Share Alike
December 15, 2010 1 Comment
She looked at me through red-rimmed eyes. Whether from lack of sleep, or from constantly rubbing her frontal sinuses, her eyes were a giveaway that she was ill. “My ears are full, my sinuses are clogged,” she began, “my throat is raw and I can’t stop coughing and this (as she pointed to her head) […]
Continue readingDollars for Donuts
December 8, 2010 0 Comments
Those crazy Brits. It seems that health authorities in the United Kingdom recommended against using the PSA (prostatic specific antigen) blood test to screen for prostate cancer. The UK National Screening Committee began looking at the results of several major studies and determined that the blood test generated more false positives—the test suggesting cancer, when […]
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