Monthly Archives: March 2018

MKSAP: 57-year-old man with chronic hepatitis C infection

0 Shares Share Tweet Share Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 57-year-old man is evaluated during a routine examination. His medical history is notable for chronic hepatitis C infection with cirrhosis, which was diagnosed 3 years ago. He undergoes surveillance ultrasound for hepatocellular carcinoma every 6 … Continue reading

MKSAP: 57-year-old man with chronic hepatitis C infection

0 Shares Share Tweet Share Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 57-year-old man is evaluated during a routine examination. His medical history is notable for chronic hepatitis C infection with cirrhosis, which was diagnosed 3 years ago. He undergoes surveillance ultrasound for hepatocellular carcinoma every 6 … Continue reading

MKSAP: 57-year-old man with chronic hepatitis C infection

0 Shares Share Tweet Share Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 57-year-old man is evaluated during a routine examination. His medical history is notable for chronic hepatitis C infection with cirrhosis, which was diagnosed 3 years ago. He undergoes surveillance ultrasound for hepatocellular carcinoma every 6 … Continue reading

Opioids: The pendulum has swung too far in the wrong direction

1K Shares Share Tweet Share I’m a 43-year-old physician who retired due to illness at the age of 39. I have a rare genetic disease called acute intermittent porphyria (AIP). It’s an extremely painful and disabling illness. Due to an enzyme deficiency in the heme biosynthesis pathway in the liver, porphyrin precursors accumulate and are … Continue reading

Opioids: The pendulum has swung too far in the wrong direction

1K Shares Share Tweet Share I’m a 43-year-old physician who retired due to illness at the age of 39. I have a rare genetic disease called acute intermittent porphyria (AIP). It’s an extremely painful and disabling illness. Due to an enzyme deficiency in the heme biosynthesis pathway in the liver, porphyrin precursors accumulate and are … Continue reading

Opioids: The pendulum has swung too far in the wrong direction

1K Shares Share Tweet Share I’m a 43-year-old physician who retired due to illness at the age of 39. I have a rare genetic disease called acute intermittent porphyria (AIP). It’s an extremely painful and disabling illness. Due to an enzyme deficiency in the heme biosynthesis pathway in the liver, porphyrin precursors accumulate and are … Continue reading

A clear case of suspected child abuse turns out to be something else

56 Shares Share Tweet Share The emergency room staff was immediately suspicious. His father said that Peter, just over six months old, was pulling himself up to a standing position by grasping his pant leg. Peter fell back, screaming. The extreme distress, entirely unusual for Peter, continued until some Tylenol helped him fall asleep. The … Continue reading

The first time this doctor hated a patient. And what he did next.

185 Shares Share Tweet Share “Dr. WHAT?!” she spat. “Gold … man. Gold, like the precious metal, and, y’know — a man.” This carefully crafted response was curated and vetted by countless returned pages, and it rarely failed to produce a chuckle. The patient was not amused, and she referred to me, instead, with a … Continue reading

The first time this doctor hated a patient. And what he did next.

185 Shares Share Tweet Share “Dr. WHAT?!” she spat. “Gold … man. Gold, like the precious metal, and, y’know — a man.” This carefully crafted response was curated and vetted by countless returned pages, and it rarely failed to produce a chuckle. The patient was not amused, and she referred to me, instead, with a … Continue reading

The first time this doctor hated a patient. And what he did next.

185 Shares Share Tweet Share “Dr. WHAT?!” she spat. “Gold … man. Gold, like the precious metal, and, y’know — a man.” This carefully crafted response was curated and vetted by countless returned pages, and it rarely failed to produce a chuckle. The patient was not amused, and she referred to me, instead, with a … Continue reading