Monthly Archives: December 2018

Reflecting on the state of global anesthesia

104 Shares Share Tweet Share A guest column by the American Society of Anesthesiologists, exclusive to I imagine every physician anesthesiologist has experienced drug or equipment shortages in the last year. How frustrating that even in the world’s largest health care system, basic medications can be unavailable. However, when I step back and look at the … Continue reading

To do population health right, think about individuals

12 Shares Share Tweet Share How do we change the way we think about taking care of patients, particularly when it comes to not the individual patient sitting in front of us, but a whole population of patients just like them (or somewhat like them)? In our practice, we have been struggling with how to … Continue reading

Seasoned medical professionals prescribe new medicines sparingly

15 Shares Share Tweet Share I prescribe heartburn medicines every day. There’s a gaggle of them now — Prilosec, Nexium, Prevacid, Protonix — to name a few. As far as experts know, their primary effect is to reduce the production of stomach acid. This is why they are so effective at putting out your heartburn … Continue reading

After a partial retirement, what this physician misses the most

225 Shares Share Tweet Share This weekend was bliss.  I went from Friday night to Monday morning without a single phone call.  No nursing homes were needing to send a patient to the emergency room: no new fevers or unexpected falls.  I can honestly say that it is the first time in more than a … Continue reading

5 anomalies about compensation physicians should know about

22 Shares Share Tweet Share The term “physician compensation” could be among the top phrases in health care this year. Though it’s always been a hot topic, it got hotter when the Trump administration announced a proposal that would affect nearly 40 percent of Medicare payments. That plan would replace a fee scale that compensated doctors more … Continue reading

Health care professionals must always be on their A game

18 Shares Share Tweet Share I was having dinner with somebody not so long ago, and the conversation turned to what life is like as a physician. I always find it interesting to have these conversations with people who are not in the medical field, especially those who have got their ideas from watching medical … Continue reading

Solving physician burnout requires so much more than self-care

457 Shares Share Tweet Share So many people are suggesting that if only doctors practice self-care we could deflect burnout before it overtakes us. Yes, physicians are probably the worst professionals for taking care of ourselves. We work long hours,  answer calls at all hours of the night, take little vacation, work in stressful situations, … Continue reading

When the buck stops with primary care

280 Shares Share Tweet Share “Red” McDougall had terrible leg pains soon after going to bed. He did have a bad back, and some mild spinal stenosis, but I hadn’t heard much about that in the past few years. He was dealing with the ache in his legs when he was on his feet too … Continue reading

MKSAP: 55-year-old man with severe COPD

2 Shares Share Tweet Share Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated in follow-up for severe COPD, which was diagnosed 2 years ago. He has had two exacerbations in the past year requiring hospitalization, and his baseline exercise tolerance is low. He completed … Continue reading

3 surprising links to medical errors

145 Shares Share Tweet Share This article is sponsored by Careers by To err is human, and in the health care arena, avoiding errors is crucial. Efforts to address communication-related or “soft skill” failures have been ongoing since about 20 years ago when the Institute of Medicine (IOM) published reports titled To Err Is Human and Crossing … Continue reading