September 2009

Dear Mr. Obama and all of you congress folks: I know you have been arguing about how to fix our system (and it really does need fixing).  I know there is not much you can all agree on.  I know it wasn’t all that much fun to face those yelling people at the town hall [...]

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I didn’t want to Get Steamed

by Rob on September 24, 2009 · 52 comments

in Being a Doctor

Thanks a lot. I was doing perfectly fine this morning, minding my own business.  Then I read an article by Ezra Kline entitled Medical Malpractice Costs.  Now I am all worked up, in a lather, in a tizzy, and beside myself. I didn’t ask for that. Let me first say that malpractice reform is not [...]

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Primary Care Podcast and Poll

by Rob on September 23, 2009 · 4 comments

in Podcast

My latest podcast is up, covering the issue of primary care.  I have gotten lots of questions about finding a good PCP, but the subject was large enough to merit more than one podcast.  This one is about what primary care is, and the next will cover how to find a good PCP. Let me [...]

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The Medically Homeless

by Rob on September 21, 2009 · 31 comments

in American Medicine

Please allow me to coin a new term: Medical Homelessness – Not having access to a consistent familiar medical setting.  Not having a care location where one is known or where the medical information is accurate. credit I think medical homelessness is one of the main problems in our system. Given the nature of care [...]

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Once upon a time there was a land on the ocean.  The people lived off of the food from the ocean and were very happy.  But as they grew bigger, they had a problem:  they made a lot of waste!  Yuk!  Nobody likes waste.  What could they do about all of this that stuff that [...]

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The congressional Golden Llama Committee is called to order, his honorable congressman Paul Ryan presiding Ryan (R-WI): Welcome back from your August vacation, fellow committee members.  I hope the town hall meetings about the Golden llamas were not too raucous in your district. (Laughs from committee members and the large gallery at the proceedings) Ryan: [...]

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I got something in my e-mail this morning. It’s a press release aimed at helping with prostate cancer awareness month, and is supported by Lance Armstrong’s foundation. SURVEY SHOWS AT-RISK MEN LACKING IN PROSTATE CANCER KNOWLEDGE SUNNYVALE, CALIF.,– September 9, 2009 – Prostate cancer remains one of the most commonly diagnosed cancers in the United [...]

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Are you a Halitonian?

by Rob on September 9, 2009

in Podcast

Newest podcast is up on iTunes.  It covers the dreaded problems of halitosis.  As a doctor I can attest that a fair percentage of people saying “ah” should do so with caution. 5 points to the first person who catches the pun.

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Below the Surface

by Rob on September 7, 2009 · 22 comments

in Being a Doctor, Personal Musings

Stuff is always there under the surface – stuff you don’t hear about.  Patients come to see you and talk about their medical problems, stressors, and their pain; but they often leave out big issues. My partner encountered that recently when working up someone with elevated liver tests.  He did a thorough exam and a [...]

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