Musings of a Distractible Mind
Thoughts of an odd, but not harmful primary care physician.
I bet you thought I forgot about Golden Llamas. Only kind of sorta. But that is not the case any more. I have had enough time to contemplate, meditate, and obfuscate, and so now I am ready. I am just not sure you are ready. I know that many of you will be cooking out [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.It’s just plain stupid. Why does the government not allow patients with Medicare part D to use pharmaceutical discount cards? What is the ethical rule broken by making the government pay less? What is the legal reason that the elderly should be prevented from saving money? I know there are probably reasons having to do [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.Twenty years ago this day I don’t remember life before A man who thought he knew so much Pushed off from the lonely shore To enter life no longer lone And leave the singular behind A man who thought he knew so much Embarked a future now combined Yet journeys take peculiar turns And distances [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.The recent discussion of the appropriateness of bringing patients back to the office has really gotten me thinking about my overall philosophy of practice. What are the rules that govern my time in the office with patients? What determines when I see people, what I order, and what I prescribe? What constitutes “good care” in [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.My world changed four years ago today. Today is the 4th anniversary of when I started distractible blogging. Beginnings I had actually written a couple of posts on another blog called “Rob’s Odd Blog,” but it was panned by Oprah and Steve Jobs, so it never went far. I was also writing for Dmitriy at [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.[poll id="36"]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.Credit I was greeted one morning last week by a death certificate on my desk. The death itself wasn’t surprising. The patient had been in hospice, and so was comfortable through the last days. But there’s something about filling out a death certificate that seems uncomfortable. I don’t sign birth certificates, even when I witness [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.My recent post on the patient who thought I wasn’t worth paying caused a lot of discussion. Most of it focused on the financial stresses of a patient in our system – something I am all too well aware of. But some commenters (one in particular) felt that I was being excessive in my requirements [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.Credit What am I doing? You’re blogging, dummy. No, I mean what am I, as a doctor, doing writing in this blog? Why do I do a podcast? Why do I do Twitter and Facebook? Because you are pathetic and can’t find real friends, and real things to do. I know that! No, I am [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.I saw the note on the patient’s chart before I opened the door: “patient is upset that he had to come in.” I opened the door and was greeted by a gentleman with his arms crossed tightly across his chest and a stern expression. I barely recognized him, having only seen him a handful of [...]
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This material, written by me, is free to re-post and share under the Creative Commons agreement. In other words, use it all you want; just give me credit.
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