Musings of a Distractible Mind
Thoughts of an odd, but not harmful primary care physician.
Source Hello, Pandora. What do you have in that box? Yes, I am going to talk about…autism. The last time I did so I was inundated with people trying to convince me of the dangers of immunizations and their causal link to autism. I really, really, really don’t want to go anywhere near that one. [...]
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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.Compliance - noun 1 compliance with international law: obedience to, observance of,adherence to, conformity to, respect for. ANTONYMS violation. 2 he mistook her silence for compliance: acquiescence, agreement, assent,consent, acceptance; docility, complaisance, pliability, meekness,submission. ANTONYMS defiance. (New Oxford American Dictionary 3rd edition © 2010 by Oxford University Press, Inc.) “Why aren’t you taking your cholesterol medication?” I asked the woman. With the coronary disease I diagnosed a year ago, my discovery that she had not taken her medication was very [...]
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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’ll be out of town this weekend on retreat. It’s a personal spiritual thing where I am going to have both solitude and silence – two things I have very little of. As good as it is to figure things out with my mind, I have found that accepting there are things of (at least) [...]
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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.Sit down. Really, sit down. Trust me, please. You are going to be shocked with the news I am going to give you and I don’t want any contusions, closed head injuries, street riots, or revolutions taking place in South American countries on my conscience. Are you sitting? OK, here it goes: Medicare got something [...]
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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 following post was one of my most read and commented-on from my old blog. I wrote it in June of 2008 after seeing a patient who was utterly ashamed of his obesity. I was so struck by his self-loathing that I wrote the post within a few hours of seeing him. My most recent [...]
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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 know this is all because of my weight,” she said to me, explaining a myriad of symptoms she had just unloaded on me. “My mother constantly tells me I need to lose weight, and whenever my brother gets mad at me he calls me ‘Fatso.’” Obviously, coming to the doctor would be another opportunity [...]
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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 mentioned in my last post that I am growing to loathe “meaningful use” criteria. I say that with a different perspective than most clinicians. We went on EMR in 1996 with the belief that it would improve our quality of care and make our workflow more efficient. We succeeded, and are doing well with [...]
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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.Lost. That’s a good one word summary of our health care system. Things get lost. People are lost. Money is lost. People are lost in the system. Lives are lost. I am frequently at a loss. Opportunities are lost. Plus, it may be a good idea to strand whoever’s responsible for this mess on a [...]
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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.Welcome to grand rounds, the best around the world of medical blogging! For those expecting a silly recitation of today’s posts in rhyme, this post will let you down. But don’t be sad, as I have provided with an alternate version of grand rounds on my other blog, Llamaricks, which (if you hadn’t guessed) [...]
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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.So I was just chewing the fat with Mitt and Newt. I made some wise-crack about how Santorum who would rob newts of their mitts. They got a chuckle out of that one. Then something strange happened. “Grand Rounds is coming!” crooned a tremulous voice. Nobody could find where it came from until Jeremy Lin [...]
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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.
Llamaricks