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Monthly Archives: July 2017

Against medical advice: When patients and doctors defy expectations

Mr. B. was ready to leave. A short, stocky Boston construction worker with an even shorter temper and a tough attitude, he was not...

Neil Gorsuch and the case of Charlie Gard

Kenan Malik writes in the New York Times in support of Charlie Gard’s parents, presenting a secular, utilitarian argument for the continuation of the child’s treatment. In...

When it comes to after-hours care, expectations need to be adjusted

Today's patients must adjust to seeing many physicians, many of whom are strangers. If you need a doctor on the weekend, at night...

Health reform should simplify our health system. Here are some ideas.

We are a nation divided. Our two major political parties agree on essentially nothing. Republicans cannot agree even amongst themselves how to proceed...

Physician spouse speaks out against dangers of prescription opioids

The impact of the opioid crisis struck home within the Missouri physician community on Dec. 15, 2014. That’s the day when, just two...

Are pharma gifts to doctors a red herring?

Physicians are influenced by marketing. That's no surprise. So are most consumers, as evidenced by television and radio commercials, billboards, pop up ads...

A cardiac evaluation before initiating treatment for GERD

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old woman is evaluated for a 3-week history of...

Dry drowning and secondary drowning

Recently, a young child died following days of vomiting. He had been in shallow water in a Texas dike about a week before...

Parents: Interact with your kids!

After years and years of practicing emergency medicine, I’ve seen and treated thousands of children for everything from beads in the nose to...

Comprehensive Cognitive-Behavioral Therapy

What is Comprehensive Cognitive – Behavioral Therapy? How is Comprehensive CBT used to Overcome Social Anxiety Disorder? It wasn’t long ago that very few people had...


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