Can I Become A Doctor Online?

The cost of medical care and the cost of education in general is sky rocketing. But it is much worse to be at the nexus of these two endeavors – Medical Education. The current path to becoming a doctor in the US involves four years of university followed by four years of medical school. Each … Continue reading

Customer Satisfaction

I recently changed my children’s dentist because his office was too nice.  As with their doctor, it is impossible for a lay person to have any idea whether their dentist is clinically competent or good.  Most of us choose our dentists the same way we choose physicians – by personal recommendations from people we know, … Continue reading

Genetic Testing

“If you want CVS, you’ll have to decide within the next three days,” the genetic counselor told us. My husband and I were sitting in the upscale office of the maternal fetal medicine (MFM) practice in downtown San Francisco. Our obstetrician had referred us here for genetic testing of our twins in addition to the … Continue reading

Post Hoc, Ergo Propter Hoc

We understand very little about the human body. Sometimes I think that the more we learn, the more we learn how much we don’t know. Occasionally, our patients show us. Take Jim*, for example. He came to me complaining of wheezing and shortness of breath. He had been newly diagnosed and treated for asthma over … Continue reading

ATP Conference Feb 2013

Dear Friends, I am happy to report that the ATP conference was great, and as usual the highlight was catching up with old friends.  I must apologize I didn’t remember to take a picture of the group, and I’ll offer the excuse that we’ll just have to wait until next year when more of our group can … Continue reading

Continuity of Care

“I would want you as my doctor.  I just wouldn’t want your life,” I said to the thoracic surgeon.  It was after midnight and we were standing in the intensive care unit.  I, having urgently intubated a critically ill patient; he, having finished a surgery on a patient we shared.  This particular patient had had a lung … Continue reading

Anxiety

Anxiety ranks among my least favorite diagnoses.  In medicine, we have a long history of blaming a variety of diseases on anxiety.  Even in the recent past we attributed gastric ulcers to stress until it was proven that a bacteria that lives in the gut is responsible.  Indeed, who would have thought:  a bacteria living … Continue reading