Posted by denitzablagev on May 29, 2013 · 5 Comments
“My friend said to tell you everything when I come,” she says as she opens a little zippered bag full of flakes. “My teeth are falling out and I can’t afford a dentist, so I use Gorilla Glue to glue back the pieces,” she says. She was referred to me for severe asthma, but she … Continue reading →
Filed under access to care, doctor, medical costs · Tagged with advair, asthma, bankruptcy, barrier to care, cost, expensive medicine, gorilla glue, health, healthcare cost, ICU, medical care cost, medicine, spiriva
Posted by denitzablagev on May 15, 2013 · 1 Comment
“I think he’s just anxious about it,” the medical student told me a few sentences into the presentation. His patient had had a spontaneous pneumothorax, a leak of air between the lung and chest wall, a few years ago, and now he had some uncomfortable feeling and was worried about a recurrence. I hadn’t heard the full story … Continue reading →
Filed under doctor, medical education, my tirades · Tagged with anxiety, bad apple, deconditioning, ethnicity, health, history and physical, hubris, idiopathic pulmonary fibrosis, medical education, medical student, medicine, obesity, pneumothorax, presentation, race
Posted by denitzablagev on May 8, 2013 · 2 Comments
Time heals all wounds, they say, or, in medicine, if not all, then many. But with our improved efficiency and throughput of patients, we fail to allow this most magical treatment to work. The pace and intensity of medicine has increased exponentially over the past several decades. We see more doctors, have more procedures, take … Continue reading →
Filed under doctor, evidence in medicine, medical costs, my tirades · Tagged with adrenal incidentaloma, bedside, CT scan, doctor, doctor-patient relationship, echo, emergency department, healthcare, incidental findings, incidental pulmonary nodule, medicine, patient, rationing, science, slow food, slow medicine, time heals all wounds, voltaire
Posted by denitzablagev on May 5, 2013 · 6 Comments
Need Oxygen to Smoke? my editorial in the Salt Lake Tribune on the difficulty of tobacco cessation. What do you think about the policy at the Cleveland Clinic and other large employers that refuse to hire smokers? Below are my links that were embedded in editorial, but for some reason SLC trib removes them. …Even … Continue reading →
Filed under doctor, my tirades, Salt Lake City Tribune · Tagged with choice, emphysema, ethics, free will, health, health insurance cost, healthcare, how to quit smoking, lung cancer, medicine, obesity, personal responsibility, public health, quit smoking, salt lake tribune, smoking, tobacco, tobacco cessation, utah
Posted by denitzablagev on May 1, 2013 · Leave a Comment
David Foster Wallace “Infinite Jest” Page 604 …people of a certain age and level of like life-experience believe they’re immortal: …they deep-down believe they’re exempt from the laws of physics … And they’re constitutionally unable to learn from anybody else’s experience: if some jaywalking B.U. student does get splattered on Comm. or some House resident … Continue reading →
Filed under Denial, doctor, medical education, my tirades · Tagged with counter transferrance, David foster Wallace, death, denial, Doctors, doctors to our family and friends, fear, health, hypochondria, infinite jest, medicine, neurology, old, patients, physicians, psychological denial