Abortion Evolution
Three things have led me to this hornet’s nest:1. An article by a med student who plans to offer abortions some day2. An ear wax self-removal scope3. Alabama(#4 is a…
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Anthem Emergency
EMTALA swings the ER gates open on entry. “Give me your tired, your poor, your huddled masses… but preferably your insured.” On exit, watch your back. I’ve typed plenty on…
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AMA should be DBU … (Don’t Blame Us)
Photo by Bernard Hermant on Unsplash Nothing makes me appreciate my general luck so far more than walking into work each day. A sad case and situation at work recently got me typing.…
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If the Affordable Care Act was a car…
If the Affordable Care Act was a car, I’d call it a rusty Pinto… maybe drives; possibly street legal; not particularly sexy or comfortable; could explode; but still gets a…
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Universal Healthcare? Please Define
For starters, are we talking government as the single payer too? It’s an important distinction. Personally, I’m not yet sold. On its surface universal healthcare does feel good to say,…
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Healthcare Reform Reform…
The future of Trumpcare really had us wondering last week. For some reason the Marx Brothers came to mind: Groucho: Well, if you look at it, it’s a barn. If…
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Referral Madness
A number of people have contacted me recently hunting for a new doc, because apparently another primary care physician (PCP) in town has left. I’m also getting more requests for…
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What’s fair?
Like most of us, this past election cycle and the pending demolition of the ACA have sent my mind spinning in any number of directions. Separating the personalities from the…
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Narcan in the Water
Moving on to a bigger problem than CHS, narcotic overdose deaths now exceed traffic and homicide deaths. Toward the end of my residency and in the early 2000s, we were…
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Pre-R amplifies decency – ER amplifies absurdity
A few shifts ago I was fairly burnt at 6:00 am when an ambulance delivered a 30 year old with chest pain. On arrival he refused EKG, chest x-ray and…
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