Doctors

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She was an active patient, who I am still trying to see once a week until I direct her in how to survive and flourish in the universe. She was in her forties, depressed and anxious.  She had “a little panic attack,” some chest pain and the feeling her breath was cut off. I wasted no time sending her to an Emergency Room, (or, if she really did not feel it was that bad, to an Urgent Care — what we used to call it a “doc in a box”) because it is cheaper, sounds less foreboding, and any doctor who is sentient and has a pulse and is on duty would send her to an Emergency Room if anything was really wrong.

Chest pain or tightness or shortness of breath or a “tight feeling, like a vice” could always be a heart problem, and could always be life threatening until proven otherwise.  I tend to send  even the most mild discomforts of this nature, that people had for years to primary physicians for a “cardiocentric examination.”  For “auscultation,” the old fashioned Latin-origin word for a good listening to the well as generally an electrocardiogram and sometimes even an echocardiogram.

Read more on Don’t Ignore Chest Pain…

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Blue Cross of Georgia does not always want to pay for people’s visits to the emergency room. The question, clearly is what they pay for and what they do not. To a certain extent, there are alternatives now that folks saw rarely if at all in the past.

Alternatives like urgent care.  In the trade we call it a “doc in a box.”  Long waits are not uncommon — it is generally one doctor present at a time, with many nurses and technicians who have enough time to at least have an authentic — if brief — interpersonal relationship with the patient. Sometimes people get wheeled into such places. By definition, patients are usually ambulatory in a “walk-in clinic.” I have worked in such places that specialized in psychiatry, where you could see pretty much anything, although prescription refills were clearly dominant. Read more on Avoiding Emergencies In Georgia…

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I value those behind-the-scenes programs on TV, especially when they warn you of dangers that you may never know. Here is a little behind-the-scenes story that you will really want to read because it might involve you! One of my chief interests in making sure patients are not only treated properly but that all the safeguards and protections are observed.

Read more on Informed Consents Are Often Skipped…

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Too many Americans can’t afford to and simply do not–take their medicines as prescribed. That estimate is based on information from the (American!) Centers for Disease Control). I have had patients come into my office who take their medications –in both cases, for life-threatening infectious diseases — only every other day, simply because that is all they can afford. I explained to each one individually the idea of the half-life of a drug. They only stay in your body for a certain length of time, then they leave your body in waste products.  That is why taking a drug every other day is not really effective. They both gave me almost exactly the same response — It was all they could afford, and it was probably better than nothing. Read more on Big Pharma Is Capitalism Out Of Control…

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If you were alive and in America in 1971, you probably heard John Denver sing “Take Me Home Country Roads.”

The lyrics start:

“Almost heaven, West Virginia…”

Read more on Almost Heaven West Virginia …

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I was about three years old when I enjoyed tending our backyard with her.  I had been a marvel to her, since she was a little girl, earning her keep as an agricultural worker in the Ukraine, it what was then known as Russia.

Read more on What You Eat Makes You Who You Are (Smart!)…

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Knowing when to eat is important, but there are no bad times. One of the most obese people I have known personally was our family Kosher (traditional Jewish) butcher back on the east coast.  He said his weight was immeasurable on a normal scale; I didn’t know then that I would become that way later.  He was the kind of guy who was so heavy he was in such pain whenever he got up from a chair to serve a customer, he invoked God in rapidly recited Hebrew.

He said he ate very reasonable “balanced” (which is not what obese people need) meals during the day, but every night he got “crazy hungry” and “snacked” on everything imaginable, mostly sweets, from the minute he finished after-work dinner until his late bedtime, while in front of the television. He said his doctor was irate and told him to stop eating at night because eating in the evening and before bed made people fat and sick. Read more on Meats or Sweets For Weight Loss…

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This was the lead personal ad in the local free rag for seniors I picked up today. “Romantic, Successful Doctor Seeks nice lady anywhere.” My first question is if things are still like when I was in medical school.

Are men still pretending to be medical doctors when they try to pick up women? I certainly never saw doctors as a romantic ideal.  Have women been and are they still, telling their daughters to grow up and marry doctors? A higher percentage of doctors are women than ever before.  This would tell any sociologist what I already know — the social status of the profession is definitely on its way down. Read more on Get Ready For Sleep-Deprived Doctors…

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“You really made me feel better,” said the cuddly little woman.  I had put the lid on her little episode of mania very quickly, and she was happy with me.  She was stable and I was making our appointments further apart. Read more on The Perfect Thank-You Gift…

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Back in the days before Noah’s flood, a psychiatrist would take care of both the medical and the psychotherapeutic needs of a patient. Of course, we all knew that it took “a different kind of doctor.”  In the old days they said it had to be a Jewish doctor who was afraid of the sight of blood. Of which I am not — I mean, I used to be a surgeon so I put that one to sleep.

Read more on You Are The Boss of Your Therapy Sessions…