article thumbnail

Defining Emergency

StorytellERdoc

I originally wrote this piece in December, 2010. Next, an asymptomatic patient with elevated blood pressure for three years, non-compliant with her medications for financial reasons (yes--I noticed the pack of cigarettes hanging from her purse), was sent to us from her family doctor to be cured on the spot. "Go Unprotected.

ER 100
article thumbnail

Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Explaining the AAFP’s position, Drs. and 6.1%, respectively).

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

The Witness

StorytellERdoc

As the cardiologist and our ER team continued with resuscitation efforts, I went to the family room to speak to this patient's wife. Forty or so minutes had passed since the patient arrived and, as I had explained to the wife in the family room, time was not our friend. The family doctor was called. I dictated my note.

ER 100
article thumbnail

For family medicine workforce, HHS reorganization plan receives a failing grade

Common Sense Family Doctor

The sub-headline from a Medscape news article said it all: "Anesthesiology Still Hot, Family Medicine Is Not." Before becoming a core faculty member at the Lancaster General Hospital Family Medicine Residency Program , I spent more than 15 years teaching in Georgetown's family medicine department. growth in the U.S.

DO 52
article thumbnail

Once again, the Agency for Healthcare Research and Quality is in the line of fire

Common Sense Family Doctor

Despite this deliberately circumscribed mandate (I lost count of the number of times during my tenure as an AHRQ medical officer from 2006-2010 that I was told, "We don't make guidelines. This is research and evidence that no one, healthy or ill, can afford to lose.