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Defining Emergency

StorytellERdoc

I originally wrote this piece in December, 2010. Instead of providing emergent care, it seems I spend at least half of my emergency room time now playing doctor to chronic illnesses. Recently, I learned that it has been "reborn" in the social media world with over 120k shares from just one resource (thank you, KevinMD). For how long?"

ER 100
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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. Watchful waiting refers to clinical observation only.

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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 thanked my team.

ER 100
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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." The sub-headline from a Medscape news article said it all: "Anesthesiology Still Hot, Family Medicine Is Not." The number of visits to primary care physicians fell by 43% from 2010 to 2021 despite 7.4%

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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. Now the Department of Government Efficiency is trying again, threatening 90% staff reductions that would decimate the agency.