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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
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Surveillance, Epidemiology, and End-Results (SEER) prostate cancer database found that among men with intermediate-risk prostate cancer (based on pathology and a PSA level lower than 20 ng/mL), active surveillance or watchful waiting increased overall from 5% in 2010 to 12.3% and 6.1%, respectively).

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The Witness

StorytellERdoc

The family doctor was called. This essay is an updated version first posted in 2010 and it rings just as true today as it did then. The patient's wife was brought a chair, along bedside, where she sat, continuing to hold her husband's lifeless hand within her trembling own. A box of Kleenex somehow found her lap.

ER 100
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For family medicine workforce, HHS reorganization plan receives a failing grade

Common Sense Family Doctor

While I'm grateful for subspecialists who alleviate pain, rescue patients who are unable to breathe on their own, manage complicated fractures, and replace worn-out hips and knees, the gap between the number of family doctors we need and the number we have keeps getting wider. growth in the U.S.

DO 52
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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.