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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

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% 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." 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
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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.