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Defining Emergency

StorytellERdoc

I originally wrote this piece in December, 2010. Lately, though, it seems the system meant to provide this care is being bogged down by questionable decision-making. Instead of providing emergent care, it seems I spend at least half of my emergency room time now playing doctor to chronic illnesses. 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. Although I could describe to her our efforts, I wanted her to see for herself the incredible attempts of resuscitation being provided. The family doctor was called. Her heart was breaking.

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.