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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. 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

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. This essay is an updated version first posted in 2010 and it rings just as true today as it did then. She wholeheartedly agreed, embracing my invitation.

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