What Should I Do, Doc?
“What Should I Do, Doc?” – Archives of Internal Medicine
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ByadminAggressive control of blood pressure has saved millions of lives, and has prevented millions of people from experiencing heart attacks, strokes and kidney failure, among other things. Admittedly, controlling blood pressure is not the sexy part of medical care, but when primary care doctors like me help people get their blood pressure under control, we…
How Hospitals Turn Charity Care Into Profits — At Taxpayers' Expense
ByadminSometimes it is hard for hospitals to provide expensive care to poor patients. When a low-income patient needs $20,000 of chemotherapy, a hospital loses money if that patient cannot pay for the medicine, or pays through Medicaid, with its relatively stingy reimbursement. Fortunately, the federal government created a program for hospitals that care for a…
DOCTOR FILES: When the Unknown Is Not So Bad
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Why Living in a Rich Country Can Give You Cancer
ByadminShutterstock As a primary care physician, I have counseled thousands of patients to get cancer screening—blood tests to look for prostate cancer, mammograms to detect impalpable breast cancers, and colonoscopies to find precancerous colon lesions. I’ve even tried to find cancers on physical exam, palpating people’s necks for thyroid growths, for example. The goal of…
Imagine the Cost of Imaging
ByadminKeeping with my recent theme on US healthcare prices, from the people at Vox media, here’s an illustration of how expensive it is to get an MRI in the United States versus other countries: And the cost of a day in the hospital: Sigh…
Influencing Young Minds
ByadminI really like teaching Duke undergraduates. They are an ambitious and intelligent group. But sometimes their ambition and intelligence get in the way of creative thinking, especially in regards to careers. They all want to remain high achievers, so they know they must either become doctors, lawyers, investment bankers or business consultants. Not infrequently I…