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Doctoring General Medicine Reflection

A difficult decision..but the right one.

For me, November 14th will always be a special day. Today is the 16th anniversary of my grandmother’s death. ‘Non’ was in her late 80s when she died. I was in Indiana learning to be a cardiologist, she was at home in Windsor Locks, Ct. I have written about her love previously—as an infant blogger. […]

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Doctoring Health Care Reflection

Friday’s reflections: A courageous doctor.

The best part of doctoring is its humanness. Machines cannot do it–not even Apple products. But that’s the worst part too. Since humans practice medicine, there will be ‘medical errors.’   And when doctors err, people–not spreadsheets or profits–are hurt.  That’s the rub.  Like any endeavor, the greater the reward, the greater the risk.   […]

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Cycling Stuff Cyclocross Reflection

Inspiration

I give you this video, re-“embedded” with permission from Greg Keller, owner of the Mud and Cowbells website. For cyclocross crazies the season is progressing. The days are shorter, the air colder, and the skies less blue. Our legs, and for some, our minds have grown weary with the year’s racing fatigue. For the non-cyclists, […]

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Reflection

Vote

There’s fitness and nutrition. And cycling, with its metaphors. And electrophysiology, AF and-the-like. Stories of clinical judgement–which require playground-sense not biochem-sense to master. The tragedies of intrusions to the doctor-patient relationship. All worthy topics for blog posts. But today, while in pajama’s, with sticky eyes, well before the sun showed herself, there is only one […]

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Doctoring Reflection

Friday’s reflections: How hard does a head whack have to be to make a cardiologist nice?

How long did Henry’s revelation last? How long did he stay “nice” after his head injury. For me, it has only been 5 days since  “I whacked my head so hard, it turned me nice.” The frenetic pace this week, and especially today, has been a real test of such ‘concussive niceness.’ In doctoring, weeks […]

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AF ablation Atrial fibrillation Doctoring General Ablation Reflection

Friday’s reflections: Navigating the forest…with a guide

Sometimes it is easy. The problem is in front of you and the solution is clear and defined. Sometimes though, the solution requires a journey–an odyssey, with a faithful companion. The experienced clinician knows this but the new patient does not. Recently, I found myself in a stressful situation; stressful for many reasons, not the […]

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Cycling Stuff Cyclocross Reflection

A weekend of life…

There were no books read, no MacBooks tapped, and not even one medical link looked at this weekend. Out-of-town bike racing was on the docket. And this was no ordinary local showdown; it was a humdinger—Cincinnati’s UCI CX festival. There were professional racers, their entourages and trailers, multiple emcees, serious-faced officials and of course, the […]

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General Medicine Reflection

The most noble Nobel…

He is perfectly soft, easy to hold. He is warm, infectiously so, of body and soul. He smiles, a lot. He cries, just a little. He soothes the hearts of many. Soon, he will throw a ball, spell a word, write a story, kiss a girl, walk to class on a crisp autumn morning, teach […]

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Doctoring Health Care Health Care Reform Reflection

Don’t take my fun away

“Did you sign those (three) consents?” “This patient needs a short form; your office letter was done 30 days and one hour ago.” (just over the legal limit) “The insurance ‘people’ in area code (***) denied the stress test.” “Mr Smith’s son, an alternative medicine specialist in California wants a phone call to discuss herbal […]

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Atrial fibrillation Health Care Reflection

Thank You!…

Now that I have been writing this blog for a full year, it is time for a year-end review. It is a time to say thank you to those people and web sites that I not only learn from nearly every day, but more importantly, have helped me find my way in this new forest. […]

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Health Care Reflection

Healing the spirit…and luxury boxes…

We are not there yet, but it is close. Yes, it is true, most doctors may soon be government employees. No, not the Lasik surgeons, the plastic surgeons or the dentists, they were clearly more focused on career day. But is it necessarily a bad thing if all your income comes from federal, state or […]