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Health Care Reform Reflection

Doctors in the crosshairs…

Let’s start with a disclaimer: I am not complaining; I’m just stating the facts. Honest fact: The morale of doctors in the real world is low–and sinking lower. I know what you are thinking. “Come on Mandrola, you are nuts if you expect us to feel sympathy for doctors–of all professions.” Well…you can think that […]

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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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Doctoring Reflection

Inspiration from a nine year-old…

It is the day after a long weekend.  Invariably, there are procedures to add to an already busy schedule, colleagues are on summer vacation and of course, there are many “action tags,” or “tasks,” or other likewise unreimbursed chores to check off the to-do list before clicking in the pedals for a pre-dinner ride.  And so it […]

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Doctoring Reflection

Memorial Day: A grateful citizen of an awesome country…

This Memorial Day makes me think of a recently deceased patient of mine. We had known each other for years. He benefited from many of our modern EP procedures and implanted cardiac devices, and I benefited from knowing him and his devoted wife. It was as he entered the final innings of his life, that […]

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Doctoring Reflection

The question…

Reading news reports on the future–and present–of doctoring can get gloomy. The question came from the quiet one in the back.  Self-reflection came upon me immediately. There were so many technical questions: AF ablation, when to use an LV lead, who gets an ICD, and how do you decide on warfarin–just to name a few. […]