For full BMJ article click on: Are you well controlled? PubMed citation: Are you well controlled? A patient’s perspective. Hendley J. BMJ. 2018 Nov 22;363:k3119.
A Special Tribute to Charles Schultz’s Peanuts by Leonard J. Hoenig, MD Since 1950, people of all ages have enjoyed the popular comic strip Peanuts created by the American cartoonist Charles Schultz (1922-2000). One of the endearing young children who star in the strip is Lucy Van Pelt, whose many talents include operating a psychiatric booth and offering humorous insights about life to her brother’s best friend, Charlie Brown. At the front of the booth is a sign that usually reads: “The Doctor Is In”. Recently, Lucy has had a change of heart and has decided to specialize in dermatology. Her first patient, Charlie Brown, seeks her advice because he … Continue reading
More humanism and less science, that’s what medicine needs. But humanism is hard work, and so much of science is just Tinkertoy. Robertson Davies Why Nothing Works An Introduction to the Placebo New York Times, November 11, 2018 I have been interested in the placebo response for many years. This recent NY Times article is a good introduction to the topic. Here are some excerpts and random thoughts: The author, Gary Greenberg, attended the Society for Interdisciplinary Placebo Studies in Leiden, Holland (2017). He met some key researchers in placebo there. There is a conviction among many that the placebo is a powerful medical treatment that is ignored by doctors … Continue reading
In the end, we are dependent upon the creatures we have made. Goethe The Upgrade (Full New Yorker Text) Why Doctor’s Hate Computers by Atul Gawande The New Yorker, November 12, 2018 Gawande’s thesis is that the electronic medical record (EMR) has contributed greatly to the epidemic of physician burnout in the United States. A 2016 study found that physicians spend about two hours doing computer work for every hour spent face to face with a patient. The result has been epidemic levels of burnout among clinicians. Something has gone terribly wrong. The software created for the EMR has spawned this massive monster of incomprehensibility. So much of what physicians … Continue reading
by Puja Nayak “Doctor,” I say, my voice fading. I hear footsteps running and shut my eyes. Hours later, I have a wire in me. I try and pull it out but my doctor stops me. “No, don’t do that sweetie.” I give her a look. I don’t understand why I’m here. My head is hot, I am sweating, and many students surround me, taking notes. Are they talking about me? “Honey, you have something called Kawasaki.” I raise my eyebrows. “Your body and I are fighting it, so you will be okay.” She hands me a juice box and leaves the room with my parents. My pediatrician inspired me … Continue reading