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Market competition is not going to fix US health care
on Apr 5, 2009 in socialized medicine health care health insurance Imagine you are getting your car serviced. You bring it to the shop, you get an estimate. When the work is done the shop presents you with a bill. It may be a little more or less than the estimate was, but either way that's what you'll be paying.
depression that isn't
on Mar 13, 2009 in depression medical ethics end of life suicide What do you do with a healthy patient who wants to die?Ms K was 95. Her face was only softly lined, and her ash-white hair was smooth and silky as a girl's. She was in what one might call quite good health, having survived both a heart attack and a...
Open Letter of Apology to the Patient I Saw Last Night
on Jan 24, 2009 in pseudocyesis legal hold malpractice You came into the hospital hoping to deliver a baby. In fact you weren't pregnant, but you wouldn't believe that; so the ER called me. We had a pretty nice conversation. I didn't challenge your belief that you were pregnant despite a negative urin...
a science in need of a theory
on Nov 11, 2008 in theory diagnosis child psychiatry I've had a number of people wonder why, as someone with a research background, I'd be interested in psychiatry. There's a tendency to view psychiatry as 'fluffy' and not something that would be interesting to a person who has spent years getting dow...
fear of hell
on Nov 3, 2008 in therapy schizophrenia The screech of my pager jolted me from sleep. A soft-voiced nurse informed me that they were having some trouble with one of the patients and his behavior was very disruptive to the others, so could I come by and see him, please?I asked for some fur...
disciplinary medication
on Sep 18, 2008 in Ritalin adhd Risperdal child psychiatry Disclaimer: I am not a child psychiatrist and do not speak with professional authority on this subject. These are my own ideas based on various readings and personal experiences.Everyone loves to hear about someone overcoming obstacles to become a s...