More in Science

3 days

Difficult Decisions

Missed abortion. Threatened abortion. Incomplete abortion. Spontaneous abortion. Septic abortion. Inevitable abortion. These are medical terms for the failure or potential failure of a pregnancy. These terms also more accurately describe the physical process that is happening, rather than the generic term “miscarriage.”

4 days

Fundamentals of Edupreneurship

Entrepreneurship means many things to many people. Perhaps the biggest misconception is that entrepreneurship refers, exclusively, to starting businesses. In fact, if we use the definition that entrepreneurship is the pursuit of opportunity with scarce or uncontrolled resources with the goal of creating user defined value through the deployment of innovation, then it means much more. In fact, there are many ways to innovate and create user defined value, whether it be in sick care or education, other than taking care of patients, starting a business or teaching students.

6 days

How to Deliver Value Based Surgical Care

Migrating fee for service care to value based care is an ongoing promise and process. Here is why it is so hard to kill fee for service care.

6 days

Partial Eclipse of the Heart

One of my daughters made the trip to North Carolina to see the eclipse in the “totality” zone. I’m a little jealous- but mostly just happy that she had the chance to do it.

7 days

The Best Resources for Anxiety

Want to learn additional ways to deal with anxiety? Don't spend any more time letting anxiety interfere with your quality of life. Get help if you need it. Here is a list of excellent self-help resources including some of the best anxiety books, websites, and apps available to target anxiety.

8 days

Diet: Choosing How to Be Wrong

I am quite confident about the fundamental truths of diet for good health. I am quite confident because they are predicated on a massive aggregation of evidence of every description, spanning methods, populations, and decades. I am quite confident because I share these convictions with a veritable who’s who of leading experts, with predilections from vegan to Paleo, from all around the globe.

11 days

Behind Every Hard Case, There is a Hard Decision

Like most physicians, I could write a book about hard cases. Many of them bring back memories purposely suppressed only slightly below our subconscious. Cases of severe multi-organ trauma, child abuse, social discord, DIC with uncontrollable hemorrhage, complicated zebras, etc. Regardless of the complexity of the cases, difficult cases come with difficult decisions.