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5 months

Suicide Prevention Plan: 5 Tips to Deal With Thoughts of Suicide

September is National Suicide Prevention month. Preventing suicide does not happen by offering simple platitudes ("You have so much to be grateful for") or by saying comments like: "It's wrong", "It's selfish", etc... Suicide and suicidal thoughts are a response to incredible pain. The pain seems unending to the person experiencing it.

5 months

Come See For Yourself Why Medicine Rarely Runs on Time

“Sorry, I’m running late … sorry, to keep you waiting.” How many times a day do I say that? Sometimes it is every time I walk into a patient’s room as if it is a normal greeting. Sometimes patients respond with: “Oh, you aren’t late” or “I haven’t been waiting long.” I can be so obsessed with not being late that I don’t realize I’m actually running on time! But I know it is a common complaint that patients “always” have to wait to be seen by their doctor. One of my senior partners at work used to say “waiting for a good doctor is like waiting to be seated at a good restaurant, it is worth the wait,” and never worried about time. I admired how thorough he was with his patients — I don’t think any of his patients felt rushed or not heard and came to expect waiting for his care.

5 months

The Sick Care Innovation Scorecard

There is a sick care "innovation" frenzy that is happening both from inside and outside of the industry. The pace of proposed, if not real, change is dizzying and, in many instances, is outpacing the ability of sick care workers and patients to cope with it. But, what is the real impact of all this activity?

5 months

Will Free Medical School Make a Difference?

Ever since The New York University School of Medicine announced that it would waive the tuition of all its students, regardless of merit or need, citing concerns about the “overwhelming financial debt” facing graduates, opinions have been across the board about the wisdom of the decision.

5 months

The Impact of the Medical Monopsony

A monopsony, sometimes referred to as a buyer's monopoly, is a market condition similar to a monopoly. However, in a monopsony, a large buyer, not a seller, controls a large proportion of the market and drives prices down. A monopsony occurs when a single firm has market power through its factors of production, like self insured employers or companies that buy sick care services directly from a hospital system.

5 months

Vitamin D Supplementation: of Scandal, Sunlight, and Skin in The Game

The New York Times recently ran a story indicating that a prominent physician scientist particularly associated with advocacy for vitamin D supplementation may have important conflicts of interest. The case is made that this doctor, an endocrinologist at Boston University, has personally contributed enormously to sales of vitamin D, testing for vitamin D, and even the use of tanning salons through his influence on peers and the public. He has in turn been at the receiving end of very considerable compensation from companies that make and sell supplements, perform tests, or offer tanning beds.

5 months

A Physician and Patient Face their Fears

Fear can show up at inappropriate times uninvited and unexpected, like a knock on the door in the middle of the night. We have all felt it. Sometimes, it can stop us from an adventure or getting into trouble. Sometimes, it can prevent us from living up to our potential or considering a new path. Sometimes, it can stop us from taking care of our health.

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