Automatic savings is one of the best decisions you can make

When I graduated from medical school, one of the best decisions I made was to set up automatic savings. I made a budget that had about 25 percent taken away in taxes, decided to live on 50 percent of my income, and made the bold move to have the remaining 25 percent placed in an…

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In social work, small actions make a big difference

I first became acquainted with Michael after another case manager I work with, a woman, reported the proprietor of the group home (sort of a boarding house, really), Miss Samantha, as she was known, and whom I knew slightly, said she wanted Michael out because of his sometimes bizarre behaviors, often frightening to her neighbors. …

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Something’s rotten in America’s health care

My friend, the hospitalist, was livid as he came from meeting the administration. “They said doctors cost too much!” he sputtered. “We’re an expense. An expense the hospital can no longer support. We are an expense!” He turned purple. Nice color. Like a good Bordeaux. I worried about his blood pressure. He can’t have a healthy lifestyle! None…

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Lifestyle changes are important for managing atrial fibrillation

Atrial fibrillation (afib) is a common heart rhythm disorder in which the upper chambers of the heart (the atria) beat fast and irregularly. Afib commonly causes recurrent symptoms, usually palpitations and shortness of breath, and can negatively affect quality of life. Afib also substantially increases the risk of stroke, and is also associated with heart…

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Pain management’s painfully fine line [PODCAST]

“I find that managing chronic pain can be a bit of a dance between myself and the patient. Sometimes a little bit of a compromise. I always tell my patients that pain is subjective but many things can contribute to pain — certainly stress, lack of sleep, any emotional issues can make pain worse. Your…

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A physician unmutes herself after receiving an email

There it was, in my inbox, an email from an unfamiliar person. I knew the email recipient but not the sender. Part of his email went like this “This women is obviously very touchy. You did all the right things; I would just forget about her.” I was surprised to be included in the email.…

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Wife swap: a physician’s toxic work environment

“It’s not my fault that you chose to have children.” Years after leaving my job, I still hear my boss’s words in my head.  He did not want to get married and or have children. He made that clear during my interview. He was also clear that he did not want anyone to perceive that…

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Our patients matter, but at what cost to our families? 

oIs it possible to have it all?  Can you have a job that you love, helping people and using your brain and hands all at the same time; plus, a family, with a spouse and children, that you are always there for?  Is it possible to have a balance between your work and your family…

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Can appealing to teenagers’ vanity improve sun-protective behaviors?

As the summer warmth lures us outside, parents may be struggling to get their teenagers to follow sun protection guidelines. It can be challenging to catch the attention of younger people, for whom health concerns such as skin cancer feel like a lifetime away. One promising strategy for educating teens about sun-protective behavior is to…

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