Policy Over People

They called me from the church today. One of the homeless women staying there had developed a painful rash. I drove over, documented an acute H. Zoster infection and wrote the prescription for acyclovir, prednisone and a few hydrocodone. Later today I had fallen asleep on the floor at home and awakened to spot a text from my friend who was helping the homeless that weekend.

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Assigning Motives

Inward Thinking July 17, 2018

I have recently begun managing a patient who had originally been cared for in a distant city. Unfortunately, his cancer has returned. He now needs multiple doctors to attempt to save his arm and his life. One doctor he is seeing now was furious that the prior doctor had treated him inadequately. He actually told my patient, “You need to sue the doctor who did this.”

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Treating Patients or Creating New Patients with Technology

In this week’s blog post, Dr. David Prentice discusses how emerging technologies offer opportunities for development of useful therapeutic interventions, but they can also offer temptations to rush ahead with risky, scientifically unproven and ethically questionable applications.

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Born Again Christian

Born Again Christian October 16, 2018

“Why do you call me, ‘Lord, Lord,’ and do not do what I say?” (Luke 6:46, NIV 1984).

My fellow saw the patient first and showed me the medical records that came with her, written by the doctor to whom she was first referred. “Patient desires to see a doctor who is a born-again Christian. I believe it is not best for me to manage her case. I will refer her to Dr. ____.” When I sat down in the room with the patient, as my fellow looked on, the husband spoke first, “Before we get started, I need to ask you a question, because it is important to us, ‘Have you accepted Jesus Christ as your Lord and Savior?’” It was easy to answer, “I certainly have.”

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Predictions

In medicine, patients and families want to know diagnoses, therapies, risks, benefits and side effects of proposed treatment options. At times the thing they most want to know is what is likely to happen to themselves or their loved ones based on possible interventions. This, however, may be the most difficult answer to give people.

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Family vs. Physician

How do you feel when you have a patient who is also a physician? Or a patient whose close family member is a physician? I have been pondering this idea as I explained some medical information to several family members. In what ways can I be helpful to the situation, and where do I want to avoid making more work for the doctor caring for my family?

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Praying With Patients

Dr. Autumn Dawn Galbreath explores what a variety of secular physicians have to say about praying with patients in the exam room. It’s a topic that is vastly important to Christian healthcare professionals. Not surprisingly, there was a wide range of options among secular physicians.

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Treating the New Chronic Pain Patient

I had a tooth pulled last month. I wasn’t expecting much post-op pain because the tooth already had a root canal, years earlier. Yet with my mouth clamped on a large cotton wad after the procedure, I heard my oral surgeon say to his assistant, “Print out a script for Norco 7.5’s – 30 of them.”

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My Doctorate in Secret-Keeping

Preparing to meet my next patient, I pick the next chart up off the counter. “Bob Smith,” married middle-aged patient, chief complaint: STD check. “Weird,” I think, “Mary Smith’s husband’s name is Bob, too. What a coincidence.” I open the exam room door, and Mary Smith’s husband, Bob Smith, is sitting inside.

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Strengthening the Doctor-Patient-God Relationship

The physician-patient relationship is the cornerstone of medical practice, an essential ingredient in the restoration and maintenance of health. As a researcher, clinician and teacher, I have spent much of my career studying, implementing and modeling the healing effects of the physician-patient relationship, seeking to maximize its benefits in the care of patients. My first research studies at Yale University addressed patients’ perceptions of physician performance, in which I documented that patients ultimately cherish “TLC”—time, listening and caring.1-3 Patients desire and welcome treatment by doctors who show the willingness to listen to their concerns and the heart to care for them as individuals.

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