There will always be bullies, despite antibullying campaigns by major medical associations or celebrities who try to eliminate insensitive and hurtful behavior through public service announcements. Every so often though, a bully is grabbed by the horns and forced to face the repercussion of his or her poor judgment. An example of this is the Dharun Ravi case.
It seems that every couple of months, I hear a story about a group of physicians who try to stifle the patient’s ability to post negative comments online.
The online community, of course, strongly opposes the notion of giving patients “gag orders.” People argue that if one can rate their local restaurant or mechanic shop, then why can’t patients rate physicians and their offices.
Melissa, and many other parents, want to know what to do with kids who don’t eat what we want them to eat: “I was wondering your thoughts on ‘picky eaters’? I spend all day questioning whether I’m doing the right thing for my child (he’s almost 17 months). I’ve heard not to push them to eat because they will eat when they’re hungry. I’ve heard to make them sit there until they eat what you want them to. I’ve heard don’t offer them alternatives to what you’ve prepared. I’m really just confused and so flustered at meal times!”
A nine year-old girl was brought in by her Aunt because she wet her underwear by day and her bed at night. Seventy-five percent of my Calgary practice is day and night wetting, so this was a terrific opportunity to compare the cultures. There was no difference. The girl only pooped once a week and she drank only 500 ml a day. This is so predictable back home and great for me to confirm in Nicaragua.
A few years ago, my wife and I decided to open up our own practice. We looked around, saw other people with their own practice and we said to ourselves, "... how hard can it be?"
In these past years we've learned a lot. But some of the most valuable lessons haven't been about practice management, manage care or medical billing, but rather life lessons.
Dr Neeraj Kohli writes: I have often been frustrated with the mundane documentation required of physicians, and nowhere is that more prevalent than in our dictation of routine and uncomplicated surgical procedures. Long ago, I realized a better way to accomplish the same task that is a win-win for all parties involved.
Among the risks associated with prenatal exposure to tobacco smoke is also the risk of the development of colic. I know I have felt cranky and irritable when exposed to smoke, it’s no wonder that babies exposed to smoke would have colic.
When I showered I felt something in my groin and flicked it off. Looked to me like a green seed pod but when I stepped on the pod a lot of blood spurted out. My blood. Ouch.
It was a tick. Specifically, the tick was Amblyomma cajennense. This tick is found mostly in the jungle and likes to prey on animals.
My decision to hire interpreters for this trip to Nicaragua was a good one. I feel more confident that the mothers understand my recommendations.
Dad brought in his five-year-old son with fever and sore throat. He had the typical vesicles of coxsackie virus. The throat is very red and sore, and the neck glands are enlarged.