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The Art of Medicine: A distant close encounter

I glance at the encounter form and step into the examination room. A young boy sits on the examination table. A man, presumably his father, stands off to the side by the back window, chatting on his smartphone. 45 more words

Humane Medicine

The Art of Medicine: Moments without an ICD-10 code

Cellphone conversations during medical encounters turn me off; ofttimes I seethe beneath my carefully orchestrated demeanor. But somehow this time it’s different. more»

Interested readers can now access my latest Art of Medicine column — … 34 more words

Humane Medicine

Anticipatory guidance: Not just for patients

“There you had the opportunity to see what sometimes happens when we fail to provide proper anticipatory guidance to parents. Things devolve into disasters, and they’re much harder to fix.” … 46 more words

Humane Medicine

Treating fear itself in the clinical setting

It’s been a tough evening at the after-hours care center. It’s the middle of the cough and cold season, patients are showing up in droves, and I’m the only clinician available to see them. 83 more words

Humane Medicine

When a discharge instruction is overlooked

Suddenly, I think back to the other boy with the ocular injury I saw earlier this evening. I recall that I neglected to mention something very important in my final discharge instructions. 60 more words

Humane Medicine

Listeners and healers

At the end of a recent afternoon session at the office an informal discussion on the relative merits of the physical examination arose among the members of the clinical staff. 828 more words

Marginal Notes

When powders and potions won't do

Practicing good medicine does not always mean prescribing medication. When powders and potions won’t do, sometimes education, a little reassurance — and advocating for the caretaker — go a long way.   47 more words

Humane Medicine