MD Whistleblower

Editor’s Note: For 16 years, I've published weekly essays here on Blogspot, which will continue. I’ve now begun publishing my work on a new blogging platform, Substack, and I hope you’ll join me there. Please enter your email address  at this link  to receive my posts directly to your inbox. The medical profession in this country delivers excellent care in this country, although the quality is uneven.  Sadly and unfairly, the quality of medical care often depends upon one’s zip code.  Many Americans are underinsured and there are still many folks – including working people – who do not have medical insurance.   As I feel that health care is a right, employment should not be a prerequisite for insurance eligibility.  One should not be forced to remain at a job from fear of losing medical benefits. Racial disparities in medicine have been well documented.  And while medical professionals are plentiful in urban areas, residents who liv...

Editor’s Note: For 16 years, I've published weekly essays here on Blogspot, which will continue. I’ve now begun publishing my work on a new blogging platform, Substack, and I hope you’ll join me there. Please enter your email address  at this link  to receive my posts directly to your inbox. One of the gripes I hear from patients with some regularity is that they are not thrilled with their current physician.  How do I know this?  No, I’m not a mind reader.   I query every patient on our first meeting if they are pleased with their primary care professional (PCP).  Surprisingly, many offer lackluster or even negative commentary on their PCPs whom they have been seeing for years.  Why would patients who are unsatisfied not seek care elsewhere?  Puzzling! Typical complaints include waiting times in the office, rushed appointments, missed diagnoses, unreturned phone calls or portal messages, refusal to order diagnostic tests and tepid bedside ...

Editor’s Note: For 16 years, I've published weekly essays here on Blogspot, which will continue. I’ve now begun publishing my work on a new blogging platform, Substack, and I hope you’ll join me there. Please enter your email address  at this link  to receive my posts directly to your inbox. I see many patients referred to me after an emergency room (ER) visit for abdominal pain. ER medical professionals are generally very thorough in evaluating these patients.   These doctors see more patients with acute abdominal pain than gastroenterologists do, since patients with severe stomach pain often proceed to the ER as they are ill and understandably seek urgent attention.    In contrast, gastroenterology specialists see more chronic abdominal pain than do other medical specialists.   Many of t hese patients have had stomach distress for years and we gastroenterologists do our best to help them manage with their condition. Many patients who are evaluated in ...

Editor’s Note: For 16 years, I've published weekly essays here on Blogspot, which will continue. I’ve now begun publishing my work on a new blogging platform, Substack, and I hope you’ll join me there. Please enter your email address  at this link  to receive my posts directly to your inbox. Why is the medical history – the patient’s narrative – so critical?  I have opined in this blog repeatedly that the medical history is paramount, much more valuable than the physical examination or the laboratory and other data.  Of course, there are instances when a finding on the exam or abnormal data cracks the case, but in general, the patient’s own story is most significant most of the time. Indeed, medical professionals, if we are not being careful, can permit abnormal data results to lead us to a trap door which will take us far away from where we should be.   Consider this to be a medical ‘wag the dog’ phenomenon.   Our focus should be squarely on the patient ...

Editor’s Note: For 16 years, I've published weekly essays here on Blogspot, which will continue. I’ve now begun publishing my work on a new blogging platform, Substack, and I hope you’ll join me there. Please enter your email address  at this link  to receive my posts directly to your inbox. I have numerous posts within this blog cautioning against pursuing second medical opinions.  This can be a tough argument to make as most patients  believe that obtaining additional medical advice is all upside. What could go wrong?  They argue that a second opinion either confirms the existing medical advice or provides new & improved recommendations.  It's not that simple. If readers enter second opinion in the search function of this blog, you will find several posts that point out potential pitfalls of seeking medical advice from new doctors.  It's not all upside. How do I regard my role when offering a second opinion? I generally regard my second opin...

Editor’s Note: For 16 years, I've published weekly essays here on Blogspot, which will continue. I’ve now begun publishing my work on a new blogging platform, Substack, and I hope you’ll join me there. Please enter your email address  at this link  to receive my posts directly to your inbox. Patients regularly initiate inquiries starting with, ‘ could it be …’   This usually follows my opinion on their symptoms and the available diagnostic or therapeutic options.  Patients have often conducted their own research, generally on the internet, or have received diagnostic advice from folks they know who have suffered similar symptoms.  It’s perfectly natural, for example, if a patient’s roommate had his gallbladder removed for the same stomach issues, that the patient may believe that his gallbladder needs to be donated to science also.  (Note to reader:  just because the roommate underwent gallbladder removal doesn’t necessarily mean that this was the...