Thanksgiving 2022

This has been a tough year for America and the world. For many folks and families, it may be challenging to find reasons to feel thankful. But we must try. When you’re in a dark room, you might not see a way to let the light in. Try to find a window that you can crack open. Or, one of us will do our best to open it from the outside.

Wishing blessings, contentment and peace to all.

Hoping for a lot more light in the year to come.

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When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term. Years ago, I never received such inquiries. Why now? Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area? Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring. “Interesting,” I remarked. Since I was unaware of this retirement news, I asked her when would be my last day at work. I have no idea where this erroneous rumor originated from. I requested that my nurse-friend contact her flawed intel source and set him or her straight. Retirement might seem tempting to me as I have so many other interests. Indeed, reading and ...

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Over the years, I have treated various medical professionals from physicians to nurses to veterinarians to optometrists and to occasional medical residents in training. Are these folks different from other patients? Are there specific challenges treating folks who have a deep knowledge of the medical profession? Are their unique risks to be wary of when the patient is a medical professional? First, it’s still a running joke in the profession that if a medical student develops an ordinary symptom, then he worries that he has a horrible disease. This is because the student’s experience in the hospital and the required reading are predominantly devoted to serious illnesses. So, if the student develops some constipation, for example, he may fear that he has a bowel blockage, similar to one of his patients on the ward.. More experienced medical professionals may also bring above average anxiety to the office visit. Physicians, after all, are members of...

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Each work day, I enter the chamber of horrors also known as the electronic medical record (EMR). I’ve endured several versions of this torture over the years, monstrosities that were designed more to appeal to the needs of billers and coders than physicians. Make sense? I will admit that my current EMR, called Epic, is more physician-friendly than prior competitors, but it remains a formidable adversary. And it’s not a fair fight. You might be a great chess player, but odds are that you will not vanquish a computer adversary armed with artificial intelligence. I have a competitive advantage over many other physician contestants in the battle of Man vs Machine. I can type well and can do so while maintaining eye contact with the patient. You must think I am a magician or a savant. While this may be true, the birth of my advanced digital skills started decades ago. (As an aside, digital competence is essential for gastroenterologists.) Durin...

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