In residency I worked with a pediatric cardiologist who thought my name was Gary. On rounds he would say things like, “Gary, what’s the normal QT interval in a newborn?” Or, “Let’s get a 15-lead EKG, Gary.” He never hesitated. He was so confident. I corrected him initially but ultimately I gave up. To him I was Gary. That was 1992.Fast forward to branding in the 2010 ... Continue Reading about Your Twitter Lists Define You (or why you should call me Gary)
Last week someone posted on Twitter that they had swallowed a plastic toothpick. What to do? So they turned to the hive for help. “What should I do?” I thought as I read my Twitter feed. I was paralyzed in a way. I wanted to share my experience with hundreds of patients had swallowed pins, toothpicks and other pointy things. I specialize in just this sort of ... Continue Reading about The Reality of Open Source Health Advice
I was flipping through some of Lee Aase’s slides recently and he made a point that I can’t seem to get out of my head. Social media, says Lee, will not make up for a bad product offering. Lee was referring of course to hospital service. But the same wisdom can be applied to what doctors offer. So how’s our offering? Do doctors give patients the time and attention ... Continue Reading about Facebook Won’t Fix the Doctor-Patient Relationship
Recently I wrote about how to handle things when patients try to engage doctors in the social media space. If you missed it you can read it here. If you want to save yourself 5 minutes consider the bottom line: Doctors and patients shouldn’t be discussing patient-specific issues in the social space. I heard from Ted Eytan regarding my post: The question is ... Continue Reading about Doctor-Patient Dialog on Social Media: A Bad Idea?
I can spend 20 minutes interviewing a parent about their child and still not really understand them. During a consult, my interview centers on the objective elements in a child’s history. When evaluating a child for abdominal pain, for example, I have a panel of questions that cover what I need to know to generate a starting hypothesis. But none of it helps me ... Continue Reading about 3 Questions That Complete a Medical Interview
'Why I Ration Care' is an important essay published in this week's Newsweek. Christopher Moore, a father and emergency physician, talks about his recent care of a teen who presented with mild head trauma sustained during a soccer game. The piece details the decision to manage this low-risk child expectantly. The reflexive head CT was forgone in favor of ... Continue Reading about When Doing Nothing is the Hardest Decision