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Patients, Physicians

How to Manage Patient Expectations

November 3, 2018 By Bryan Vartabedian · Reading Time: 2 minutes

One of the most important roles I play as a physician is the management of patient expectations. The reason it’s so important stems from the nature of my work. As a gastroenterologist to small people I work in a grey-zone. I live in the space between intestinal pathology and the complicated lives of growing children and families. And if you know anything about ... Continue Reading about How to Manage Patient Expectations

Tagged With: Doctoring 101, Patient experience

Physicians

Clinical Interview Question: What Do You Think is Going On?

November 2, 2018 By Bryan Vartabedian · Reading Time: 2 minutes

When I evaluate a new patient, I work to compress data collection and screen time on the front end of the visit so I can free up the remainder of the visit for face-to-face discussion and shared decision making. This intentional visit design is necessary because of the realities of modern clinic schedules. And so the questions I ask and their sequence is important to ... Continue Reading about Clinical Interview Question: What Do You Think is Going On?

Tagged With: Doctoring 101, Medical decision making, Medical Interview

Patient experience, Physicians

Touch | Beyond the Physical Examination

October 26, 2018 By Bryan Vartabedian · Reading Time: < 1 minute

I read recently about a patient who spent 4 hours in an ER but was never experienced touch by a human. Not surprising, really. Technology is doing a lot of what we used to do with our eyes, ears and hands. For better or worse. While physicians often associate touch with the physical exam, it can facilitate more powerful things. Here are a few things the hand can ... Continue Reading about Touch | Beyond the Physical Examination

Tagged With: Doctoring 101, Physical exam, Touch

Physicians

Small Doctors in Big White Lab Coats

August 28, 2018 By Bryan Vartabedian · Reading Time: < 1 minute

After some deliberation, Johns Hopkins Hospital leadership has determined that their medical interns may wear long white lab coats. Until now the short white lab coat defined medical interns and the age old pecking order of postgraduate medicine in Baltimore. Woulda killed to hear that debate. Although I know how important this stuff can be to young ... Continue Reading about Small Doctors in Big White Lab Coats

Tagged With: Doctoring 101, Physician Identity, White Lab Coats

Physicians, Process/Flow

Medical Signs

August 25, 2018 By Bryan Vartabedian · Reading Time: < 1 minute

Medicine is a dicipline of uncertainty. So clinicians are always looking for indicators of certainty. We’re looking for signs. Medical signs. The psoas sign indicates an inflamed retrocecal appendix. A sentinel node is a classic sign of dissemination of cancer into the chest. The Cheeto finger sign (telltale orange fingers reflecting the recent consumption ... Continue Reading about Medical Signs

Tagged With: Doctoring 101, Medical decision making, Uncertainty

Physicians

The Zone of Medical Uncertainty

August 24, 2018 By Bryan Vartabedian · Reading Time: < 1 minute

Daniel Crook, @EMSafe dropped this in twitter a couple of weeks back: I realise that I have had to learn and do medicine in 7 different ways: What the book says What we actually do What the course says What the College/exam wants What the boss wants What the evidence says What other people will do who don't know the evidence I’ll add this ... Continue Reading about The Zone of Medical Uncertainty

Tagged With: Doctoring 101, Uncertainty

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Bryan Vartabedian, MD

Bryan Vartabedian is a pediatrician at Baylor College of Medicine / Texas Children’s Hospital and one of health care’s influential voices on technology & medicine.
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With a mashup of curated and original content that crosses the spaces of digital health, media, communication, technology, patient experience, digital culture, and the humanities, 33 charts offers unique insight and analysis on the changing face of medicine.

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