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Future of Medicine | health care costs | Life as a Doctor | Physical Examination

Big Implications of Blog-​​Bickering About What Doctors Should Be Doing

So while this little debate might seem minor and tech­nical, reflecting some pet­tiness and dis­tinct per­son­al­ities among the various physician-​​bloggers, it bears on a serious issue for med­icine, which is not so easily resolved: what are the tasks that we really want doctors to do, and not to del­egate. This dis­cussion relates to a recent edi­torial in the New York Times on whether we really need physi­cians to admin­ister anesthesia…It bears also on simpler matters — whether doctors should spend time calling patients them­selves about routine test results, adjust coumadin and other drug doses …

See more Big Impli­ca­tions of Blog-​​​​Bickering About What Doctors Should Be Doing

Empowered Patient | health care costs | health care delivery | Ideas | Life as a Patient | Patient-Doctor Relationship | Physical Examination

Eye Care

eyeglasses on a table (Wikimedia Commons)

…the office has expanded and become so sys­tem­atized that when I go there I don’t feel like I’m vis­iting a doctor, the kind of pro­fes­sional who sin­cerely cares about my health. Instead I feel like a com­modity, which I suppose I am.

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Diagnosis | Medical Education | Patient-Doctor Relationship | Physical Examination

The Physical Exam’s Value is Not Just Emotional

But what’s also true, in a prac­tical and bottom-​​line sort of way, is that a good physical exam can help doctors figure out what’s wrong with patients. If physi­cians were more con­fident – better trained, and prac­ticed — in their capacity to make diag­noses by physical exam, we could skip the costs and tox­icity of countless x-​​rays, CT scans and other tests.

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