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My Doctor by Ted Bacharach MD (retired)

  Once upon a time, as all old stories begin, people used to talk about “my doctor”. Recently one hears this remark far less frequently. Today people are more apt to mention my “primary care” or “the doctor they sent me to” or  the ER doc, and so forth. What happened to my  doctor  and what changed?  The…

The Smoking Thing

When patients take an active role in harming their own health it becomes a very controversial topic.   As physicians, we rarely ever turn away a patient.  We try, as consultants, to guide him or her but we try not to judge.  As we become stewards of the healthcare system, however, we need to understand…

Makes You Wonder

Can you look at this sign I stole from the internet and see it for what it is?  Honestly, without any political judgments, can you take a deep breath and go through each item and just ponder it for a second?   Forget poor versus rich.  Forget entitlements.  Forget liberal versus conservative or Republican versus…

Cholesterol and Older Adults

Higher total cholesterol was associated with a lower risk of noncardiovascular mortality in older adults. This association varied across the late-life span and was stronger in older age groups.  This was from a study in the Journal of American Geriatrics in October of this year.  So should we be treating these patients with statins?  Probably…

A Higher Purpose of Leadership

I was reading a book called Leading At A Higher Level by Ken Blanchard and I was really intrigued about how he redefined what leadership really is.  Here is an excerpt: We believed that anytime you tried to influence the thoughts and actions of others toward goal accomplishment in either your personal or professional life…

It’s A Trap!

A recent WSJ article had an enticing header.  It said “An Rx? Pay More to Family Doctors”.  It sounded so alluring.  My pulse quickening as I started to read but then I realized it was a trap.  Where is Admiral Ackbar when you need him? The article starts out with how Wellpoint (an insurance company)…

Keep On Keepin’ On

A new study in the American Cancer Society journal CANCER looked at 2,456 lung cancer patients and 3,063 colorectal patients and discovered that at the time of diagnosis, 38 percent of the lung cancer patients and 15 percent of the colorectal patients were smokers. Five months later, despite a cancer diagnosis, 14 percent of the lung cancer…

Respect by Ted Bacharach MD (retired)

Long ago physicians were respected members of society. Benjamin Rush  M.D. was a signer of the Declaration of Independence and did quite a few phlebotomies on George Washington (probably not too helpful). The physicians were knowledgeable but had few effective remedies and often did little good.   Over quite a few years physicians became considerably more…

State of the Medical Union

Last night at the State of the Union address President Obama said, “Millions of Americans who work hard and play by the rules every day deserve a government and a financial system that do the same.  It’s time to apply the same rules from top to bottom. No bailouts, no handouts, and no copouts. An…

Statins, Diabetes, and Animal House

For those who haven’t heard, a new study has shown that statins (to treat cholesterol) raise the chances of the person, who is taking the medication, of getting diabetes by 50%.  This is the fourth publication to show that.   It looks like a real risk.  Wow.  So, let me get this straight.  The idiots…