Lessons in Doctoring from Paul McCartney

I learned a good lesson in doctoring from Paul McCartney. Sir Paul, if we want to get formal about it. My wife and I went to one of his shows, and aside from re-living the soundtrack of our lives, we also were struck by how fresh and personal the concert felt. If you...

The Ambivalence of Retirement

Monday morning and no place to go. After 35 years of practicing medicine and GI, including a year of eager anticipation, the day had arrived when there were no patients in my schedule. Nor would there be tomorrow. Nor the next day. Nor… I was happily accustomed to a...

Differing Advice from Different Physicians

We’ve all had patients seek second opinions and receive diagnostic and/or therapeutic recommendations from other practitioners that differ from ours. Or we refer a patient to a specialist who offers one plan, and then the patient sees another specialist who suggests...

Soulless Medicine

In a recent issue of the Annals of Internal Medicine, Terwiesch and colleagues[1] propose “reimagining provider visits as the new tertiary care.” Initially, their arguments seem sound, even reasonable. Then, they conclude with this: The conceptual change is to see...