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Do physicians with less experience provide better care than do those with more?

The New York Times recently published an Op-Ed from a 29 year old physician writer who argued that younger doctors provide better medical care than older, more experienced physicians. Dr. Warraich’s confidence in the wisdom of young doctors might be warranted were today’s medical “facts” always true, were acute-care medical procedures more important than doctors’

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Autoimmune Disease: Does Sex Matter?

Introduction Autoimmune rheumatic illnesses tend to affect women more often than they do men. Patients, physicians, and researchers ask why this is so. What are the correlations between gender (or, more precisely, sex) and rheumatic disease? For many years the best explanation to explain this female predominance has been the hormone theory: the thought that female

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6AM Sunday 6/4 — WFAN Sports Radio 660 AM & 101.9 FM NYC

For those in NYC: set your alarm now! Sunday June 4, 6AM – 7AM – LIVE – I will be talking medical uncertainty to Bob Salter of WFAN Sports Radio 660 AM & 101.9 FM NYC. A one hour discussion about my new book The Prince at the Ruined Tower. Definitely worth getting up for

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Time to Write the Senate at HealthReform@finance.senate.gov

Republican senators are working on a healthcare bill in secret, hoping to pass a bill that will mimic the Trumpcare bill that the House recently passed. Please write to HealthReform@finance.senate.gov to tell these senators that the American Public deserves better. Here is the email I sent this morning: To whom it may concern: I am

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The Prince at the Ruined Tower: Time, Uncertainty & Chronic Illness Released

The noted physician, Dr. Michael D. Lockshin, Professor of Medicine and Obstetrics-Gynecology at Weill Cornell Medicine and Director of the Barbara Volcker Center at the Hospital for Special Surgery, explores seldom discussed issues of contemporary medical practice—how should and how do patients respond when diagnoses are uncertain? How should and how do doctors respond? Or

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Novel Medical Advance?

A truly novel medical advance is always exciting and newsworthy, but the New York Times was insufficiently critical in “Can the Nervous System be Hacked?” by Michael Behar (May 25). The concept that the nervous system has an effect on inflammatory diseases has been known for a very long time. We have known for more than

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Why the Dutch Girl Cried

Half-way through the medical student seminar, the Dutch girl began to cry. The seminar, a conversation among medical students and patients, was intended to teach aspects of chronic illness. A young patient advocate from the Netherlands was an invited guest. None of us in the room, including her, had anticipated her tears. “I was startled,”

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Obamacare – the Best idea since Medicare

I just received an email from my member of Congress Dr. Nan Hayworth in which she wrote: Assuring that all Americans have access to good medical care and to affordable, portable health insurance is a crucial goal for our country, and one that is a mission for me as the only woman physician who is a

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Hospitalists and End-of-Life Decisions

Idée reçue number one:  when hospitalists are the doctors in charge of inpatients, hospitalizations are more efficient, and care is better. Idée reçue number two:  thoughtful end-of-life planning is a laudable and comforting goal. What happens when these values—efficient care, thoughtful planning—clash? This question arose because of a friend’s 100-year-old mother. She was vigorous and

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New Federal Drug Research Center

Fareed Zakaria in his Washington Post opinion piece Can Obama get it right on the economy? wrote:  “The Obama administration, concerned about the dramatic slowdown in drug development, is proposing a new federal research center with a $1 billion budget. A good idea, but U.S. officials should look at the regulatory framework surrounding the process

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