Is medicine worth it?

So my simple advice is that medicine is worth it – not for riches – but for the work.  Helping patients feels good every time.

Externalities of hospital medicine’s growth

As readers know, I have done only inpatient medicine (albeit as a teaching attending) for the past 8 years. 

June Wikio rankings

I am proud to release the June Wikio rankings. Happily I remain in the top 10! Browse these, and try some new blogs.

Nurse practitioners and the PCMH

Politics requires the art of compromise.  In supporting HR #2350 I am willing to compromise, but I do not have to be completely happy.

Tolvaptan finally available

I see many hyponatremia patients, and few of them have persistent SIADH.  I am glad to have this option for those rare patients. 

Time for a nap

Today’s NEJM has a great editorial (it should be free but it is not) – To Nap or Not to Nap? Residents’ Work Hours Revisited. 

Retainer medicine – from 7 years ago

We need a new model, and perhaps understanding the success of the retainer model would inform true reform.

Do internists do primary care?

The term primary care works in the halls of the Capital, but it fails in the minds of students and residents.

Avoid becoming a partialist

It does not refer to subspecialists in general, just those who ignore any problem that does not fit their tunnel vision of their purview.

How large is the pie?

He blogs about urban planning and the economy.  I highly recommend this thought-provoking piece he wrote this week – Where is the pie?