The top 3 hidden rewards of practicing oncology in a small community.

There is a shortage of rural physicians in the U.S.  My specialty, medical oncology, is but one of many specialties where the shortage is especially glaring. In oncology, I think there is perhaps a fear of practicing outside the walls of a large tertiary center and leaving behind the established framework and boundaries between the doctor and patient. I know it was a fear of mine when I moved to a rural community to practice nearly 4 years ago…

Read moreThe top 3 hidden rewards of practicing oncology in a small community.

On bearing witness: an oncologist’s role at end of life.

My patient was sitting in a wheelchair.  He was in his mid-forties, and before the cancer, had held a physically demanding job that he loved.  Now, the cancer in his spine had ended not only his ability to work, but any ability to use his legs…

Read moreOn bearing witness: an oncologist’s role at end of life.

On perceptions of female physicians: from planes to preschools.

I recently read on kevinmd.com the accounts of women physicians who attempted to help passengers in air flight emergencies and were incredulously pushed aside and not allowed to provide emergency care.

Yes, you read that correctly.  Physicians blocked from providing emergency medical care because the flight attendants didn’t believe they were physicians — we can only assume based on their appearance…

Read moreOn perceptions of female physicians: from planes to preschools.

On meaningful use: the EMR versus the patient’s needs.

Mr. X. is a man in his 80s who was cured of his cancer, but at what cost.

The biologic therapy and radiation which eradicated the cancer left him with the inability to swallow and need for permanent PEG tube.  Due to overall frailty and multiple comorbidities, he never graduated from the SNF and continues to reside there today…

Read moreOn meaningful use: the EMR versus the patient’s needs.

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