I just finished writing my 1st book in a very long time. And the only reason you should get your hands on this book is because I’m dumber than your average bear. I’ve screwed this issue up so many times I’ve run out of fingers and toes to count them on. The first topic I decided to tackle is … [Read more...]

Oddly, I want to take a minute to talk about an episode of Grey’s Anatomy. I don’t remember the specific details, but I’m sure the patient was a lovely little old lady who was kind and completely lucid. I’m sure they set it up so that you were rooting for her. She had kidney failure and was … [Read more...]

My son’s birthday is during baseball season. So every year my wife goes out and buys stuff to make cupcakes for him and his baseball team after practice, or a game, or whenever it falls. (She is much nicer and more thoughtful than I am.) Last year this practice got me thinking. Baking cupcakes … [Read more...]

A pretty common question when it comes to the PANCE. I thought I’d share it with you from this email that came in. === Recently I came across with a practice question about lung cancer screening. The question was about a 62 yo with a 40 year smoking pack history. He quit 10 years ago and his … [Read more...]

Always consider secondary gain. Not for your patients but for you. What are you getting in addition to what you're getting? What’s the bonus? What’s the cherry on top? If this goes bad for me, how will it still be a win? What am I learning or becoming? What skills am I going to get … [Read more...]