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Diabolical Negativism

Our inner thoughts are usually negative, critical or pessimistic. Negative thinking is ubiquitous, and may be responsible for indecision or ill-choices.  How to identify it and deal with it in patient care is an unsavory challenge often left undone.

5 Mistakes When Diagnosing Adult-Onset Still’s Disease (Best of 2015: #10)

Adult-onset Still's posses a interestng and diagnostic challeng when encountered. Here are 5 tips to improve your diagnostic acumen for this febrile disorder.

The Ill-Conceived Diagnosis of Fibromyalgia

Notalgia, Lyme disease in Texas and still wearing your hospital ID bracelet? You may have been misdiagnosed and instead have fibromyalgia!

Building a Better Rheumatologist

Are you efficient, productive and accurate in what you do?  Could you be better? Or do the job differently?

Jiffy Joint and Rheumatology Retail Clinics

The American College of Physicians issued a position statement about medical clinics popping up inside of retail establishments and pharmacies. For years now I’ve schemed of starting a national chain of “Jiffy Joints”. Is it time?

Hydrocodone: Then and Now

Today marks the one year anniversary of hydrocodone becoming a schedule II drug with more restrictive access. Has life been better under these new rules?

Top 5 and Bottom 5 Clinic Tools

Rheums do not live by wits and cytokine blockers alone. We need tools, equipment and material goods to be the diagnostician, communicator, and technical wizards that triple-threat rheumatologists propound to be. Not long ago I ranked my top and bottom 5 joints. Now we tackle the most and least important tools of the trade in rheumatology.

Marketing 101

Why let your practice mix grow according to word-of-mouth, preferred provider listings and beauty parlor gossip?  Be all you can be with a marketing plan for your practice and career.

Time to Listen

Every physician struggles with time and listening. Modern medicine infringes on both of these - and they may be the most humanistic things a physician can give.

How do you handle questions about sex?

I had just finished going over the prognosis and treatment plan with my newly diagnosed rheumatoid arthritis patient. I asked if she had any questions for me. She did. 

Does Recertification M.O.C.(K) Physicians?

Many rheumatologists need to go through the recertification process. The ABIM handling of this "requirement" has generated heated discussions over what appears to be an expensive, onerous, and irrelevant effort. 

Top 5 and Bottom 5 Joints

If you’re going to spend 10-20% of your clinic hours examining and caring for 28 or 68 or 360 joints – it may be instructive to own up to those joints we excel at and take note of the ones we avoid, despise or struggle with. 

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