Hitting a Nerve

Poster ads don’t belong in the clinic

“Patients are bombarded with direct-to-consumer advertising for many drugs in every media outlet. The doctor’s discussion room shouldn’t be one of...

Managing Your Practice

Firing patients

As with pretty much everything in a private practice, accurate and written documentation of dismissible behavior is essential.


Patient, heal thyself!

Octavio has prostate cancer. His prostate growth is large but localized.

“What do your doctors suggest?” I asked him.

“They sent me to...

Law & Medicine

Workers’ compensation law

Question: Employee, a poorly controlled diabetic, accidentally stepped on a nail at work. Surrounding cellulitis and abscess...


Medical ethics and economics

It’s up to physicians to build an ethical wall between interests in clinical research.