#OurLoveStory in 15 Tweets

So yesterday was Friday the 13th and my 15th wedding anniversary. I’d seen someone do anniversary tweets before (cannot remember still who it was, so if you do please leave a comment). I thought this was a good idea to surprise my husband. Only problem was he’s not on Twitter so I had to post a summary on Facebook. I wasn’t sure how it would go down, as it was PDA (Public Display of Affection). But I think he’s enjoying the attention.

Continue reading

Consumerism in healthcare and the Physician-Patient Relationship

On PsychCentral.com, Dr. Rick Nauert writes in this post entitled Money Changes Physician-Patient Relationship – 

“We have forgotten that aspect of professional folk wisdom,” Hall said. “Doctors need to make their treatment recommendations in the context of what patients can and can’t afford, with the understanding that some patients can’t afford what they might recommend.”

Continue reading

The Challenge of Care Coordination

As an endocrinologist, care coordination is something I struggle with in my clinic. There being only 200 or so endocrinologists in the Philippines, I often see patients from places where there are no endocrinologists. They travel great distances to see me. As you can imagine, persons with diabetes will need care from others such as an ophthalmologist, cardiologist, nutritionist, dentist etc. These healthcare professionals may or may not be available where the patients live. If they are not available where they are, I have to choose who to refer to in the faculty medical arts building (attached to a medical school and a university hospital) where I hold clinic and ask my secretary to schedule an appointment for them. While all medical specialties are housed under one roof, scheduling can be hit or miss. Sometimes, the patient can be seen that same day before they travel back home and sometimes not. Tracking whether the patient has indeed been seen is another problem. I can find out months later when the patient comes to her appointment with me that she was not seen for example by an ophthalmologist despite my referral.

Continue reading

Why does self-diagnosis annoy doctors?

This picture has circulated in my Facebook feed since last month. It didn’t feel right but I decided not to say anything as I saw some colleagues sharing it. I was wary of offending someone. However, there was one post in particular recently where I simply could not in good conscience keep quiet. And I said –

I am a physician and I find this picture offensive.

So what happened? The person who posted the picture deleted my reply! That’s what made me decide to write this blog post. Continue reading