Thequestionofhowmuchmoneyphysiciansshouldmakehaslongbeenaprovocativetopic.Evenabout250yearsago,pioneeringeconomistAdamSmithsummarizedtheprevailingtonewhenhewrote,"Wetrustourhealthtothephysician...Suchconfidencecouldnotsafelybereposedinpeopleofaverymeanorlowcondition.Theirrewardmustbesuch,therefore,asmaygivethemthatrankinthesocietywhichsoimportantatrustrequires."(AnInquiryIntotheNatureand...[
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Theconceptofcash-onlypracticesisappealingtomanyphysicians--moretimewitheachpatient,feweradministrativeissues,nodependenceoninsurers.Butnoteverypracticecanmakethisarrangementworksuccessfully.Ifyou'reconsideringacash-onlypractice,firstexaminethesefactorstoseewhethersuchamodelisrightforyou.
1.DemographicsDoesyourareahavetherightkindofpatientstosupportacash-onlypractice?Tofindout,youneedtoknowthep...[
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Doctors'WorstInvestmentsEver
Youmighthavethoughtthatinvestorshadlearnedtheirlessonafterlosingmoneyinthetechnologystockcrash,whensizzlingInternetcompaniesandotherhigh-fliers,suchasEnronandWorldCom,sawtheirmarketvaluevaporize.Itwaseasyforinvestorstogetcaughtupinthehypebackthen,andphysicianswerenoexception.Inrecentyears,however,manyphysicianshavethumbedtheirnosesatWallStreet,decidinginsteadtopull...[
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MDLament
Mostpeoplewhodon'thave"MD"or"DO"aftertheirnamewouldassumethat$160,000isadarngoodannualincome.
That'swhatatypicalprimarycaredoctor--familyphysicianorinternist--earnsafterexpensesbutbeforetaxes,accordingtoMedscape'sfirstPhysicianCompensationSurvey.Yetit'softennotenoughinaworldwhererisingcostscollidewithstagnantreimbursements.
That'sbecauseinmanyways,doctorsar...[
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这四种新的亚型为:1)luminalA;2)luminalB;3)basal-like;and4)HER2-enriched(HER2E)。HER2-enriched:Thissubtypeincludesmany,butnotall,HER2-positivetumors,oronesthatexpresslargeamountsoftheHER2protein.TendstorespondtodrugsthattargettheHER2protein.LuminalA:Estrogen-positive;tendstobelessaggressive.LuminalB:Estrogen-positive;tendstobemoreaggressive.Basal-like:Includesmany,butnotall,triple-negativebr...[
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生活之美就在于一个个令人意想不到的惊喜。这个周末,乘着儿子和女儿都在家,我们家2012年的中秋节就在这时提前过了。前不久,家乡上海的朋友来访,给我们带来了久违的沪上名店杏花楼的月饼。俗话说:红花要由绿叶扶。那么尝月饼时最好是同时喝上一口清香的茶。正好,去年上海来访的高中同学又给我们带来了茶中的名品夷山红茶之正山小种。
月饼的甜美,红茶[
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Genomicmedicineisrapidlyevolvingandchangingthewaysinwhichwethinkabouttheethical,legalandeconomicregulationofthispowerfulbiotechnology.Publicperceptionsofgenetictestingarecomplexandambivalent.Theyhavebeenshapedbysomeofthemoreunsavoryusestowhichgeneticshasbeenputinthepast.Itisdifficulttoseparateourthoughtsaboutcurrentgeneticscreeningformedicalcarefrompracticessuchastheeugenicsmovement,racialprofilin...[
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EverybodyisfamiliarwithFacebook,whichsoonwillhave1billionregistrantsandbesecondonlytoChinaandIndiaasfarasacommunityorpopulation.Whatisn'tsomuchappreciatedbythemedicalcommunityisthatourpatientsareturningtoonlinehealthsocialnetworking.ThesearesuchWebsitesasPatientsLikeMe,CureTogether,andmanyothers.Interestingly,patientswithlikeconditions--oftenchronicconditions,suchasmultiplesclerosis,diabetes,oramy...[
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Obesityhaslongbeenassociatedwithdiabetesmellitus,hypertension,andotherdisordersanddiseases,butresearchershavenotknownwhysomeobesepeopledeveloptheseproblemsandothersdonot.ResearchconductedbyscientistsattheUniversityofMarylandSchoolofMedicineandpublishedrecentlyinPLoSONE,ajournalofthePubicLibraryofScience,hassuggestedananswer:peoplewhoarevulnerabletoinsulinresistanceandhighbloodpressure,cholesterol,...[
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星期一休息总是蛮开心的,更何况又是我的生日。而且不仅是生日,还是我在文学城开博的两周年和到美国二十二年半的纪念日。在刚刚过去的那个周六,和太太一起帮儿子搬到UCLA的NorthCampus的校舍里,这几天正好是LA最热的,搬好后顿觉饥肠辘辘的,便带着儿子和太太到了西LA最新开的一家Buffet店饱餐了一顿,那里的空调和冰水,把我们冒汉的身子一下子凉快了下来。席间,[
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