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Outdoor Portrait Of Medical Team

An Alternative to Medicare for All

  Two facts about US health care are beyond dispute. First, US health care is the most expensive in the world; it is twice as expensive as the average industrial nation.1, 2 Second, US health care is not the best health care system in the world. Four different studies have compared US health care to other […]

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Joseph S. Alpert

How Accurate Are the Findings Noted During a Physical Examination?

  When I was in training, it was common knowledge that the observations we made when examining patients were important ones that enabled us to accurately diagnose the patient’s disease. Since then, a number of physical findings have been shown to be either inaccurate or less than helpful in diagnosing disease states. For example, I […]

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Speech

So, You Have to Give a Lecture—Are You Anxious?

  One of our chief residents often asks me to help our trainees prepare to present a case or some research findings at one of our conferences. I love to do this because I seem to have the “gift of gab.” Over the years, my mother often told me that as a 2-year-old, I was […]

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William H. Frishman, M.D.

Medicine as a Meritocracy

                When we (the authors, WF and JA) were graduating from medical school in 1969, 50 years ago, our class pictures in Boston showed a predominance of white males, a small percentage of white females, and even fewer African Americans, Asian Americans, and Hispanic Americans. Today the class […]

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Joseph S. Alpert

The Electronic Medical Record: Beauty and the Beast

  American medicine has belatedly entered the digital world with nearly universal utilization of the electronic medical record (EMR). Physicians have welcomed some aspects of the EMR and cursed others. As an industry, we were far behind most other commercial entities in “going digital,” and the versions of the EMR used in the United States […]

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Dr. Joseph S. Alpert

Myocardial Infarction with Nonobstructive Coronary Arteries (MINOCA)

When I (JSA) first heard the term MINOCA, it made me think that perhaps it referred to an ancient civilization in Greece resembling the Minoans on Crete. For example, “Archeologists had just unearthed the remains of one of the cities of Minoca in northern Greece.” Of course, for cardiologists, MINOCA has nothing to do with ancient […]

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