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Hot Potato, Hot Potato. In 1978, the year I matriculated medical school, if you would have told me that in forty years our country would be profoundly divided on issues related to healthcare delivery to its citizens and non-citizens alike, I would have laughed until I cried. The Viet Nam war had just ended, and our country was healing from the twenty-year conflict. Inflation was about to escalate the interest rates to an all time high. No one could purchase a home. I was warned during... Read More

She was a dark-haired, high-cheeked child born to a family of six. She was the youngest child in the clan, two brothers and a sister were born years before. Her father was a man devoted to the Word . He preached Bible scripture every day as if he were standing at the pulpit of a Baptist Church speaking to a large congregation of fundamentalists looking for salvation at the end of their wretched lives. Her mother was not really a mother, although she dawned the mask of motherhood when it suited... Read More

Sleepy? Wake Up! How many patients who come to my office do you think complain of fatigue or being sleepy? Most of them. It is a fair conclusion that almost everyone feels tired, exhausted or sleepy at some point in their lives. I remember working as a young physician in residency and staying up without sleep for thirty-six to forty hours at a time when I was on call in the hospital overnight. Every other night call meant every other night without sleeping. If one add two years of having... Read More