Word: dr
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Dates: during 1990-1999
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Christina is a cool, sturdy lady who says she has a pretty high tolerance for pain, but by 1:15, after hours of labor and 15 minutes of pushing, she is exhausted. Husband Kevin and nurse Mickie Cothren are each holding one of her legs, helping her push. Dr. Ira Smith pokes his head in the room; this will be his third birth in as many hours. "Pitiful pushin'!" he hollers, urging her on. By 2:04 she is groaning hugely. She has her hands clasped behind her knees, working hard, straining like a Russian Olympic weight lifter...
...Dr. Robert Califf, arguably one of the most important people at Duke Med, is on a flight to Washington, where he is scheduled to lead an international strategy session on how heart-failure drugs should be studied. As director of the Duke Clinical Research Institute, he is charged with doing whatever he can to take the guesswork out of medical care, and he has a specific statistic he wants to change. "Only 15% of the decisions a doctor makes every day are based on evidence," he recites...
...second floor of the Duke Clinic, Dr. Ralph Snyderman is making rounds. That would be nothing special if he didn't run the place. Snyderman is chancellor of Duke University Medical Center, so for him to be looking in on patients is a bit like Bill Gates debugging code on a Windows program. Still, it's something he does one month every year, usually in June, like most other doctors at Duke. Right now he's checking on the progress of James McAllister, 73, who has a spinal tumor. McAllister is doing well enough to leave a high-cost intensive...
...Dr. Manish Shah is trying to figure out why Thelma Shoe's nose keeps bleeding. At least once or twice a week, the 73-year-old has been getting nosebleeds that last up to an hour. Shoe's no stranger to the clinic; she has emphysema, cirrhosis of the liver (from medication she took for tuberculosis), and has already had heart-bypass surgery...
...basics return to the profession's roots, when small-town doctors made house calls and were expected to deal with everything from births to a burst appendix. "Our mission is to train residents in the reality of where medicine is practiced, and that's in the outpatient setting," says Dr. Barton Haynes, chairman of the department at Duke...