Word: physicians
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Dates: during 1990-1999
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...problem is, most of us don't take fatigue seriously enough to do anything more than complain about it to each other. Or we worry, sometimes with reason, that if the source of our malaise isn't obvious after a few blood tests, our physicians will consider us hypochondriacs and malingerers. One survey found that 25% of patients in doctors' offices were so tired that their condition interfered with their normal activities but that only half of them actually talked to their physician about...
...problem. "Fatigue is so common, many doctors treat it like background noise," says Dr. Benjamin Natelson, a neurosciences expert at the University of Medicine and Dentistry-New Jersey Medical School, in Newark, N.J., and the author of Facing and Fighting Fatigue (Yale University Press, $15.95). But even if your physician can't pinpoint a specific reason for your fatigue, there are ways to manage it. For instance, Natelson has found, somewhat to his surprise, that gentle conditioning exercises such as tai chi help some of his patients with chronic-fatigue syndrome. Similar results have been reported for folks being treated...
...Perlman's Ordeal (Farrar, Straus & Giroux; 329 pages; $24), novelist Brooks Hansen has some serious fun imagining the case of Sylvie Blum, a.k.a. Nina, the pubescent bringer of confusion and disarray into the physician's otherwise detached and antiseptic existence. As a hypnotherapist, Perlman is a hands-off healer. As a closet onanist, he is a hands-on pioneer of safe...
Shortly before he died of lymphoma, the great writer and physician Lewis Thomas, whose books turned science into a way of appreciating the grandeur of the world, told me he thought the true measure of a life was that it be useful. He wondered in those last days if his own life had been useful, and many thousands of readers assured him that it had. Lewis died at 80, but he was fairly young when he did the bulk of his most useful work. "Grow old along with me! The best is yet to be," cried Robert Browning's Rabbi...
...themselves to a form of medical rationing. That's the core issue to emerge from two surveys, released Wednesday, centered on patient and doctor experiences with HMOs. The doctor data, compiled by the Kaiser Family Foundation together with the Harvard School of Public Health, found a high degree of physician dissatisfaction with a system that continually questions their professional judgment. Among the results: 79 percent of doctors reported trouble getting approval for a drug they wanted to prescribe; 69 percent had difficulty getting approval for a diagnostic test; 60 percent noted problems for a hospital stay; 52 percent for referral...