Word: physicians
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...also important for women to raise the issue with their family physician or gynecologist. Physicians have to depend on patients to detail symptoms like urinary and fecal incontinence that are not apparent in a routine physical exam. Pelvic-organ prolapse, in severe cases, may be obvious to a doctor, Nygaard said, but in some cases women don't necessarily feel discomfort, so patients need to explain their symptoms and ask for a physical exam...
...Between them, his stories encapsulate almost the complete spectrum of the medical world - from preparing for medical-school exams to gritty night shifts; from the experience of being a medevac physician to treating an unforeseen, potentially fatal complication during childbirth; from shenanigans with the police in the emergency room to the terrifying first days of the outbreak of SARS...
...Kris Crawford, a bedrock Republican and the only physician in the state's house of representatives, is unexpectedly open to the idea. "We're never thrilled with government programs here in South Carolina, but the government does have a responsibility to do things that the private sector won't do for themselves," he says. "I think it's a great idea...
...Then there are the extremists. This year, three individual competitors set out to tackle all four legs in one calendar year, but already only two remain: 33-year-old South African physician Paul Liebenberg, who has a practice in Australia's remote Outback, and 45-year-old American professional runner and Ultramarathon Man author Dean Karnazes. "I am not a balanced individual," says Liebenberg frankly, "and I have found the only way for me to deal with the physical, and especially the emotional, demands of bush medicine in the Australian Outback is to push myself physically hard as well...
Your article on weeding out incompetent doctors (MEDICINE, May 26) makes the error of assuming that state medical boards can act autonomously in controlling dangerous physicians. The chain of effective discipline starts . with reporting the offense, followed by investigation and then the prosecution, none of which are in the hands of a medical board. A physician thought to be incompetent must be accorded full protection of the law and can be punished only after a fair hearing, to which can be added the right of appeal. This is as it should be, but it takes time. Rather than direct criticism...