Finding one’s place (book excerpt: Intern: A Doctor’s Initiation)

February 18th, 2008    Posted by: Dr. Dobson

In the fall I rotated through the geriatrics ward. One of the attending physicians was an irritating woman whose idea of the Socratic method was pimping you with really vague questions, then acting like she had already thought of whatever answers you gave and that you were only telling her what she already knew. The other attending was a throwback to “the days of the giants,” when pneumococcal pneumonia was diagnosed by injecting sputum into mice and antibiotics for urinary tract infections were tested on agar plates. One morning, one of my interns presented a case to him of an elderly man who had been hospitalized with fever and a cough producing green sputum. “He has pneumonia,” she proclaimed confidently. “Take a look at this chest X-ray.” She pulled up a digital image on a computer screen showing a distinct pneumonic streak. The senior physician waved it off. “First tell me about your lung exam,” he said.

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Major Depression and Substance Use Initiation Linked in Youths and Young Adults

December 14th, 2007    Posted by: Dr. Dobson



Youths and young adults who experienced a major depressive episode (MDE) in the past year are more likely to have also used alcohol or illicit drugs for the first time in the past year, according to a recent analysis of data from the National Survey on Drug Use and Health (NSDUH).

Among youths ages 12 to 17 who had not previously used alcohol, those who had experienced a past year MDE were nearly twice as likely to have used alcohol for the first time in the past year as those who did not experience a MDE. Likewise, youths who experienced a MDE in the past year were more than twice as likely to initiate illicit drug use.

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