The following movies, in my opinion, are non-starters on first dates. In no particular order: Sophie’s Choice (tragic) Schindler’s List (depressing) The Exorcist (freaky) The English Patient (mind-numbing boredom) Terms of Endearment (heart-wrenching) and finally, Love Story (sappy). You may, if you were born before 1960, remember the tagline and memorable quote in Love Story. “Love means never having to say you’re sorry.” Oh please, even in 1970, when I was 10-years-old, I knew that …
Read MoreDeconstructing the Ten Commandments of Urgent Care Medicine
Since the holiday season was just upon us, I will take the opportunity to borrow heavily from the 1956 Cecil B. DeMille movie, The Ten Commandments. The movie portrays the life of Moses, from an infant floating down the Nile through his return to Egypt to lead the Hebrews across the Red Sea. For the next few paragraphs, think of me as the Moses of Urgent CareWorld, as I attempt to lead you to the …
Read MoreSo Here’s What I’ve Learned…
John Shufeldt, MD, JD, MBA, FACEP I am always amazed by the myriad of personalities encountered on any given day in the urgent care center or emergency room, at the office, or even when simply out and about. Over the years, I’ve been fortunate to learn a few things from the thousands of patients I’ve treated and the remarkable individuals I’ve met along the way. How is it that some people with serious acute or …
Read MorePersistence
John Shufeldt, MD, JD, MBA, FACEP I just returned from Boston, where the American College of Emergency Physicians held its national conference. While there, along with learning (and relearning) some emergency medicine, I had the change to walk along the Freedom Trail and enhance my understanding of our battle for independence. What continually amazes me is how fortunate we were to actually succeed. Many times the only thing which turned the tide and saved the …
Read MoreDuty to Report
A few years ago, in a semi-rural town in Arizona, a woman brought her 4-year-old son to a physician assistant named James, who staffed a walk-in clinic. James knew the boy and his family very well. He was essentially their PCP and had treated the little boy in the past. In fact, he watched his grow from a toddler to a rambunctious little bundle of energy. On this particularly visit, the little boy had a …
Read MoreA Tale of Two Applicants
John Shufeldt, MD, JD, MBA, FACEP It was March, and third-year residents all over the country were sending out applications for employment. It was, as Charles Dickens penned, the best of times, it was the worst of times, it was the age of wisdom, it was the applicant’s spring of hope, most had everything before them’ James and Ashley were no exception. James, from a prestigious East Coast family practice residency, learned during his first …
Read MoreEntrepreneurism—Or, How Not to Turn a Lot of Money into a Little
Throughout history, entrepreneurs have faced harsh critics. From Shakespeare’s The Merchant of Venice through Oliver Stone’s movie Wall Street (“greed is good, greed works.” etc.) entrepreneurial efforts are cast in a dim light. To paraphrase Lifebook founder Job Butcher, though, “no other social system can compete with the free market, entrepreneurial system in terms of productivity, raising living standards, and creating prosperity … Yet, despite its overwhelming contributions, some elements of society still associate profit-making …
Read MoreA Short Course in Tort
John Shufeldt, MD, JD, MBA, FACEP I just completed teaching a semester of Health Law and Ethics at the W.P. Carey School of Business at Arizona State University. Over the next few months in this column, my goal is to distill te 40-hour course down to a few pages chock full of practical legal information. Lesson 1: Torts A tort is a civil wrong committed against a person or property interest for which the court …
Read MorePull Up! Pull Up!
I am often asked what inspired my love of flying. Although this is the first time I have admitted it in public, I am proud to say that it all began with the movie Airplane! Dr. Rumack: You’d better tell the captain we’ve got to land as soon as we can. This woman has to be gotten to a hospital. Elaine Dickinson: A hospital? What is it? Dr. Rumack: It’s a big building with patients, …
Read MoreSafety First When Consummating Relationships with Vendors
JOHN SHUFELDT, MD, JD, MBA, FACEP One of my favorite Seinfeld exchanges is this prickly dialogue between George and his fiancée, Susan, regarding his disdain for (and challenge with) condoms: GEORGE: Oh, no, no … condoms are for single men. The day that we got engaged, I said goodbye to the condom forever. SUSAN: Just once … for the make-up sex. GEORGE: Make-up sex? You have to have that right after the fight, we’re way …
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