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  • Editorials
    • Doctor’s Diary March 26, 2019: Medicare-for-all
    • Doctor’s Diary March 22, 2019: Game plan: Business takeover of healthcare
    • Doctor’s Diary March 19, 2019: The 4-day rule
    • Doctor’s Diary March 16, 2019: Doctors are detectives
    • Doctor’s Diary March 12, 2019: Jumping through hoops
    • Doctor’s Diary March 8, 2019: Choosing a hospice agency
    • Doctor’s Diary March 5, 2019: How is hospice care paid?
    • Doctor’s Diary March 1, 2019: Aging and the palliative care white knight
    • Doctor’s Diary February 26, 2019: The morality of targeting ICU Medicare patients
    • Doctor’s Diary February 21, 2019: They prey on medical ignorance
    • Doctor’s Diary February 18, 2019: Lured into palliative and hospice care
    • Doctor’s Diary February 15, 2019: Actively dying
    • Doctor’s Diary February 12, 2019: Hospice care? Really?
    • Doctor’s Diary February 8, 2019: Dying from hospice
    • Doctor’s Diary February 5, 2019: Hospice is a business
    • Doctor’s Diary February 1, 2019: “Your loved one is on life support”
    • Doctor’s Diary January 22, 2019: Elmer and Edie
    • Doctor’s Diary January 18, 2019: Lodging a hospital complaint
    • Doctor’s Diary January 15, 2019: Under the influence
    • Doctor’s Diary January 11, 2019: Palliative and hospice care jargonese
    • Doctor’s Diary January 8, 2019: Hospice care not reflected in healthcare statistics
    • Doctor’s Diary January 3, 2019: The scoop on some hospice care agencies
    • Doctor’s Diary December 31, 2018: What is your happiness level?
    • Doctor’s Diary December 28, 2018: The Notorious RBG and healthcare
    • Doctor’s Diary December 24, 2018: Blood pressure cuff and other gadgets
    • Doctor’s Diary December 21, 2018: Who should be on hospice?
    • Doctor’s Diary December 18, 2018: Tactics forcing ICU patients onto hospice
    • Doctor’s Diary December 14, 2018: Forcing ICU patient onto hospice
    • Doctor’s Diary December 11, 2018: Hospice and end-of-life care
    • Doctor’s Diary December 7, 2018: Time
    • Doctor’s Diary December 4, 2018: Rough draft of a new US healthcare plan
    • Doctor’s Diary November 30, 2018: Healthcare
    • Doctor’s Diary November 27, 2018: Elder suicide – the shrouded game plan
    • Doctor’s Diary November 23, 2018: Smudge pot
    • Doctor’s Diary November 16, 2018: Finding a doctor you can trust
    • Doctor’s Diary November 13, 2018: Frailty
    • Doctor’s Diary November 9, 2018: Discharge home – Lost in translation
    • Doctor’s Diary November 6, 2018: Voting and healthcare
    • Doctor’s Diary November 2, 2018: Medicare open enrollment
    • Doctor’s Diary October 17, 2018: Evidence-based medicine
    • Doctor’s Diary October 12, 2018: Caregiver burnout
    • Doctor’s Diary September 30, 2018: The second Civil War
    • Doctor’s Diary September 27, 2018: Lesson learned
    • Doctor’s Diary September 24, 2018: The tortuous healthcare highway
    • Doctor’s Diary September 21, 2018: Futile care?
    • Doctor’s Diary September 18, 2018: Start the clock
    • Doctor’s Diary September 15, 2018: Seniors aging in place
    • Doctor’s Diary September 12, 2018: Muzzling the best and brightest
    • Doctor’s Diary September 9, 2018: Bedpan attitude
    • Doctor’s Diary September 6, 2018: The corporate practice of medicine
    • Doctor’s Diary September 3, 2018: Abe
    • Doctor’s Diary August 31, 2018: On being a housecall doctor
    • Doctor’s Diary August 28, 2018: Know your Medicare rights
    • Doctor’s Diary August 25, 2018: Loss of the TCU
    • Doctor’s Diary August 22, 2018: “Patient-centered” healthcare
    • Doctor’s Diary August 19, 2018: Intentional confusion
    • Doctor’s Diary August 16, 2018: Shortage?
    • Doctor’s Diary August 13, 2018: Defining your doctor
    • Doctor’s Diary August 10, 2018: What happens in the hospital, stays in the hospital
    • Doctor’s Diary August 7, 2018: Remaining in your comfort zone
    • Doctor’s Diary August 4, 2018: Coconut custard pie
    • Doctor’s Diary August 1, 2018: The suicidal elder senior
    • Doctor’s Diary July 29, 2018: Scrutinizing a new hospital doctor
    • Doctor’s Diary July 26, 2018: Escaping profiteers
    • Doctor’s Diary July 23, 2018: The homeless senior
    • Doctor’s Diary July 20, 2018: An American right
    • Doctor’s Diary July 17, 2018: One question too many (Year Two)
    • Doctor’s Diary July 14, 2018: Crime scene
    • Doctor’s Diary July 11, 2018: Losing sleep…and experience
    • Doctor’s Diary July 5, 2018: We are born equal, but…
    • Doctor’s Diary June 28, 2018: Seeing, chewing, hearing
    • Doctor’s Diary June 25, 2018: Recognizing death
    • Doctor’s Diary June 22, 2018: Life – On a finger tip
    • Doctor’s Diary June 19, 2018: Freebies
    • Doctor’s Diary June 16, 2018: Cradling the heart
    • Doctor’s Diary June 13, 2018: HAL
    • Doctor’s Diary June 10, 2018: Fear the ICU
    • Doctor’s Diary June 7, 2018: Mammas don’t let your babies grow up to be doctors
    • Doctor’s Diary June 4, 2018: Healthcare – Running for office
    • Doctor’s Diary May 26, 2018: Overdosing elder seniors
    • Doctor’s Diary May 23, 2018: Mother-daughter connection
    • Doctor’s Diary May 20, 2018: Caring for furry friends
    • Doctor’s Diary May 17, 2018: Being a second responder
    • Doctor’s Diary May 14, 2018: The beat goes on
    • Doctor’s Diary May 11, 2018: Housecall pidgin talk (#100)
    • Doctor’s Diary May 8, 2018: Physician, heal thyself
    • Doctor’s Diary May 5, 2018: Conveyor-belt medicine
    • Doctor’s Diary May 2, 2018: Death panels exist
    • Doctor’s Diary April 26, 2018: Getting old sucks
    • Doctor’s Diary April 23, 2018: A matter of comfort
    • Doctor’s Diary April 20, 2018: Holding ‘denied’ accountable
    • Doctor’s Diary April 17, 2018: The circle of life
    • Doctor’s Diary April 14, 2018: Breathalyzer at the doorway
    • Doctor’s Diary April 11, 2018: Here’s the game plan
    • Doctor’s Diary April 8, 2018: On being a nurse
    • Doctor’s Diary April 5, 2018: Transition from hospital to nursing home
    • Doctor’s Diary April 2, 2018: Jury Duty
    • Doctor’s Diary March 30, 2018: Myron’s right to die
    • Doctor’s Diary March 27, 2018: Bad news
    • Doctor’s Diary March 24, 2018: Making a hospital complaint
    • Doctor’s Diary March 21, 2018: Start a revolution
    • Doctor’s Diary March 18, 2018: Your physician “quarterback”
    • Doctor’s Diary March 15, 2018: Insurance company denial is your risk
    • Doctor’s Diary March 12, 2018: US healthcare: Another inconvenient truth
    • Doctor’s Diary March 9, 2018: Daylight savings preventive care
    • Doctor’s Diary March 6, 2018: DNA
    • Doctor’s Diary March 3, 2018: How hospitals minimize doctor input
    • Doctor’s Diary February 28, 2018: Symptoms
    • Doctor’s Diary February 25, 2018: Powered by Toyota
    • Doctor’s Diary February 22, 2018: Archimedes et al in tribute
    • Doctor’s Diary February 19, 2018: Character counts
    • Doctor’s Diary February 16, 2018: Learning a lesson
    • Doctor’s Diary February 13, 2018: Paying off my medical school loan
    • Doctor’s Diary February 10, 2018: Prescription denied
    • Doctor’s Diary February 4, 2018: Mike
    • Doctor’s Diary February 1, 2018: Hospital “code words”
    • Doctor’s Diary January 29, 2018: Decreasing life expectancy
    • Doctor’s Diary January 26, 2018: Sepsis
    • Doctor’s Diary January 23, 2018: Elder suicide
    • Doctor’s Diary January 20, 2018: Being au naturel
    • Doctor’s Diary January 17, 2018: Readmission
    • Doctor’s Diary January 14, 2018: The easy way out
    • Doctor’s Diary January 11, 2018: The other gateway drug
    • Doctor’s Diary January 8, 2018: Overtime
    • Doctor’s Diary January 5, 2018: Computer reality
    • Doctor’s Diary January 2, 2018: Dehydration
    • Doctor’s Diary December 29, 2017: The silent doctor
    • Doctor’s Diary December 26, 2017: Overdosed by government
    • Doctor’s Diary December 23, 2017: Grace
    • Doctor’s Diary December 20, 2017: Painting a picture
    • Doctor’s Diary December 17, 2017: Don’t forget the forgotten
    • Doctor’s Diary December 14, 2017: Surviving war and hospitalization
    • Doctor’s Diary December 11, 2017: Business bandwagon
    • Doctor’s Diary December 8, 2017: Re-blending our DNA
    • Doctor’s Diary December 5, 2017: Rolling the dice with chest pain
    • Doctor’s Diary December 2, 2017: Medicare HMO is not free
    • Doctor’s Diary November 29, 2017: When is a bribe not a bribe?
    • Doctor’s Diary November 26, 2017: Glowing in the dark
    • Doctor’s Diary November 23, 2017: Thankful for a high school education
    • Doctor’s Diary November 20, 2017: Pointing fingers
    • Doctor’s Diary November 17, 2017: Home, your comfort zone
    • Doctor’s Diary November 14, 2017: Should hospitals employ doctors?
    • Doctor’s Diary November 11, 2017: Ron – the unknown soldier
    • Doctor’s Diary November 8, 2017: The other pain reliever
    • Doctor’s Diary November 5, 2017: Beyond the realm of modern medicine
    • Doctor’s Diary November 2, 2017: Older and sicker stay shorter
    • Doctor’s Diary October 30, 2017: Anger management
    • Doctor’s Diary October 27, 2017: In Denial
    • Doctor’s Diary October 24, 2017: Our greatest asset
    • Doctor’s Diary October 21, 2017: A phone call away
    • Doctor’s Diary October 18, 2017: Mother Nature vs. vulnerable seniors
    • Doctor’s Diary October 15, 2017: Corralling Votes
    • Doctor’s Diary October 12, 2017: What’s your DRG?
    • Doctor’s Diary October 9, 2017: The stethoscope – A symbol or a tool
    • Doctor’s Diary March 24, 2018: Making a hospital complaint
    • Doctor’s Diary October 6, 2017: Power of Attorney
    • Doctor’s Diary October 3, 2017: Age as a pre-existing condition
    • Doctor’s Diary September 30, 2017: Cancer – the stop button
    • Doctor’s Diary September 27, 2017: Here’s the scam – Observation Status
    • Doctor’s Diary September 24, 2017: Marijuana
    • Doctor’s Diary September 21, 2017: Lie Detector
    • Doctor’s Diary September 18, 2017: Skin in the game
    • Doctor’s Diary September 15, 2017: Defining where a senior lives
    • Doctor’s Diary September 12, 2017: Drought-free America
    • Doctor’s Diary September 9, 2017: Safe Senior Driving
    • Doctor’s Diary September 3, 2017: Paperwork Sequela
    • Doctor’s Diary August 31, 2017: Living Shorter Lives
    • Doctor’s Diary August 28, 2017: Private Practice
    • Doctor’s Diary August 25, 2017: Doctor Shortage
    • Doctor’s Diary August 22, 2017: Infrastructure
    • Doctor’s Diary August 19, 2017: Good hands
    • Doctor’s Diary August 16, 2017: Doctor Bonus
    • Doctor’s Diary August 13, 2017: Improving Nursing Home Care
    • Doctor’s Diary August 10, 2017: Cost of Drugs
    • Doctor’s Diary August 7, 2017: Hospital administrators on a pedestal
    • Doctor’s Diary: August 4, 2017
    • Doctor’s Diary: August 1, 2017
    • Doctor’s Diary: July 29, 2017
    • Doctor’s Diary: July 26, 2017
    • Doctor’s Diary: July 23, 2017
    • Doctor’s Diary: July 20, 2017
    • Doctor’s Diary: July 17, 2017
    • Making Medical Decisions Without Accountability
    • A Decline In Life Expectancy
    • Drive-Thru Medicine
    • Physicians Organizing Committee Battle Encroachment into Medical Decision-Making
    • The Ambiguity of Diagnosing Brain Death
    • Saluting Our Santa Clarita Valley Olympians
    • Mamas Don’t Let Your Babies Grow Up to Be Doctors
    • Compromised Hospital Care
    • The Two-Tiered System of Hospital Care
    • Doctors: Pawns on the Hospital Chessboard
    • Surviving Your Hospital Stay
    • Medical Consequence of a Business Bonus
    • Administrator Influence Compromises Hospital Patient Care
    • $23 Million Hospital Propaganda Against Doctors
    • The Exploitative Henry Mayo Newhall Hospital Palliative Care Policy
    • Declining Life Expectancy
    • Free At Last…
    • Banning the Corporate Practice of Medicine
    • A Picture Is Worth….
    • Open Letter to Henry Mayo Newhall Hospital Board of Directors
    • Forty Years of Team Service
    • Rising From the Watts Riot, Now With Roots in Santa Clarita
    • Keeping the Lid on Our Hospital
    • Warning to Elder Seniors: Have Your End-of-Life Discussion Now
    • The American Doctor: Marginalized and Frustrated
  • Welcome to SCV Physician Report
  • About SCVPR
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    • A Military Salute to George Pederson
    • Kathryn Marie Charnock, M.D., Major, MC, USAF
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Month: January 2018

Doctor’s Diary January 29, 2018: Decreasing life expectancy

  • By Gene
  • January 29, 2018
  • 3 Comments

(Snippets from the frontline) Decreasing life expectancy After rising 26 years, US life expectancy decreased for the second straight year.  News reports attributes opioid fatalities as a contributing factor to … Continue Reading →

Doctor’s Diary January 26, 2018: Sepsis

  • By Gene
  • January 26, 2018
  • No Comments

(Snippets from the frontline) Sepsis In hospitalized patients, experienced doctors and nurses instinctively recognize imminent death, and that awareness makes them act immediately to save a life. This instinct is … Continue Reading →

Doctor’s Diary January 23, 2018: Elder suicide

  • By Gene
  • January 23, 2018
  • No Comments

(Snippets from the frontline) Elder suicide We’ve heard these words before:  “He died peacefully in his sleep.” As a geriatric physician, I fear that an elder senior has committed suicide … Continue Reading →

Doctor’s Diary January 20, 2018: Being au naturel

  • By Gene
  • January 20, 2018
  • No Comments

(Snippets from the frontline) Being au naturel Sometimes statistics are baffling.  Why do many autoimmune diseases (fibromyalgia, chronic fatigue, lupus, multiple sclerosis, Hashimoto’s thyroiditis, etc.) effect significantly more women than … Continue Reading →

Doctor’s Diary January 17, 2018: Readmission

  • By Gene
  • January 17, 2018
  • 2 Comments

(Snippets from the frontline) Readmission If you are admitted, discharged, and return with the same diagnosis within 30 days, hospitals are penalized by Medicare for the readmission. Nowadays, hospitals are … Continue Reading →

Doctor’s Diary January 14, 2018: The easy way out

  • By Gene
  • January 14, 2018
  • No Comments

(Snippets from the frontline) The easy way out “Take this pill.”  Words patients like to hear from their doctor assuming it will solve all medical problems.  Likewise, grabbing fast food … Continue Reading →

Doctor’s Diary January 11, 2018: The other gateway drug

  • By Gene
  • January 11, 2018
  • No Comments

(Snippets from the frontline) The other gateway drug Many states are on the road to legalizing medicinal and recreational marijuana.  Much of this is related to change in cultural attitudes, … Continue Reading →

Doctor’s Diary January 8, 2018: Overtime

  • By Gene
  • January 8, 2018
  • 1 Comment

(Snippets from the frontline) Overtime Doctors know when a patient breaks a hip, surgical intervention is quickly needed to control pain and avoid complications like anemia, fat emboli, deep vein … Continue Reading →

Doctor’s Diary January 5, 2018: Computer reality

  • By Gene
  • January 5, 2018
  • No Comments

(Snippets from the frontline) Computer reality My patient visited New York and had a heart attack.  Upon his return, it took 6 weeks to get medical records snail-mailed back to … Continue Reading →

Doctor’s Diary January 2, 2018: Dehydration

  • By Gene
  • January 2, 2018
  • 1 Comment

(Snippets from the frontline) Dehydration Every day patients arrive in the emergency room with confusion, weakness, and low blood pressure, and are diagnosed with infection.  Intravenous fluid and antibiotic are … Continue Reading →

Recent Posts

  • Doctor’s Diary: The Loss of the Pope, and Dignity in Aging, April 24, 2025
  • Eliminating funding for lung cancer research: Doctor’s Diary, April 12, 2025
  • Losing lives of those saving lives: Doctor’s Diary, March 26, 2025
  • Loss of Medical Decision-Making, Continuity of Care, and Doctors in Private Practice: Doctor’s Diary, March 19, 2025
  • A team struggle moving us forward, Doctor’s Diary March 9, 2025

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