Archive For The “Medicine & Society” Category

In Search of the Best Pain Clinic in Burbank: The Diagnosis of Cancer

By | June 3, 2015

I apologize for the long absence of new blogs, but I am not a professional author and turning out a regular blog is not easy for me. In addition we have bee very busy here at Schlesinger Pain Centers and I probably would not be posting today were it not for a patient who came […]

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The Making of the Medical Mindset: Osler’s Law

By | May 21, 2015

As we near the end of our long series of blogs on the making of the medical mindset and its impact on decisions related to surgery of the lumbar spine, there are a couple topics that remain to be discussed. Today I would like to discuss Osler’s Law, a diagnostic maxim taught to medical students […]

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Big Game in Calabasas

By | May 20, 2015

There will be no regular blog today. There will, however, be a big golf game in Calabasas with my favorite neurosurgeon and good friend Pablo Lawner. I am reminded of a quote attributed to Bertrand Russell, “Play is an activity without purpose, but with intense meaning. I will return with the regular Schlesinger Pain Centers […]

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Adjacent Segment Disease: Incidence

By | May 3, 2015

The real mystery is why some people get it and some people don’t. If increased wear and tear on the next segment above or below were an inexorable concomitant of all fusions we would expect to see it to some degree in all cases of fusion, worse in some and less severe in other patients. […]

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Gross Anatomy

By | March 12, 2015

When we finished our last day in the gross anatomy lab my dissection partners and I burned the clothing that we had worn to lab every day[1] and had a drink back Bard Hall, the medical student dormitory, celebrating the end of an unpleasant experience, which we were certain would not be repeated. How wrong […]

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The Making of a Mindset: The Basic Sciences Year II

By | March 10, 2015

  If the first year was the study of what is normal the second years is the study of abnormality and perversion. Pathology is the study of abnormal anatomy, both gross and microscopic as well as the aberrations of normal function[1] that result. Always implicitly asked is the same question, why does a particular anatomic […]

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The Making of a Mindset: The Basic Sciences Year I

By | March 9, 2015

The creation of the medical mindset begins on the first day of medical school and continues during the first two preclinical years. At Columbia University College of Physicians and Surgeons where I studied, the first year is devoted almost totally to the study of what is normal. As many people know (or at least think […]

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The Making of the Medical Mindset

By | March 8, 2015

I would like to make a small digression and return to one of my favorite topics, the making of the medical mindset. My goal is to demystify medical decision making, because one of the biggest problems I have at reaching a treatment plan with many of my patients here at Schlesinger Pain Centers is that […]

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The Predictive Value of MRIs in the Diagnosis of Axial Back Pain

By | March 5, 2015

Let us assume that 100 people complaining of pure axial low back pain come into the waiting room at Schlesinger Pain Centers in Burbank. For simplicity we will also assume that there are no malingerers or people with rare causes of back pain in the group. Using the prevalence data from the last blog we […]

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The Diagnosis of Axial Back Pain

By | March 4, 2015

The most common clinical problem that we face at Schlesinger Pain Centers is low back pain and it comes in two distinct varieties, axial and radicular. Radicular back pain is defined as pain that radiates into the buttock or the leg usually in the distribution of one or more spinal nerve roots. In rare cases […]

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