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Hans Duvefelt, MD
Family Physician, Writer. Practicing in Bucksport and Van Buren, Maine
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Hans Duvefelt, MD Mar 21
I don’t think you can have it both ways. Pay me to focus and pay somebody else to do he housekeeping. I’m an artist, a problem solver, not an accountant.

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Hans Duvefelt, MD Mar 18
It is easier and less expensive for the rehab facility to administer oxygen and nebulizers than to put him in a wheelchair van and send him, with staff, across town to the hospital for a chest X-ray to check for pneumonia.
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Hans Duvefelt, MD Mar 17
In 2017 I posted about the blurry line between Pain and Suffering. This month I pointed out again that the Greek philosophers viewed pain as an emotion. NYT must be reading my blog 😎.This is in this morning’s paper:
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Hans Duvefelt, MD Mar 16
How to give feedback to colleagues, and look how differently independent thinking is valued in the business world; Borderline Personality Disorder and the movement...
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Hans Duvefelt, MD Mar 14
“I feel good”, Hector concluded, rose from his chair and patted me on the shoulder. He seemed eager to get out of there, unlike other times when I was probably the one who wanted the visit to end because of my own helplessness.
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Hans Duvefelt, MD Mar 11
Replying to @Mandy_RN13
Yes, but I’m seeing too many plump type 1’s
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Hans Duvefelt, MD Mar 11
Replying to @Mandy_RN13
Although a lower, not no-carb, diet is proven beneficial to Type 1’s, too
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Hans Duvefelt, MD Mar 11
Replying to @MDaware
The real reason is that we don’t get paid for discussing things on the phone; only face to face counts, except maybe if you figure out how to bill for periodic calls to chronically ill people without offending them with the copays that generates.
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Hans Duvefelt, MD Mar 11
Practice in a rural, underserved area..,
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Hans Duvefelt, MD Mar 11
Posted fictionalized story this morning at 5 am about Martin’s Point denying testing for pancreatic cancer in my patient with a 20 lb weight loss and suddenly worsened diabetes. I messaged the physician CEO shortly thereafter on Doximity. At 9:15, MRCP approved. Coincidence?
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Hans Duvefelt, MD Mar 11
Medicare Advantage pays for extras and skimps on the basics. I know the difference. I have a brand new red white and blue card in my own wallet. And I’m probably breaking some obscure insurance gag rule right now. But this story happens every week in…
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Hans Duvefelt, MD Mar 9
Ketamine, Old Drug in the News & (Breaking News) Diet and Weight Loss Cures Diabetes (Duh...)
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Hans Duvefelt, MD Mar 7
The only way to balance these seemingly opposite notions is to acknowledge that no one can know for sure but the probability is...that is, being human and being fallible, but also possessing a certain amount of knowledge based confidence.
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Hans Duvefelt, MD Mar 3
Plato and Aristotle didn’t include pain as one of the senses, but described it as an emotion. The word “pain” is derived from Poine or Poena, the Greek goddess of revenge and the Roman spirit of punishment. Her name is also the origin of the word penalty.
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Hans Duvefelt, MD Mar 2
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Hans Duvefelt, MD Feb 28
Today’s Rerun: But in the typical medical office, we have now turned decision making doctors into frontline mail sorters and de facto bottlenecks of routine information.
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Hans Duvefelt, MD Feb 28
All the President’s Mail
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Hans Duvefelt, MD Feb 25
Treating a headache with Imitrex and having it turn out to be a brain tumor instead of a migraine is every primary care provider’s nightmare.
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Hans Duvefelt, MD Feb 23
Death risk from artificial sweeteners, new-to-me FPIES and Interoception, another word for Alexithymia
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Hans Duvefelt, MD Feb 22
Today’s Rerun: Handling time, like so many other things we do in medicine, is a necessary part of our work, but it isn’t the essence of our work. Time can be a distraction, just like our technology can be too visible.
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