The Essay

Clinical Lessons and Reflections on Doctoring

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The Art of Asking: What Else is Going on?

Walter Brown’s blood sugars were out of control. Ellen Meek had put on 15 lbs. Diane Meserve’s blood pressure was suddenly 30 points higher than ever…

6 hrs ago •

Hans Duvefelt, MD

The Art of Prescribing (Or Not)

(A post from the pandemic years)

Oct 1 •

Hans Duvefelt, MD

Since When? Looking for Change: The Heart of the Art of Diagnosis

Our receptionist asked: “Do you want your 10 o’clock to reschedule? He has a runny nose, a cough and muscle aches”. He failed some of the Covid…

Sep 30 •

Hans Duvefelt, MD

The Art of Listening: When the Inner Voice Whispers

“I worry, so you don’t have to”, is how I explain to patients when something about their story or physical exam makes me consider that they may have…

Sep 27 •

Hans Duvefelt, MD

The Art of Diagnosis: Teasing Out the Timeline

When we take a medical history, there is a modern tendency to concentrate on simply listing symptoms. This is evident in many EMR notes, since the…

Sep 26 •

Hans Duvefelt, MD

The Art of Medicine is Not an Algorithm

(From my "The Art of" series)

Sep 25 •

Hans Duvefelt, MD

The Art of Diagnosis: Go With Your Gut, Dig Deeper, Step Back or Start Over

(A 2021 piece from the blog)

Sep 24 •

Hans Duvefelt, MD

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