Carilion Clinic Blogs

isn't twitter just for idiots?

I hear that question a lot. At faculty meetings, at medical conferences, from my children, my husband, and a wide variety of other folks. Really?


Well, I use Twitter often, and don't consider myself an idiot, at least not for that reason. I welcome other thoughts on the degree of my potential "idiotness" but I hope you have more reasons than because I use Twitter. Feel free to list them in the comments below.


I thought I would share with you what I have learned about using Twitter over the last year-and-a-half, so you could decide for yourself about its potential value for you. I will leave you with instructions on how to get started, in case you decide you would like to try.

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knowing when NOT to do something

Medical costs are out of control. Yet, outcomes are not improving. Why?


Greater minds than mine have grappled with that question, and it serves as the foundation for our ongoing debate about whether, why and how to reform healthcare. Do we limit the tests and procedures that doctors are allowed to order or perform? Do we limit what services or medications patients are allowed to receive? Or do we do something much smarter, and help to guide patients, their families and physicians in having a conversation about how useful certain tests or procedures might be?

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when doctors can't hear

We have discussed child abuse on this blog before, and I promised you more in a series I began last year. This time I want to tell you a story from when I was a medical student--admittedly some of you will consider this ancient history, and perhaps you should. I do not remember the names of my preceptors or the name of the patient. So there is little chance I will tell you anything I shouldn't. In fact, I don't even remember the name of the hospital where this rotation occurred. Yet I remember the patient, her husband, her daughter as if it were yesterday. 

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reflecting on change


In the past we have spoken quite a bit about reflecting in order to get to know oneself better, and in order to find better ways to deal with issues and concerns. We have spoken about how we are using reflective writing in the resdiency program to help identify how well the Pediatric residents are internalizing lessons on professionalism. This post represents a reflection on how well or poorly I am dealing with the unexpected changes to this blog.

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moving is hard

If you are a frequent, or even an intermittent reader of this blog, you have probably noticed a few things:

  • The blog was unavailable for a few days at the end of January
  • The comment section was not active into early February
  • The blog looks different than it used to

Although a blog redesign was in the works for a future date, we were faced with an immediate need to revise and revamp for the following reasons, which may actually be too much information for some of you. Feel free to skip the explanation and just know that I haven't chosen to stop blogging, or interfere with you, the reader from accessing what might be important to you.

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What got your attention in 2012

I feel like I am cheating, and I am to an extent. Writing my “greatest hits of 2012” for this blog, as so many others have done. Nothing new here. But I am glad you have come back to review the year as I have.

In 2012, I published 43 posts on this blog. All were read (or at least looked at) by several hundred different people. Some were more popular than others. I have listed here the “top ten” posts in 2012: in other words the ten posts that received the most views from you during the past 12 months. Here we go…

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Happy New Year Hayleigh!

Congratulations to Tracy Bogan of Hot Springs and her fiancé, Brad Dotson of Clifton Forge, the parents of Carilion Roanoke Memorial Hospital’s first baby of 2013.

Hayleigh Paige Dotson was born at 12:03 a.m., weighing in at six pounds, ten ounces.

Hayleigh is Tracy and Brad’s first child. They’re excited about their first year as parents and are already thinking about a very special 21st birthday celebration for Hayleigh – they want to take her to New York and celebrate her New Year’s birthday in Times Square.

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Dr. Mark Kilgus Receives Distinguished Service Award

Dr. Mark Kilgus (left), Chair of the Department of Psychiatry and Behavioral Medicine for Carilion Clinic, has been awarded the Southern Medical Association’s prestigious Distinguished Service Award for 2012. The award is given for outstanding contributions to the advancement of medical science and was presented by SMA President Gary A. Delaney, M.D.

Southern Medical Association, headquartered in Birmingham, Alabama, is a non-profit, physician-led, multi-specialty medical association that promotes the health of patients through advocacy, leadership education, and service.

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if I had won Powerball

Did you see the happy winners in the papers or on the internet? A “once in a lifetime” moment.

For most, winning the lottery is not the godsend they have dreamt of.

To suddenly become part of the one per cent is not easy.  Most fritter away their winnings, and end up much less happy than they were before.  So I have thought about this a lot. What would I do if I won a huge amount of money? Of course, its not at all clear to me WHY I daydream about such an event, as I am by nature not a gambling kind of gal. And, they tell me, you can’t win if you don’t play.

So its not likely to happen.

On the other  hand, somehow, maybe some day it WILL happen. So I should be prepared. Don't you agree?

Here is how I would spend my money.

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