9 Comments
Apr 15, 2023Liked by Adam Cifu, MD

Thank you Dr. Cifu for sharing what is in the mind and heart of a caring and kind Internist. My appreciation for your profession has grown so much by your sharing of Friday reflections. These are truly the highlight of my Fridays.

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Thanks so much.

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Another great insight into the problems people have trying to deal with some of the dynamics that have risen up. Recently, I was thinking about going to the doctor for a persistent issue, but I was asked to do something I didn't feel comfortable with regarding CoVid and now I'm thinking I should cancel the appointment.

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I hope I didn’t convince you not to see a doctor!

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Not necessarily. I made the appointment but since I did, I think I have figured out what the problem is. It’s not a serious health issue, more of a physical reaction to a local irritant.

But the problem was that the doctor’s office suggested that I should wear a mask. I worry about the ability of the doctor to make a good determination of my condition if they are making such a suggestion.

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Apr 14, 2023Liked by Adam Cifu, MD

Humaness. It can enhance or interfere with care. It takes so much strength and effort not to be dissuaded by either. I always fail. Patients, who, for whatever reason remind me of my dad or husband get a more nurturing side of me. Patients who have or have had substance abuse (which has had a long, painful, negative affect on my life) tend to get a more reserved, detached side of me. I don't like this but I also can't control it. Both types of patients mentioned above get my utmost knowledgable and intensive care because I am a professional.

BTW, I love memantine. I never see it's use in the beginning, but I see when it has done it's job and is no longer viable. It helps keep my patients higher functioning for a longer period of time.

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Apr 14, 2023Liked by Adam Cifu, MD

I love listening to your soothing voice. I wish we had more doctors like you here in Los Angeles. It seems that the Geneva pledge got lost on many of the doctors here. I admire your honesty and willingness to address difficult issues with practicality yet with concern. You are top notch!! Judy Orlanski

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Thank you for your very kind words Judy.

Adam

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I agree completely on donepezil. I find that once you explain the negligible benefit and potential side effects most people and families don't want them.

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