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I wonder if they have a white coat ceremony in care management school?

Now, I don’t want to offend anyone with this post (it’s already too late), but it seems these days that the only qualification that one needs to don a long white coat is to work in some patient care area of a hospital. The long white coat used to be the way patients, families, and other hospital medical staff could instantly tell who was a full-fledged attending physician. In fact, the emphasis on the white coat starts on the first day of medical school with something aptly called a “white coat ceremony.”

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Is anal sex harmful? Thoughts from a gastroenterologist…

So, after this careful analysis, here are my concluding thoughts on anal sex as a healthcare professional specializing in colon and rectal diseases:

Anal sex seems to significantly raise your risk of having fecal incontinence.
You probably just shouldn’t do it.
If you are going to do it anyway, don’t do it too frequently.
It seems like common sense, but use lots of lube.
When finding a partner for anal sex, smaller is probably better.

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NPO guidelines; or, A simple request of my fellow doctors, and some patients too.

Most people know that they cannot eat anything after midnight if they have a procedure scheduled the next day. However, what about when a procedure is not actually scheduled? Sometimes a little bit of common sense and a little foresight needs to be applied to avoid having a procedure delayed an entire day because of the NPO rules. Here are two common situations that I encounter (without exaggeration) several times per week:

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