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Michael’s Substack

Michael Kirsch, MD

Practicing gastroenterologist and writer, giving readers a peek behind the curtain of the medical profession.

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Substack
PricingOnly free issuesPublishesWeekly
Issues72Foundeda year agoLast Issue10 days ago
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Latest Issues

My Opinion on Second Opinions

I have an opinion cautioning against pursuing second medical opinions. This can be a tough argument to make, as most patients believe that obtaining additional medical advice is all upside. They argue that a second opinion either confirms t...

10 days ago
6
8

A Gastroenterologist Reflects, in the Autumn of My Career

Several years ago, I left private practice for an employed position at a well-known Cleveland medical institution. It was the right move at the right time, considering the life cycle of our small gastroenterology practice as well as the lif...

17 days ago
20
11

Life in the Outpatient Arena

Many of the medical issues I address as an outpatient consultant are commonplace. I no longer attend to patients in the ICU with complex, multisystemic disease, or those with severe internal bleeding in the emergency room. It’s been years s...

24 days ago
16
5

Direct-to-Consumer Advertising

(This post was recently published on Cleveland.com)

While most of us are not salesmen by profession, most of us are selling in some way. When I was in private practice, we were extremely attentive to our patients and to our referring physi...

a month ago
9
7

Medical Appointments for $29!

I recall when urgent care offices first proliferated and often became housed within pharmacy chains. This latter arrangement has been symbiotic, in that the pharmacy provides a convenient locale for patients who then purchase their new pres...

a month ago
9
4

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  • Michael Kirsch, MD

    Gastroenterologist and writer, offering readers a peek behind the medical curtain. My focus is to help patients navigate the complex medical universe and to become better advocates of their own health. All views welcome. I love the dialogue!

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