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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
Issues90Founded2 years agoLast Issue8 days ago
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Latest Issues

Medical Ethics for Patients

I’ve always had an interest in medical ethics. Indeed, I’ve been thinking and writing about them throughout my career. I also do my best to comport myself to a high ethical standard, although as a flawed member of the human species, I’m sur...

8 days ago
6
6

A Patient Asks for Antibiotics. Let's Negotiate!

I have addressed in past writings the common practice of physicians negotiating with patients. Here, I will offer other examples of this phenomenon, which is an integral element of the doctor-patient relationship. Patients who understand ho...

15 days ago
10
6

Labor Day 2026

Tomorrow is Labor Day, which became a federal holiday in 1894 after President Grover Cleveland signed a congressional act into law. This action followed the Pullman Strike, which crippled railroad operations across the country. Workers were...

22 days ago
5
3

Can Anyone Perform an Appendectomy?

In the olden days, purchased products were accompanied by instruction manuals. I realize that these anachronistic items will be unknown to today’s technophiles who direct Alexa to turn up the heat or play Sinatra songs during dinner. Permit...

a month ago
5
6

Do Overworked Medical Interns Cause Medical Errors? Let’s Sleep on It.

I recall a long time ago reading about five air traffic controllers who were found asleep at the switch. This was a shocking revelation. And there may have been more snoozing in the control towers than we were aware of.

Our outraged and r...

a month ago
10
8

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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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