Good Medical Care Can Suffer Late In The Day

A young woman came to my clinic on recent evening to discuss her irregular menstrual periods. She had scheduled the appointment weeks in advance, and we were slated to have 20 minutes together.

I’m a family physician in a busy urban practice, and when she walked in I’d already been seeing patients for 10 hours that day, with a new one showing up about every 20 minutes. The number of diagnoses I had considered over the course of that workday was dizzying.

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