Michael’s Substack

Michael’s Substack

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Is Concierge Medicine Ethical?
I wish that every American could have CM care, but this is not possible.
 • Michael Kirsch, MD
A Gastroenterologist Ponders A World Without Colonoscopies
I believe in colonoscopy and have performed at least 40,000 of them. I’m only pointing out that the test is not ideal.
 • Michael Kirsch, MD
Canceling a Patient's Medical Procedure
On occasion, neither I nor my Sherlockian staff can divine from the chart why a patient is before us.
 • Michael Kirsch, MD
When the Doctor is a Patient
Life can change in an instant.
 • Michael Kirsch, MD
Can Patient Autonomy Go Too Far?
Ask any physician how often a patient asks for specific lab testing, a CAT scan, an antibiotic, or a consultation with a specialist.
 • Michael Kirsch, MD
Why I am Now a Better Doctor
Consider this parable of a rabbi, his congregant, and a goat.
 • Michael Kirsch, MD
Trying to be Thankful in 2025
While folks across the country gather around their holiday tables, I suspect that conversations won’t be focused on the first Thanksgiving, when the…
 • Michael Kirsch, MD
Michael’s Substack
Michael’s Substack
Practicing gastroenterologist and writer, giving readers a peek behind the curtain of the medical profession.
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