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Post-delivery complications: a glimpse into obstetric care

Conditions

April 16, 2024

The red climbs up.

She just delivered, and the arm of my gown. It seeps under the glove, soaking the cuff.

She’s still bleeding.

No worries – I call for the postpartum hemorrhage meds in the order I’ve memorized and used successfully hundreds of times before.

It’s always stopped before.

I trust my training.

She peers over the side rail toward her baby, trying to look past her partner and the nurse and the baby nurse …

Elite access vs. public scrutiny: Medication disparities exposed

L. Joseph Parker, MD

Meds

April 16, 2024

A recent New York Times opinion piece detailed a lack of available pain medications. While the DEA claims that it is not purposefully restricting legitimate medication availability, even the names of its own operations belie this statement. On Halloween 2023, the DEA launched Operation “Bottleneck,” serving immediate suspension orders to six large pharmaceutical supply companies. These companies were accused of having failed to account for “a million doses” of …

The Supreme Court must consider science, not pseudo-science, in public health rulings

Jack Resneck, Jr., MD

Policy

April 16, 2024

Measles is on the rise in more than a dozen states, an alarming surge for a vaccine-preventable disease eliminated in the United States nearly 25 years ago. Meanwhile, young women exposed to relentless unscientific deception by social media algorithms are abandoning hormonal contraception in favor of significantly less effective methods that result in more unwanted pregnancies. In Louisiana, women with nonviable …

Youth are changing perceptions of death: Here’s what they want you to know

Fabienne Sparks and Lisa J. Hardy, PhD

Conditions

April 16, 2024

There is a diary entry of mine (Sparks) from when I learned that the pandemic would last longer than we initially thought. 17 years old at the time, I described my feelings of fear at the thought that I may die. “I don’t know if there’s even a point to planning for the future anymore.” I go on to write that whenever I don’t get a response from a loved …

Navigating the spiritual crisis in modern medicine [PODCAST]

The Podcast by KevinMD

Podcast

April 15, 2024

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

We’re joined by Dike Drummond, family physician and founder of TheHappyMD.com. Our discussion delves into the spiritual crisis facing employed physicians, where the idealism that once inspired them to pursue medicine clashes with …

How psychiatry fails trauma survivors

Patricia Celan, MD

Conditions

April 15, 2024

Psychiatry has a duty to be trauma-informed, given that 50 to 60 percent of the general population, and around 90 percent of people with severe mental illness, have a lifetime history of at least one traumatic event. Yet the mental health system often falls short.

Consider involuntary hospitalization in a psychiatric unit. Losing one’s freedom can be traumatic for anyone and triggering for those with past trauma of nonconsensual experiences. …

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How psychiatry fails trauma survivors

The essential human element in AI integration

Harvey Castro, MD, MBA

Tech

April 15, 2024

In the ever-evolving health care landscape, the synergy between human expertise and artificial intelligence (AI) is not just beneficial—it is essential. As we stand on the brink of a technological revolution, it is crucial to recognize that the integration of AI in health care should enhance, not replace, the human touch. This article explores the indispensable role of health care professionals in an AI-driven environment, emphasizing why the human element …

Navigating self-judgment with compassion

Caissa Troutman, MD

Physician

April 15, 2024

Earlier this week, I made a stupid mistake, and that mistake cost us our dental and vision insurance for the year 2024.

You see, I had my COBRA from my old job that I had planned to keep, as the kids still had braces, and switching midway apparently resulted in non-coverage. So, I spent a lot of time researching it and setting it up so we would retain the dental component. …

AI in medical practices [PODCAST]

The Podcast by KevinMD

Podcast

April 14, 2024

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Join Robert Murry, chief medical officer at NextGen Healthcare, to delve into the transformative power of artificial intelligence in rural medical practices. Robert, also known as a country doctor practicing in the picturesque …

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AI in medical practices [PODCAST]

Too many older adults are taking risky sedative medications

Wendy Levinson, MD and Christine Soong, MD

Meds

April 14, 2024

A recent investigation in Quebec uncovered a concerning trend: benzodiazepines — medications commonly used for sleep or anxiety — are being overprescribed. This investigation has prompted the Quebec College of Physicians to closely examine the usage of these medications.

But this issue extends beyond Quebec’s borders; across Canada, these medications are being prescribed at alarming rates.

Benzodiazepines and other sedatives are often prescribed to older adults aged 65 and up for …

Saving lives with naloxone: perspectives from the frontline

David I. Deyhimy, MD

Meds

April 14, 2024

According to a recent report by the Stanford-Lancet Commission on the North American Opioid Crisis, “more than 600,000 people in the USA and Canada have died from opioid overdose since 1999, and a staggering 1.2 million more are estimated to die due to overdose by 2029.”

The opioid crisis has reinforced hard lessons learned in earlier health crises. Chief among those is that we need multiple strategies if we are going …

Overparenting: Finding solace amidst criticism

Blair Sorrel

Conditions

April 14, 2024

An excerpt from A Schizoid at Smith: How Overparenting Leads to Underachieving.

“Work always lacks effort,” “Just no interest whatsoever,” “Inattention,” “Disturbance,” “Silly conduct,” the teachers’ remarks read. All those criticisms could have defined your scribe’s output.

They are rather the report card marginalia of a class clown. Another outstanding pupil with an alleged 29 detentions in one year and an unbidden nuisance in class exhibitionism. No contemporary would have ever …

Charting efficiency secrets [PODCAST]

Erica Dorn, FNP & The Podcast by KevinMD

Podcast

April 13, 2024

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Join nurse practitioner Erica Dorn as we delve into practical strategies to enhance charting efficiency. From leveraging smart phrases and templates to setting boundaries with patients, Erica shares valuable tips to streamline the …

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Charting efficiency secrets [PODCAST]

Finding joy beyond medicine: a tale of pet companionship

Dr. Damane Zehra

Physician

April 13, 2024

My question to all the health care workers is, “Have you ever kept pets or tried to keep them?” If the answer is “yes,” then you are indeed very lucky. I think there are only two sources that can bring utter joy to humans in this life. One of them is children, and the other is pets. After a hectic day at work, when you reach home, the innocent laughter …

Navigating organizational dysfunction: lessons from Boeing

John Corsino, DPT

Conditions

April 13, 2024

If it ain’t Boeing, I ain’t going—at one time, public opinion of an engineering company run by engineers. Today, perception is a little different. The multinational conglomerate and defense contractor owns some staggering recent mishaps—safety systems, door plugs, unclear technical issues. A disconnect between senior management and hands-on employees is reported. Analysts consider recent events symptoms of longer-standing organizational pathology, finally coming to light.

In American business, executives win leadership positions …

Dealing with discouragement: strategies for aspiring medical students

Arthur Lazarus, MD, MBA

Education

April 13, 2024

Do you remember times when your dreams, hopes, and aspirations were crushed by teachers and other authority figures? We’ve all encountered such times. These experiences shape our character in negative ways and can lead to devastating psychological effects. This kind of negative influence can greatly impact our self-esteem and self-worth, instilling a deep-seated fear of failure. It can cause us to question our abilities and potential, leading to imposter syndrome.

Repeated …

Which study is right? Investigating the impact of screening on breast cancer mortality

Shannon Casey, PA-C

Conditions

April 13, 2024

A splashy headline in The Washington Post caught my attention: “Breast cancer death rate dropped 58 percent over 44 years in U.S.” A Stanford Medicine news story reports that this victorious conclusion is based on “a new multicenter study led by Stanford Medicine clinicians and biomedical data scientists.” Using observational data, clinical trial data, and simulation modeling, the researchers found that approximately 25 percent of the reduction in …

A doctor turned singing sensation [PODCAST]

The Podcast by KevinMD

Podcast

April 12, 2024

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

We sit down with Sydelle Ross, an anesthesiologist who has discovered the healing power of music in her practice. Join us as Sydelle shares her journey from a childhood dream of becoming a …

Advance directives amidst COVID: a critical look

Kevin Haselhorst, MD

Physician

April 12, 2024

Are advance directives any better than they were four years ago when COVID was surging? Are patients still comfortable with being placed on ventilators? Do physicians better understand how to treat COVID as a serious illness?

Physicians provide emergency measures unless there’s an advance directive to the contrary. Only one-third of Americans have advance directives when “down for the count” with serious illness.

Most people prefer to die at …

Pageantry: an unconventional education for aspiring psychiatrists

Patricia Celan, MD

Physician

April 12, 2024

With the elegant gowns, stylized hair, carefully applied makeup, and moments in the spotlight, beauty pageants have attracted longstanding criticism for being allegedly superficial competitions that foster narcissism. But beneath the surface lies a wealth of opportunities for personal growth and skill development. Most modern pageants have moved away from being modeling competitions that assess superficial beauty. Instead, they have been reframed as personality competitions, evaluating qualities such as communication …

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