Despite the advances in modern health care, chronic wounds remain highly problematic. For the critically ill and those with mobility issues, missing just one routine repositioning could send them down a protracted path of intensive wound care therapies. Even our ambulatory patients develop non-healing ulcers from neuropathy and microvascular disease. For purposes of this discussion, the question of how the wound formed isn’t nearly as important as why it persists …
As many readers of my work know, I have a huge passion for preventive medicine, and balance my acute care hospital work with an outpatient wellness clinic. I have always been into exercise and outdoor activities since a young age but only became a regular gym-goer after I finished my medical residency training. I also became very keen on learning more about healthier nutrition habits. I don’t think I was …
As a business owner, you have one primary role: Make money.
I hate to put it in such callous terms, but that’s the primary aim of any business. You have to make a profit first if you want to do anything else. Making a profit isn’t the most important thing. Your passion, your service, and your desire to help others should be the main motivation behind the business.
Money can not be …
If you’re not intricately involved daily with SEO, let me explain what happened in May 2020 and why it will be a huge boost for content created by physicians.
First, what is SEO? In short, it is the process of optimizing content found online in order to help it be seen by those searching for the information found in that content. It used to be that people would just stuff their …
My small community ED has a fairly high acuity. As such, I was recently trying to transfer a couple of patients, one of whom was an NSTEMI, pain-free but with a rising troponin. In the process of trying to arrange things, I learned that our main regional referral center was holding a staggering 150 patients in their own ED, all waiting for inpatient beds.
I’ve spent the majority of my career …
“How long have you been married?”
The question came from a young woman kneeling down by the elevator in the hotel where my wife and I were staying while in Seattle. We were there to celebrate our 40th wedding anniversary with an Alaskan cruise. I hadn’t even noticed her as my wife and I were busy talking about the day. She appeared to be in her twenties. Her appearance was that of …
Being humane makes you a hero.
It is a privilege to serve.
Be the voice, for those without!
Six words. One Story. These are examples from the My Six-Word Story Project, an innovative activity that supports the psycho-social well-being and emotional resilience of our healthcare professionals. My Six-Word Story has the power to reconnect us to our purpose and connect us as a community.
“It’s your reaction to adversity, not adversity itself that determines …
The best part of my job is interviewing residents and watching as gears begin to turn in their minds when I ask:
I am an emergency medicine physician in an inner-city emergency department, and I would like to start by stating a simple truth: coronavirus is not going away any time soon. Cases are climbing in practically every state and show no signs of slowing down. From my personal perspective, things are getting worse. Every day I am treating more and more patients who are ill with COVID-19 …
I have written, or more accurately ranted, about electronic medical records (EMR) systems throughout this blog. While the systems have clearly improved since their mandatory introduction into the medical universe, they have still not delivered on many of their promises.
Of course, EMR has brought tremendous advantages to the medical profession, and we are all grateful for the technology. But this progress has exacted a cost. Many of them are clumsy …
Judging from the shortage of canning jars and lids in grocery stores recently, the COVID-19 pandemic has spurred fresh interest in home canning (a potentially dangerous practice that has declined since its peak in 1943); and because the public expects doctors to know everything about health, it may be educational for physicians to consider the tragic case of the unpeeled potato.
I recently read a Facebook post in a …
During the COVID-19 pandemic, a glaring trend has emerged, one that has long helped forge the American religious cultural landscape, but has now blossomed in full force, particularly within many Christian fundamentalist circles. As a physician who is also an evangelical Christian, I constantly live with the tension of balancing the practice of my faith and the results of sound scientific investigation with the opinions of patients and others within …
Do you know how much your time is worth? Those of us who are 1099ers can easily tell you our hourly wage. Now, what about everyone else?
Well, there’s a quick trick. Take your yearly salary and divide it by 2,000. So if you make a salary of $200,000 per year, you are making roughly $100 per hour.
Now there are a few assumptions. To start off with, there are actually 2080 …
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I’m my breaking point! Frustrated, exhausted, caffeine-deprived, and surrounded by people who don’t listen to me, I’m not trained for this, and I am ready to tag out. OK, granted, it is only day two of distance learning for my third grader and kindergartener. However, this could also describe my first two days as a castaway on Survivor island.
It’s been about nine years since I was chosen to appear on …
Thinking, Fast and Slow is a well-known masterpiece of psychology by the formidable Daniel Kahneman. He diligently illuminates two different pathways of thought, which he arbitrarily titles System 1 and System 2. System 1 describes our quick thinking, our snap judgments, our gut feelings. System 2 encapsulates our deeper thoughts, the way we systematically review information, the analysis that requires time and mental effort. The work thoroughly lays out many …
A recent edition of Pediatrics has some disturbing research: “Trends in Capability of Hospitals to Provide Definitive Acute Care for Children: 2008 to 2016.” What the paper really does is document what many of us who work in referral hospitals have noted for some time: More and more community hospitals are transferring children who appear in their emergency departments to other, larger facilities instead of admitting them to …
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I’m glad you’re looking at a career in medicine. I hope you will be happy with your choice forever. To help you out, these are a few myths I wish somebody told me about when I was in your shoes.
1. You’ll be rich. You likely won’t. After two decades or so of med school and residency, you’ll be paying back student loans with exorbitant interests for a few more decades …
CC: “I feel like crap.”
HPI: 29-year old female internal medicine resident. Hasn’t seen sunlight in over three months due to 100 hour work weeks. Crying at work. Always exhausted and irritable. Isolated from friends and family. Feels guilty that she is not effective at work and home. States recent labs were normal.
ROS:
Gen: hypersomnia
HEENT: teeth grinding
CV: chest pressure, palpitations
GI: decreased appetite with weight loss
Neuro: headaches
Psych: apathetic, not suicidal
Meds: none
Social: alcohol on …
The medical school admission process can be overwhelming. There is no definitive path that guarantees admission. Prospective students are meant to create their own way that could bring them an acceptance letter. That is why some individuals with a 3.6 GPA and a 508 MCAT score get accepted, and others with a better academic record get rejected. They might be considered an outlier, but some are not necessarily …
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My Danskos literally disintegrated last month.
I was in the hospital team room, finishing up my patient notes at the end of a busy hospitalist shift. I happened to look down at the floor, and there they were: black chunks on the carpet.
I thought, “Who left such a huge mess under the desk?”
I looked at the bottom of my black Danskos. There was a sizable chunk of the sole missing.
Finally, the …
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