An excerpt from Yankee Doctor in the Bible Belt: A Memoir.
Doctors like to solve puzzles. These are ideally diagnostic puzzles. The following is a story about a patient whose illness was unsolvable: the pieces of the puzzle did not fit together. No matter how you tried to force a diagnosis out of the disparate pieces of data, it did not …
Musings of a primary care triage nurse:
1. “Isolation means you aren’t around others. No, you shouldn’t be eating dinner with your family or watching TV with them.”
2. “You’ve been sick for the past week but didn’t get tested. Yes, COVID can just be symptoms like a cold or that sinus thing you get each year.”
3. “The majority of those that are hospitalized are unvaccinated. I know ‘someone’ told you that’s …
Your income doesn’t matter. What you do for a living doesn’t matter. If you want to keep from being broke, none of these things matter except for this: When you’re dealing with money, you’ve got to understand how to do simple math.
I hear stories about people that don’t understand what broke means. It could be the person that recent graduates from dental school with $400K in debt that buys the $80K BMW for instant …
Once upon a time, in a magical land of Whoville, lived the Whos. They were a group of little humans who loved Christmas with passion. But not too far from their beloved town and in a place called Mount Crumpet, inhabited the Grinch, a grouchy creature that hated Christmas. During that time of the year, the Grinch would watch people of Whoville adorn their houses and buildings in bright colors …
Most physicians receive a budget for CME expenses, and many of those expire on December 31. It’s important to take action now – if you have funds left, there’s a good chance they will be disappear when 2021 ends, and you will then be spending your 2022 CME allowance.
It’s unfortunate that CME budgets typically expire on December 31. This is an incredibly busy time of year, and most of us …
A few months back, I read about a two-year-old child with a terminal cardiac condition who has spent her life in a hospital bed attached to multiple devices that maintained her survival. At the staff’s request, the institution’s ethics committee reviewed the child’s history and prognosis and decided that the equipment could be disconnected. Her mother repeatedly blocked this option, insisting that the child, although frequently sedated, had a “bubbly …
Trying to match into residency or fellowship can be stressful. I’ve gone through the match once for residency, and I’m currently going through it a second time for fellowship, so I understand your plight if you are going through it too. There are many variables that are out of our control. As much as we may desire to match our desired specialty at our desired location, this uncertainty can lead …
During my 30 years in medicine, and especially as I began leading medical missions in 2005 to the poorest countries in the world, I have seen much need, tragedy, and heartbreak. It is overwhelming. Despite our best efforts medically to help, we fail. What do you do when all else fails? What do you do when someone has lost all hope and feels you have nothing else to offer?
In his …
Physicians prioritize patient needs above all other considerations. To advance that mission, the AMA works tirelessly to improve access to quality, affordable health coverage for everyone, which includes protecting patients from the financial harm posed by unanticipated medical bills that can be generated through out-of-network care.
That is why the AMA has joined the American Hospital Association in asking the courts to …
Over the last several years, there has been an increasing recognition that burnout is rising exponentially among health care workers – and there has been a positive shift in the public understanding of burnout and other mental health issues in general. Unfortunately, the policy response from governments, health care institutions, and policy-makers has been woefully inadequate.
Instead of addressing the root causes of burnout and mental distress among our health care …
The white coat ceremony marks the beginning of a new chapter in the lives of medical students. An academic ritual steeped in symbolism, the ceremony calls on new medical students to reflect upon and adhere to the values that guide the profession. The honor of graduating medical school returns these soon-to-be-doctors to the ideals of medicine. They must take an oath to avoid harm, build trust, and …
Attention-grabbing headlines suggest that our crucial COVID-19 pandemic tools—monoclonal antibodies and vaccines—are incompatible. Beyond the controversy rests an evidence-based reality: monoclonal antibodies and vaccines are complementary aspects of patient care. Both are powerful interventions that can prevent hospitalizations and deaths from this virus. After weeks of declining cases and hospitalizations, the United States is experiencing another surge of new infections likely due to multiple factors, including relaxed mask use in …
Diabetes is a complex yet common disease that impacts over 34 million Americans. Blood glucose is just the tip of the iceberg; related complications include neuropathy, eye disease, ketoacidosis, kidney disease, cardiovascular disease and more. In fact, it could be said that diabetes is a “whole body” disease, in the sense that it spirals out to cause devastating problems that impact many regions of the body, including …
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Welcome to an expedited episode of The Podcast by KevinMD. Trevor Bedford is a computational biologist and infectious disease scientist, Fred Hutchinson Cancer Research Center. He was selected as a recipient of the 2021 MacArthur Fellowship and can be reached on Twitter @trvrb.
Transcript
Kevin …
When the COVID pandemic first reared its ugly head in 2020, I was mentally prepared (as much as any of us could be) for the patient care wave that was coming our way. What I was not prepared for was the mass of anti-science and anti-intellectual pushback that we have seen over the past one and a half, almost two years, in regard to the virus itself and the vaccine.
To …
I remember receiving the email, “Eating Disorder Panel Q & A.” My physician colleague had become very experienced at caring for eating disorder patients. She understood the importance of this work and how misinformed much of the health care community was on the topic.
She took it upon herself to set up a medical didactic session for the health care providers in our practice to provide us with additional education. The …
First in a series.
The business of health care delivery differs markedly from other consumer and service industries in many ways. First and foremost, the economics differ. Specifically, the payers of medical care are often different from the customers, the government and third-party insurers are the primary payers, demand is inelastic, quality metrics are typically unavailable, and the industry consists largely of nonprofits that avoid taxes. And that’s just the start …
“The victims of this now distorted concept of liberty are ones that we physicians encounter every day. The one that inspired this essay for me is an 11-year-old boy that I saw three weeks ago. He is a patient of mine in my pediatric practice who came to see me …
It has been exactly one year since Pfizer’s first trucks rolled out to much fanfare. Billions followed every twist and turn on the path to getting a vaccine that would save countless lives and give us a return to normalcy. We all hoped for a brisk global vaccination campaign that, in addition to securing our health, would restore our social lives. We yearned for going to large events without the …
Please also read the contrasting opinion article, “Doctoring during Kyle Rittenhouse’s acquittal.”
The Kyle Rittenhouse acquittal. We need to know the truth: There has been much misinformation and some downright lies on social media and mainstream media regarding this. Some social media outlets have blocked any positive comments regarding Rittenhouse. A man who contributed $25 to a GoFundMe site to support Rittenhouse, (before the social media platform canceled …
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