Raw humanity on night float: inspiring patient encounters and overcoming challenges

Physician
May 27, 2023

Night float had always been this mythical monster to me, an intimidating prospect that conjured up some of my greatest fears about a residency rotation – jetlag, nocturnal clock, lack of continuity with patients or a day team, multiple pagers and multiple admissions every night. Maybe it was the uncertainty of the unknown that had seemed so daunting.

Somehow, after three admissions on my first night, I found myself still awake …

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Is AI the solution for the shortage of nephrologists? ChatGPT weighs in.

Tech
May 27, 2023

As I’m sure you know, nephrology is the branch of internal medicine that deals with the kidneys. And in the U.S., young doctors are quite unlikely to choose this path.

Why? The combination of long hours, chronic illness, and (relatively) unimpressive pay has proven deadly to the field. In fact, around 30 percent of training (fellowship) positions go unfilled each year.

To stay afloat, the nephrology community has turned to …

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Unlocking the secrets of cancer conferences: an end-of-life counselor’s journey among pharmaceutical giants

Conditions
May 27, 2023

“One should . . . be able to see things as hopeless and yet be determined to make them otherwise.”
– F. Scott Fitzgerald

I’m in a massive ballroom with numerous tables and promotional placards lining the walls and center. In attendance are every pharmaceutical manufacturer and their sales reps. All the biggies are here; Pfizer, Merck, Novartis, and AstraZeneca, to name a few. Their drugs are household names because they advertise …

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Why HIPAA is failing and what you need to know to protect your data [PODCAST]

Podcast
May 26, 2023
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Join us in this episode as we discuss the limitations of HIPAA and U.S. law in protecting health information privacy with our guest, Brian R. Jackson. As a pathologist, Brian provides a unique perspective on the challenges …

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Revolutionizing emergency medicine: Overcoming long-term challenges with innovative solutions for physicians and patients

Physician
May 26, 2023

My previous post on this topic described long-term cultural and organizational challenges facing emergency medicine (EM) that pose greater threats to the specialty than temporal challenges (e.g., overproduction of emergency physicians (EPs)). Some challenges are not remediable; they are inherent to the specialty:

  1. short-term patient relationships
  2. unpredictable workload/intensity
  3. frequent, rapid fluctuations of stressful and less-stressful periods

However, many detrimental aspects of EM can be substantially …

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An obstetrician-gynecologist reveals the truth about reproductive planning and how to navigate society’s expectations

Conditions
May 26, 2023

Judging a book by its cover is easy. I just did it. There was a title at my library last week, So When Are You Having Kids?, and I judged it. That’s a loaded question: Am I even able to have kids? Do I want kids? If I do, when is a good time, personally or professionally? Who could ever be ready? Yet, how many times a day do …

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Why affirmative action is crucial for health equity and social justice in medicine

Policy
May 26, 2023

Harvard and the University of North Carolina at Chapel Hill are among the higher ed institutions involved in a U.S. Supreme Court battle over affirmative action that is expected to be decided this spring or summer. As a former appellate defender in the Gratz v. Bollinger affirmative action case in 1993, as well as an emergency medicine physician serving under-insured patients, I know firsthand how affirmative action …

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Overcoming stigma and finding hope in infertility, pregnancy loss, and childlessness [PODCAST]

Podcast
May 25, 2023
YouTube video

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Join us for a thought-provoking episode as we sit down with life and wellness coach Gail Miller, a maternal-fetal medicine physician. We dive into a topic that is often kept silent but affects so many – infertility, …

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The pediatric health care system tested to the limits: an inside look at the “at capacity” period during the tripledemic

Physician
May 25, 2023

Where should I begin when describing a period that seemed to have no end in sight? When we, as pediatric emergency department (ED) providers, felt like we were drowning in a tsunami of pediatric patients coming from every direction – from adult EDs needing to transfer seizing children for a higher level of care, from EMS coming in with apneic neonates, and from the endless supply of those from the …

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Nose-brain connection: The surprising link between allergies and mental health revealed

Conditions
May 25, 2023

Artificially separating the body from the mind has been one of the biggest missteps of modern medicine. Over the last few years, we have increasingly read studies confirming the mind-body connection, the gut-brain axis, and now we are learning more about the nose-brain connection.

Given the direct proximity between our nose and our brain, this connection shouldn’t be much of a surprise. The olfactory nerve, cranial nerve 1, wires directly to …

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Is the rise in mental illness due to greater awareness or a true increase in incidence?

Conditions
May 25, 2023

Someone asked me recently if there is a significant increase in the prevalence of mental illness since it seems everyone is in treatment somewhere. It was a good question and got me thinking.

The prevalence of mental illness has been increasing in recent years, but it is unclear if this is solely due to more people seeking treatment or if there is a true increase in the incidence of mental illness.

In …

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The untold story of Hispanic/Latino health: Why subgroup data matters

Policy
May 25, 2023

In 2000, the question, “Is this person Spanish/Hispanic/Latino?” emerged on the U.S. census, grouping these populations for the first time on a national scale. Prior to this, there was no consistent or comprehensive way to collect data on the Hispanic/Latino community, making it difficult to understand their demographics, needs, and trends. This question provided policymakers, researchers, and community organizations with data to make informed decisions regarding education, …

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Caring for a loved one with Huntington’s disease: a powerful story of resilience and hope [PODCAST]

Podcast
May 24, 2023
YouTube video

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Join us for an inspiring episode as we sit down with writer Erin Paterson, author of Huntington’s Disease Heroes: Inspiring Stories of Resilience from the HD Community. Erin shares her personal story as a caregiver for her …

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How AI is enhancing patient care and improving radiologists’ lives

Tech
May 24, 2023

When the topic of the future of radiology comes up in conversation, I frequently find myself being asked a few recurring questions: “How will artificial intelligence affect radiology?” quickly followed by “Do you think AI will replace you?”

These are great questions that I have found myself contemplating as well. As someone with an overall technological curiosity and a radiologist who embraces technological advancements, I ponder these questions often.

Let’s start with …

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ChatGPT masters USMLE: a real win for AI, but a long way from the art of medicine

Tech
May 24, 2023

In recent years, the advancement of artificial intelligence (AI) has taken the world by storm, with numerous applications in diverse sectors, such as transportation, finance, and medicine. One of the most significant milestones in medical AI is the recent success of ChatGPT, an AI language model, in passing the United States Medical Licensing Examination (USMLE). This achievement has raised questions about the potential role of AI in health care, particularly …

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How chronic illness and disability are portrayed in media and the importance of daily choices for improved quality of life

Physician
May 24, 2023

An excerpt from Long Illness: A Practical Guide to Surviving, Healing, and Thriving. Copyright ©2023. Available from Hachette Go, an imprint of Hachette Book Group, Inc.

Let’s say that you have it all together: you are accepting your illness and it is enriching your life. Now turn on the TV, pick up …

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A patient’s perspective on the diminishing relationship between doctors and patients

Conditions
May 24, 2023

Pages of my life turn over as the breezes of time flow over me.

Remembrances of your presence as the world welcomed my firstborn so many years ago.

Your calming voice and words of wisdom reminded me that life would be different but oh so much better.

My baby girl would grow to be a healer like you, offering hope and consolation to those seeking her out. Expert hands stitched my rambunctious toddler’s …

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Integrating mental health services into primary care for children and adolescents [PODCAST]

Podcast
May 23, 2023
YouTube video

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Join us on this episode as we speak with Hilary M. Bowers, a pediatrician who shares with us the importance of integrating behavioral and mental health care within primary care practices. With one in five children and …

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Surgeon General’s warning: the dark side of social media on children’s mental health

KevinMD
May 23, 2023

It’s disheartening to see the escalated trend of mental health challenges in children and teens, an issue that’s becoming more and more prevalent. Daily, we encounter tales of parents grappling with their children’s emotional struggles, from a professional mom taking a career hiatus to aid her anxious daughter to a dad watching his previously thriving son grapple with addiction, leading to a tragic school dropout. These are not isolated incidents …

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How biased language and stigmatizing labels affect patient care and treatment

Physician
May 23, 2023

During her treatment for acute leukemia, my friend Susan came to me for help and advice while she was in the hospital receiving chemotherapy. I also did her laundry. She went to one of the specialists at a major tertiary care center and had access to the lengthy consultation written by the oncologist. Susan had a career as a highly respected and much-loved elementary school principal in our county school …

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