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Big pharma ignores low-cost migraine solution

Meds

May 16, 2024

If you are a fan of pharma, you might want to skip this article. Some pharma enthusiasts will call it a rant. By pharma, I mean avaricious pharmaceutical (a pleonasm) companies collectively. On the other hand, those of you who treat acute migraines will learn of a highly effective, innovative, inexpensive, and relatively safe way to help many of your migraineurs. Those of you who believe that pharma is interested …

Physician well-being in a corporatized health care system [PODCAST]

The Podcast by KevinMD

Podcast

May 15, 2024

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

Join Wendy Dean, a psychiatrist with expertise in physician well-being and the intersection of medicine and corporate interests. Wendy shares insights into the challenges physicians face when their values clash with the corporate …

Shifting gears: Navigating identity and role changes throughout a physician’s career

Aseem Desai, MD

Physician

May 15, 2024

Physicians dedicate their lives to healing others, often at the expense of their own well-being. This intense focus on professional success can, over time, become a kind of addiction. As physicians progress through different stages of their careers, it becomes crucial to adapt and redefine their professional identity beyond the confines of clinical practice.

The evolving roles of physicians

The concept of a physician’s role is dynamic and ever-evolving. Early career stages …

The hidden dangers of mislabeling pain patients: a medical crisis

L. Joseph Parker, MD

Physician

May 15, 2024

I am very concerned about the mislabeling of patients who suffer from pain that is being carried out in a wholesale fashion by some in the American medical community. This mislabeling is the result of the most dangerous combination in the world: good intentions and avarice. These two have recently combined to create distortions that are now to the point of wholesale fraud. Calling something what it is not can …

More than a doctor: My unexpected path to building a thriving business

Stacey Funt, MD

Physician

May 15, 2024

When I was younger, I could not remember a time I wanted to be anything other than a doctor, and I thought this would satisfy all I wanted in my work life. Many years later, I realized I was yearning for a side gig. Based on the existence of more than 110,000 members in a related Facebook group, I wasn’t alone. A side gig can increase life satisfaction by heightening …

AI to the rescue: a game-changer for physician burnout?

Stuart Akerman, MD

Tech

May 15, 2024

If you’re a physician reading this, the concept of burnout likely needs no introduction. The harsh realities of our profession—long hours, extreme stress, mounting paperwork—have taken an immense toll on clinicians across every specialty. Everywhere you look, it seems there’s another survey about the escalating number of physicians who self-identify as burning out.

I don’t need to cite statistics to convey the impacts—most of us have experienced them firsthand: emotional exhaustion, …

Finding my calling: a surgeon’s path through medical school

Carol Scott-Conner, MD, PhD

Physician

May 15, 2024

September 1974. I was a third-year medical student at NYU. My husband and I, newlyweds, lived in a single room in the med student dorm. Fortunately, third-year students took night calls, so on those nights, my husband had the single pull-out bed all to himself.

If family medicine and emergency medicine existed as defined specialties at that time, our med school didn’t acknowledge them. Seven years later, as a chief resident, …

Takeaways from my first year as an attending physician [PODCAST]

The Podcast by KevinMD

Podcast

May 14, 2024

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

Join obstetrician-gynecologist Roshni D. Patel for an engaging discussion on navigating the challenges of the medical field. With firsthand experiences, Roshni shares valuable insights on overcoming underestimation, persistently advocating for what you need …

Once a pillar, now in ruins: the state of primary care

Ross L. Fisher, MD

Physician

May 14, 2024

Primary care outpatient general internal medicine is dead. Following a lengthy decline over years of languishing, it finally succumbed to terminal underappreciation and fiscal neglect. We shall never see the likes of it again. As with most good things taken for granted, it won’t be missed until it is far too late and the extinction is complete.

Our current health care system has morphed into a bloated bureaucracy that has lost …

Toxic work culture in surgery: Can it be fixed?

Gail Gazelle, MD

Physician

May 14, 2024

After destroying a light fixture in the OR and being written up for another episode of disorderly conduct, John was at the end of his wits.

His marriage, profession, and self-respect were all on the line, and in the eyes of everyone around him, he was another surgical monster.

But little did he know – none of this was his fault. (We’ll get there in a moment.)

The outburst came in a fit …

Envisioning the future of health care with OpenAI’s GPT-4o: potential innovations under secure and unbiased conditions

Harvey Castro, MD, MBA

Tech

May 14, 2024

Introducing OpenAI’s GPT-4o marks the start of a transformative journey in health care. Ensuring AI advancements are secure and fair, adhering to HIPAA-compliant servers, and eliminating dataset bias, GPT-4o promises future innovations in health care:

1. Advanced predictive analytics. In the future, GPT-4o could analyze vast datasets from patient histories and global health trends to predict outbreaks, potential complications, and individual patient risks with high accuracy. When combined with HIPAA-secured servers, …

The backboard bully: the roles we see can be all the difference in who we become

Anonymous

Physician

May 14, 2024

In the midst of youthful basketball games and hustling for Taco Bell chalupas, lifelong lessons were learned, leading to diverging paths and, ultimately, tragic loss. We called him “The Backboard Bully.” He’d find his spot at or near the free-throw line and shoot the ball at the perfect trajectory for a bank shot. We hated him for it—that is, when we weren’t on his team. If he was your teammate, …

Writing in medicine: a conversation with Samuel Shem [PODCAST]

The Podcast by KevinMD

Podcast

May 13, 2024

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

In this episode, we welcome Samuel Shem, a renowned novelist, playwright, and activist. As a Rhodes Scholar and a professor of medical humanities at NYU School of Medicine, Samuel brings a unique perspective …

911 call turned deadly: It’s time we invest in our community

Ashlee Guzman

Policy

May 13, 2024

“Shoot! Shoot in the heart,” local Miami resident Donald Armstrong screamed while waving around a screwdriver on his front porch during the peak of a mental health episode. Despite pleas from his mother not to kill her son, Armstrong was tased and shot over a dozen times. A 911 call tragically escalated into a perilous encounter with the very people tasked to help.

Our …

Stop and listen: How listening to patients and families is ever important for optimal care

Anna Swenson, MD & Barbra Orlando, MD, PhD & Christina Menor, MD & Rita Agarwal, MD

Physician

May 13, 2024

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.

We always hear about the art and science of medicine, but with our busy practices, the science stays at the forefront, while the art can get lost. Personal experiences or a special patient can help open our eyes. The …

Autoimmune disease? You’re more likely to get heart disease. Here’s why.

Nancie Wiseman Attwater

Conditions

May 13, 2024

The prevalence of coronary artery disease (CAD) and stroke is increased in patients with chronic inflammatory diseases such as rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE). These are also known as IMID: immune-mediated inflammatory diseases. Rheumatic IMIDs, including rheumatoid and osteoarthritis, are associated with multiple cardiovascular issues with an enhanced cardiovascular risk, including premature coronary artery disease. Lupus can also increase coronary artery disease because of the elevated chronic …

Push, then breathe: a story of resilience and success [PODCAST]

The Podcast by KevinMD

Podcast

May 12, 2024

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

Join Luissa Kiprono, an obstetrician-gynecologist, as she shares insights from her book, Push, Then Breathe: Trauma, Triumph, and the Making of an American Doctor. Luissa’s remarkable journey from surviving the oppressive regime in …

Overcoming disparity in access to uterine artery embolization

Matthew Patetta, MD

Conditions

May 12, 2024

Uterine fibroids are a common condition that affects up to 7 in 10 women. While some fibroid patients live with the condition without serious issues, many suffer from disruptive symptoms, such as heavy menstrual bleeding, pelvic pain, and infertility, which make it difficult for them to go about their daily lives.

Treatment options are broad and include medical management, hysterectomy, myomectomy, uterine artery embolization (UAE), endometrial ablation, and magnetic resonance-guided focused …

Eating our way to the next pandemic

Dr. Roxanne Becker

Conditions

May 12, 2024

The Texas Department of State Health Services reported the first case of H5N1 avian influenza in a human who contracted the virus not from a bird but from an infected dairy cow. The next pandemic could be around the corner, and the food we choose to purchase (or not to purchase) is playing a role in its development.

As we saw with the COVID-19 pandemic, viruses can undergo mutations rapidly, …

Read more…

Eating our way to the next pandemic

Long COVID and your brain: the effect of virus and vaccines

Marc Arginteanu, MD

Conditions

May 12, 2024

A bunch of symptoms, which may persist many months or even years after an acute COVID infection has cleared, have been described in the medical literature with increasing frequency since the onset of the pandemic. This constellation of findings has been dubbed “long COVID.” Long COVID’s effects on the brain, in particular, have certainly been in the news, and it’s also been popping up in the medical literature. So, what’s …

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