An excerpt from If I Betray These Words: Moral Injury in Medicine and Why It’s So Hard for Clinicians to Put Patients First.
In late March 2021, during a lull between the third and fourth waves of the coronavirus pandemic, I drove to the small town three hours west of the …
Per the CDC, 11 to 40 percent of Americans struggle with chronic pain. All physicians must treat patients with chronic pain, whether they are spine surgeons or primary care physicians. It is a disease we can not escape.
We do not have a one-time pill to fix chronic pain.
Unlike other diseases, we do not necessarily have a cure for chronic pain. In medical school and residency, we are provided with …
Nebraska has taken another step towards effectively banning abortion and criminalizing the practice of medicine. I want to try to clarify that this bill is not supported by the medical community. It does not seek to improve the lives of Nebraskans. In truth, this bill is not what it seems, and I hope you will take a minute with me to turn down the emotional noise from both sides and …
Several years ago, a good friend and colleague – the chairman of a psychiatry department – notified people about his retirement in a department newsletter. He wrote, “I sent out a letter to the alumni and adjunct faculty that I will retire on June 30 [2021]. I had decided five years ago that when I reached a certain age, I was going to retire. Such decisions have multiple determinants and …
My story began in the early morning of November 17, 2021, and resulted in a re-birthing of who I am and what I’m becoming. I had a massive stroke that caused paralysis of my right side and left me unable to speak. I was life-flighted to the hospital where I work, and suddenly, I became the patient, not the caregiver. I received thrombolytics, then went to the neuro-interventional suite, where …
An excerpt from Fifty Years a Doctor: The Journey of Sickness and Health, Four Plagues and the Pandemic.
I went to medical school for four years.
I was a medical intern for one year and a surgical resident for one year. And finally, an otolaryngology resident for three years.
My medical license permits …
According to the Office of the Surgeon General, only about 12 percent of the U.S. population has suitable health literacy skills. Health literacy is the repertoire of knowledge we fall back on to comprehend medication instructions, understand our risks for certain diseases, and make decisions regarding our own well-being. Wading through a convoluted medical system like the United States is difficult even for those fortunate enough to have access to …
As a healthy 30-year-old intern with an infant, I never expected to land in the ICU on a random Thursday at 10 a.m. As I prepared to start my first precepted thoracentesis at the VA, I suddenly began to experience double vision. Assuming it to be a weird manifestation of anxiety, I politely stepped out to try to gather myself. I ran some cold water and splashed it on my …
I am asking my fellow medical professionals to give a sincere show of hands: How many of you are terrified of your fate should you become the patient?
The prospect of navigating the medical system as a patient should strike fear in your heart, especially if you cannot advocate for yourself (although the system will also make that next to impossible).
The current medical/hospital system of care in the United States has …
Virtue and self-sacrifice were supposed to be my protection. As a first-generation immigrant, the necessity of hard work had long been ingrained like a birthmark. I never questioned the belief if I overworked and overprepared, I would fulfill my responsibilities, be accepted, and become worthy of happiness. By the time I finished medical training, I had checked off the first two boxes, but worthiness? Fulfillment?
I never considered asking those questions …
Timmy’s eyes were rolling side to side in his head as his limp body did not respond to his mother’s calling. He was rushed to the hospital and admitted to the ICU. The 4-year-old ate one of his mother’s cannabis-infused, rainbow-sherbet-flavored gummies and ended up with marijuana poisoning and in a coma. There is no antidote to THC, the psychoactive chemical in cannabis, so Timmy had to wait and detoxify …
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“The practice of medicine is an art, not a trade; a calling, not a business; a calling in which your heart will be exercised equally with your head.”
– William Osler
I hear a voice in the still of the night when all the sounds of the world have been hushed. It should be a time of peace and rest for me, but instead, concerns and fears rise to the surface. Who …
Heart disease is the leading cause of death for women in the United States. According to the Centers for Disease Control and Prevention, heart disease killed 314,186 women in 2021. This means that approximately one out of every five female deaths was due to heart disease, with the worst mortality burden on African American women.
It is abundantly clear that we are not where we need to be in terms of …
An excerpt from The Mumbo Jumbo Fix: A Survival Guide for Effective Doctor-Patient-Nurse Communication.
When advertising agencies launch a new ad campaign, one of their popular strategies is the testimonial. As consumers, we see testimonials all the time in both print and electronic …
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Subscribe to The Podcast by KevinMD. Catch up on old episodes!
In this episode, we’re joined by Emmanuel K. Konstantakos, an orthopedic surgeon, and Jeff Morris, an attorney and CEO of the American Board of Physician Specialties. They discuss the ongoing debate about physician board certifications and the …
In the latest issue of Clinical Endocrinology News, I found an interesting article reporting a proposal to change the name of a hormone. The rationale for the proposed change was “patient safety.”
In 2009, a patient with known panhypopituitarism was admitted to a U.K. hospital for elective surgery. Diagnosis included panhypopituitarism with diabetes insipidus. The patient developed hypernatremia and volume depletion, tragically leading to pronounced hypotension and death.
The author attributes this …
As we spend February reflecting on Black Americans’ history, humanity, and contributions, let’s also consider how to improve the systems and structures that impact Black lives moving forward.
We can start with health care. Retention and recruitment are challenging, especially for nurses from underrepresented groups in nursing, according to the American Association of Colleges of Nursing (AACN).
As a Black, Chicago-based nursing researcher, I see first-hand the changes needed to make …
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I have been fortunate in my forty-five-year medical career never to have been sued for the care I delivered to a patient. I attribute this, in part, to being a family physician and having ongoing relationships with my patients and, in part, to being willing to admit to my mistakes if I make them and things turn out badly. I see how gut-wrenching going to court is for doctors so …
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