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There’s no place for “benevolent deception” in obstetrics

Megan Nix

Conditions

November 27, 2023

When I was 36 weeks pregnant with my second child, Anna, my obstetrician noted that my fetus had a disproportionately small head, or microcephaly—a condition now commonly known because of its association with the Zika virus. “We’ll just have to wait and see,” he said, meaning we’ll look for answers if the baby is affected at birth. But when my daughter was born, there were no answers then either.

Anna was …

Clinicians’ transformative health care paths [PODCAST]

The Podcast by KevinMD

Podcast

November 26, 2023

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Listen to conversations that uncover the unique perspectives of health care professionals and the transformative power of their work. Tamara Beckford, an emergency physician, reveals her remarkable journey from the front lines of the COVID-19 pandemic to …

Let the secret out by expanding older adults’ access to PACE

Adam Burrows, MD

Physician

November 26, 2023

PACE, the Program of All-Inclusive Care for the Elderly, has long been considered the best-kept secret in the American health care system. It’s time to unveil this hidden gem. The health and well-being of older Americans – and the future of our health care system itself – may hinge on it.

Originating nearly half a century ago with the On Lok program in San Francisco’s Chinatown, the PACE model has since …

Doctors’ emotional struggles in the medical field

Sogol Pahlavan, MD

Physician

November 26, 2023

Most humans, especially doctors, are completely disconnected from their bodies. This conditioning starts in childhood, escalates through teenage years, and peaks in residency where we are trained to completely detach from our body. Our emotions are held in our body. But in order to survive the chronic stress and trauma of medical training, we stop feeling.

It’s our coping mechanism.

It’s survival.

Yet this is so counterintuitive to our soul’s calling because most …

Genetic testing may help cure or condemn those who suffer from addiction

L. Joseph Parker, MD

Conditions

November 26, 2023

In a recently published study, it was found that a set of 4 genes (JUN, CEBPB, PRKCB, ENO2, or CEBPG) was shown to predict the diagnosis of heroin addiction with an accuracy rate of around 85 percent. This is an amazing development and could open the door to knowing who is at high risk of opiate addiction before the prescription is written. If similar markers can be found for …

Navigating your first MRI: tips and insights

Michele Luckenbaugh

Conditions

November 26, 2023

MRI, or magnetic resonance imaging, is a commonly used form of imaging to help diagnose conditions that might not be visible in an X-ray. The MRI scanner is a large cylindrical tube-shaped machine that creates a strong magnetic force and radio waves to capture images of the interior areas of the human body. Out of the numerous magnets in an MRI scanner, there is one main magnet, and the magnetic …

Value-based care: a prescription for physician well-being [PODCAST]

The Podcast by KevinMD

Podcast

November 25, 2023

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We sit down with Ben Kornitzer, a physician executive, to delve into the pressing issue of physician burnout in health care. Discover how burnout impacts patient care and contributes to a growing physician shortage, especially in primary …

Revolutionizing patient care: the convergence of AI and personalized medicine

Harvey Castro, MD, MBA

Tech

November 25, 2023

In the dynamic realm of health care, two revolutionary forces are converging to redefine patient care: artificial intelligence (AI) and personalized medicine. This synergy transforms how we understand, diagnose, and treat diseases, tailoring health care to each patient’s needs.

The emergence of personalized medicine

Personalized medicine, at its core, is about understanding the unique genetic, environmental, and lifestyle factors that influence a person’s health. …

Dependent on the mask my great-grandfather invented

Shan Liu, MD, SD

Physician

November 25, 2023

Decades ago, I missed my college graduation ceremony with President Clinton as the commencement speaker because I had to be elsewhere. I was in Shanghai, celebrating the 80th anniversary of the Chinese Medical Association—an organization founded by my great-grandfather, Wu Lien-teh, who was the first Chinese person to be nominated for a Nobel Prize. My father, his grandson, had immigrated to the U.S. from Beijing, met my mother in Palo …

Neurosurgeons fail to fix a wayward night owl

Barbara Lazio, MD

Physician

November 25, 2023

My tribe consists of competitive overachievers. We used to call them “gunners” in medical school, and Gunners tend to be morning people, or “larks.” Let’s be honest; people are impressed by those who are up at 4 a.m., training for their next ultramarathon before heading to their noble jobs. A typical conversation among neurosurgeons at a morning conference might go something like this:

Ned: “How are you this morning, Rena?”

Rena: “Great, …

Mastering the art of physician work-life balance [PODCAST]

The Podcast by KevinMD

Podcast

November 24, 2023

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

Join Sarah Samaan, a retired cardiologist and a Master Certified Physician Development Coach. We’ll delve into the complex world of work-life balance for physicians, exploring the difference between work-life balance and integration, drawing insights from art theory, …

Navigating the evidence-practice gap in concussion care

Sohaib Kureshi, MD

Conditions

November 24, 2023

Despite a growing body of research and clinical guidelines, a significant evidence-practice gap persists in the management of concussions. This gap represents a challenge that health care professionals and researchers are working diligently to bridge. Here are the basics of how the gap plays out in concussion care and how telemedicine is providing a promising solution to the problem.

What is the evidence-practice gap?

The evidence-practice gap refers to the disparity between …

In the crosshairs: The False Claims Act’s new targets in health care

Scott Ellner, DO, MPH

Policy

November 24, 2023

The practice of medicine involves a delicate interplay between medical expertise and the unique needs of each individual. Ideally, medical decisions should prioritize the health and well-being of patients while being rooted in science and evidence-based practice. However, this noble mission inevitably becomes challenging in the context of reimbursement structures that inadvertently incentivize unnecessary procedures rather than focusing on the quality or necessity of care provided.

In an all-too-common scenario …

Navigating life stories and medical decisions

Nicole M. King, MD

Physician

November 24, 2023

As a physician, I am given both the gift and the burden of another’s most intimate moments or even their indiscretions. There is a cloak of invisibility that wraps around a patient and me when behind a closed door. Almost as if the concept of guilt, innocence, opportunity, loss, life, and death are all present together with us in a room, while the rest of the world goes on outside. …

Drug prices and fast approvals can harm patients

Martha Rosenberg

Meds

November 23, 2023

An excerpt from Big Food, Big Pharma, Big Lies.

Few fail to be shocked at the rising prices of some prescription drugs. “Drug companies have raised prices relentlessly for decades while manipulating the patent system and other laws to delay competition from lower-priced generics,” reported the House Committee on Oversight …

Job stacking for doctors: a modern approach to work-life balance

Tod Stillson, MD

Finance

November 23, 2023

The medical profession has long been associated with intense personal commitment and time-consuming work. However, in recent years, a new concept called job stacking has emerged, and it is revolutionizing the way physicians work.

In this post, I will explore the concept of job stacking for doctors, discuss its benefits, and provide guidance on how to implement it effectively.

What is job stacking?

Job stacking is the practice of working multiple jobs in …

Pain medicine realities: beyond the opioid crisis

Richard A. Lawhern, PhD & Stephen E. Nadeau, MD

Conditions

November 23, 2023

In 1990, Ronald Melzack published a paper in Scientific American titled “The Tragedy of Needless Pain.” Many would regard Melzack as the “father” of pain science and the treatment of pain. In that paper, he described the science behind several observations that many clinicians and public health policy decision-makers would find startling in today’s hostile and fraught regulatory environment surrounding the U.S. opioid crisis.

… the fact is …

Read more…

Pain medicine realities: beyond the opioid crisis

Emotional freedom and resilience: a family physician’s inspiring journey [PODCAST]

The Podcast by KevinMD

Podcast

November 22, 2023

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

Join Dhruva Gulur, a family physician, to explore his journey from burnout, addiction, and self-hatred to emotional freedom and personal growth. Discover the unique concept of “Empower ACES” and “Disregard FACES” that helped him turn his life …

The brain science behind acupuncture

Marc Arginteanu, MD

Conditions

November 22, 2023

There are those who believe acupuncture to be a bunch of mumbo jumbo. I’m convinced it works, though. Acupuncture was first performed thousands of years ago, and it’s still being done today. That alone should tell you there’s something to it. Early practitioners believed they were balancing life force and rhythm. Modern science has proven that acupuncture may alter brain circuitry, change brain cell anatomy, and improve brain blood flow.

Way …

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The brain science behind acupuncture

A resident’s critical discovery: Advanced cancer unveiled

Dr. Damane Zehra

Conditions

November 22, 2023

It was my first week in the radiation oncology department as a resident. The day had been busy, and most of the consultants and staff had already left the outpatient department (OPD). I was exhausted and famished, with thoughts of dinner dominating my mind.

Just as I was beginning to wind down, the physician assistant (PA) rushed in and informed my consultant that a patient from a local hospital required immediate …

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