If the hospital CEO emailed employees like Twitter’s CEO

Physician
December 7, 2022

To: [Group: all employees]

From: Office of the CEO

Subject: A fork in the road

Going forward, we will need to be extremely hardcore to streamline a restructured Health care 2.0 and succeed in an increasingly diseased world. This will mean working even longer hours at high intensity. Only exceptional performance will justify a new N95 mask each week.

Health care will also be much more profit-driven. Physicians and nurses will still be very …

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With RSV, it’s time for primary care to step up to the plate

Conditions
December 7, 2022

Every pediatrician is familiar with this endemic seasonal virus, expecting to see several cases in their office during the winter months and maybe even admit the occasional one for inpatient care. Even amongst the latter, most do well and recover without incident, though the stay can be prolonged.

However, the respiratory syncytial virus — when it causes pneumonia and bronchiolitis (inflammation of the small airways — can result in serious illness …

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How women manage and mismanage their health [PODCAST]

Podcast
December 6, 2022
YouTube video

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“Shame has no place in illness or in health. The first step to eradicating shame is to openly speak up about symptoms and concerns and for health care providers to commit to acknowledging and interrogating the needs …

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In light of Chris Hemsworth’s APOE news: Don’t panic

Conditions
December 6, 2022

Recent news on actor Chris Hemsworth and his genetic test has been widely covered in the media. The actor said he is taking a break from acting after learning he has a heightened risk of developing Alzheimer’s disease.

I learned this from my teenage son, who read in the news that the Thor star discovered this after undergoing tests as part of his Disney+ documentary series Limitless.

Hemsworth learned that he has …

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The hidden health complications of inflation

Policy
December 6, 2022

“Inflation hit 8.2 percent for the month of September.” The sound of the newscaster’s voice was grim.

Tuning into the nightly news, many Americans have become seasoned pseudo-economists. It has become common practice to crunch numbers to prepare next month’s budget as food, oil, and housing prices reach all-time highs. The ever-foreboding question of “Are we in a recession?” has become as frequent and a juxtaposition to the innocent pestering …

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A rush to judgment on acetaminophen?

Meds
December 6, 2022

Less than a year ago, a position paper/meta-analysis was published whose authors concluded that the pain reliever acetaminophen, and products containing this compound, were contraindicated in pregnancy as they could result in premature or stillborn births or developmental defects. Earlier studies appeared more positive and resulted in recommendations for its use by professional and governmental organizations. The present authors acknowledged this disjunction and made both the routine recommendations for further …

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When should you consider a Caribbean medical school? [PODCAST]

Podcast
December 5, 2022
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“If we want to achieve a physician workforce that mirrors our population, medical schools must collectively understand that we have created an admissions system that selects against Latinx and BIPOC students. We need a new system. But …

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You’re not being frivolous. You’re being fabulously human.

Physician
December 5, 2022

[Frivolous: not having any serious purpose or value]

For years, I’ve noticed something that’s bothered me. I see it almost daily within social media women’s physician groups. The post starts with, “I know this is a frivolous question, but …” What follows are questions about topics ranging from cosmetic recommendations to travel advice.

Questions like:

“Where can I find concert tickets?”

“What color should I paint my bedroom?”

What do you all think of this …

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We need trauma-informed care in long-term care homes

Policy
December 5, 2022

Canada needs trauma-informed aged care, training, and strategies in long-term care homes across the country.

“Trauma” is a heavy word, but it’s the right word.

“Trauma” describes what has been happening in long-term care facilities across Canada during the pandemic, where the majority of COVID-19 deaths have occurred and where highly restrictive visitor policies and short staffing have meant extreme isolation and deprivation for the residents who live there.

But there are often …

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Aesthetics and the physician’s eye

Physician
December 5, 2022

The fall sunlight calls my eye to notice little things: the veins on a yellowing maple leaf. The askew feather on a chicken’s wing. The faintest breeze tricking the pond into patterned sin waves around a lone white duck.

What do we owe this world but our ability to parse and observe, to interpret, to be filled enough by moments of abject beauty to return to the ugliness and try to …

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What you need to know about sensory processing disorders [PODCAST]

Podcast
December 4, 2022
YouTube video

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“Understanding and recognizing sensory processing issues may help improve functioning and quality of life for many individuals, starting with children in school. While many are preparing for back to school, it is important for parents, teachers, health …

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A theological answer to our health care crisis

Policy
December 4, 2022

With the Christmas holiday rapidly approaching, it has me thinking about what the family of faith should think about health care in America. As a physician, I’ve spent over a decade of my life trying to use my faith in science and evidence to inform people about an optimal way to practice medicine and, as someone trained in health policy and management, how to structure the United States’ health care …

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Medicare “Advantage” for my indigent patients

Policy
December 4, 2022

Despite the aggressive marketing, Medicare Advantage plans offer little benefit for poor and vulnerable patients.

Consider my patient C, who was in pain from her knee arthritis. She was often in pain, but now her new pain medication helped her less than her previous one. She also wanted her old asthma inhaler back as the new one was harder to use. We had changed all her medications since her new Medicare …

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7 things I’ve learned after 12 years of private relationship-based direct care in Canada

Physician
December 4, 2022

I’m a hand surgeon. After six years of academic practice, I opted out of the public and universal health care system my country is famous for to create the first private hand surgery practice in Montreal, Canada. That was 12 years ago.

Opting out of the system means that I do not get any payment or reimbursement from the government in a country where private insurance does not pay for private …

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Don’t blame Big Pharma for insulin’s problems

Policy
December 4, 2022

For diabetics, insulin matters as much as H2O. Unfortunately, insulin’s a hell of a lot more expensive than bottled water. High insulin prices force approximately nine million Americans to balance their wallet and well-being.

The American Action Forum reported that a type-one diabetic’s average yearly expense for insulin was $~6000 (i.e., $500/month). It’s easy to lambast Big Pharma companies for the current state of insulin’s affairs, but history and market behavior …

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Bulletproof backpacks: There’s more we can do [PODCAST]

Podcast
December 3, 2022
YouTube video

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“As a parent of elementary school children, every mass shooting, particularly ones killing school children like in Uvalde, jolts my doing-the-mom-thing-just-keep-busy-can’t-stop denial. On the last day of school before summer vacation, when the bus doors squeaked open, …

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The unstoppable momentum of a medical “fact” with no source

Physician
December 3, 2022

When I started my company in 2009, personal experience was a driving force in identifying the problem I wanted to help solve. As a neurosurgeon, I often treated patients who were neurologically devastated by acute bleeding in the brain after years’ worth of poorly controlled high blood pressure. In many cases, when I asked the family why the patient quit taking their hypertension medication, they described the patient as “not …

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Bring the real You to your workplace

Physician
December 3, 2022

Life is short, so make yours extraordinary. Capitalize on what makes you, YOU, and be your own unapologetic self.

The Almighty designed us as unique but imperfect and flawed individuals, prone to sin and blundering error. But that’s the great part of being human; we’re expected to sin, blunder, and make mistakes. We’re made to err for the sake of learning and growth; otherwise, we’d wither into uninspiring nothingness. Keep this …

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Migrants need and deserve access to healthy lives in the U.S.

Policy
December 3, 2022

Anti-immigrant rhetoric was at an all-time high during the midterm election season, and now as the 2024 presidential election gathers momentum, it is urgent to note how it fosters violence against immigrant communities and creates a chilling effect.

Texas Gov. Greg Abbott continues busing immigrants to sanctuary cities from Texas, including new arrivals in Philadelphia, and Florida Gov. Ron DeSantis defends his practice of sending immigrants to  …

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Preventing prostate cancer with simple, proactive choices [PODCAST]

Podcast
December 2, 2022
YouTube video

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“You have the power to make healthier choices to reduce your risk for prostate cancer. While things like genetics are out of your control, there is a wealth of research showing that there are simple ways to …

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