It’s become my morning ritual on the way to the hospital. Cruising down a main Philadelphia stretch, just as the road crests and the hospital becomes visible, I steel myself for the line. Is it going to be long today? In just a few more blocks, my second reflexive check-in: Are there news vans outside of the hospital?
Both glances are woven into the larger story of Philadelphia’s gun violence epidemic …
Between 2013 and 2016, 49.1 percent of U.S. adults surveyed had attempted to lose weight within the last 12 months. Weight loss medications have reached the public eye in popular culture and practice. To be considered effective in a clinical trial by the FDA, the drug candidate must demonstrate a statistically significant difference in mean weight loss between the active product and placebo-treated group of at least five …
Carol Raye’s devastating Clostridioides difficile (C. difficile) experience started with what she thought was a stomach bug after a dental visit. She took the antibiotics prescribed by her dentist and thought a weekend of rest would make her feel better. Soon, she was debilitated by the severe diarrhea from a C. difficile infection that left her weak, confused and barely able to get out of bed. Fortunately, she made it …
Not too long ago, I found myself immersed in a profoundly thought-provoking encounter that ignited a cascade of reflections on the intricate interplay between truth, faith, and the essence of what we hold dear as our ultimate truth.
It was a casual evening spent with a group of friends, a mix of familiar faces, and some new acquaintances. Our host, a genuinely compassionate man, had inadvertently sparked an impassioned conversation on …
Jason had always cherished the Fourth of July—it was his moment to shine. At 19 years old, he saw himself as a real man, a car mechanic who garnered the attention and admiration of the ladies. With a fit and muscular physique, he relished his workouts and delighted in showcasing his daredevil spirit.
The day was marked by a grand cookout, where Jason reunited with his high school friends. The smoky …
Rick Taylor was swimming the race of his life. The Virginia half-Ironman (70.3 miles) was underway, and Rick swam the 1.2-mile course in the Carvin Cove Reservoir in 30 minutes and 43 seconds, coming out of the water first in his age group at a blistering pace of 1 minute and 35 seconds per 100 m (1.36/100 m). What was more incredible was that his heart rate through that effort …
I am a physician, a urologist, but what most people don’t know about me is that I am a survivor of mental illness, physician burnout, and multiple suicide attempts. Today, I write about the condition of the medical profession, its problem with burnout, and its solutions.
I began practicing general urology in 1987. My subsequent life as a physician can be divided into two very different eras. In the first era, …
On some of my night rotations during intern year, I found myself watching WWII documentaries and movies. The patients at the VA medical center had stuck with me with their stories and their attitudes. My experiences at the VA motivated me to learn more about my patients’ lives, who had served our country. As I watched some of these movies, I noticed parallels between my life and those of the …
Both privileged and marginalized payers should reflect on the completeness, difficulty, and straightforwardness of procedures, processes, and payments.
When it comes to procedures that are reimbursed at reduced rates due to their incomplete nature, it is important to consider the reasons behind the failure to complete them. Were the factors patient-related, provider-related, or related to the location? Were there issues with the preparation for the procedures themselves? Furthermore, if the failure …
In late 2017, I was standing in the hallway between two different departments in a hospital where I was rounding on a particularly busy day. As a hospitalist, I was very familiar with this facility and where to go in order to find a moment of peace away from the hustle and bustle of my workday.
As I held the stack of rounding sheets in my hand, I had a fleeting …
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Join us in this insightful podcast episode as we debunk common misconceptions surrounding automated red blood cell exchange (RBCX) therapy. Our guest, Carly Newton, a registered nurse specializing in apheresis treatments, will share her expertise and shed …
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We take care of the living, and remember those who passed, what they taught us, and how they touched us.” These were some of the words my parents said to me after I called them, sobbing in tears, that my patient had passed away. She was only eight years old. To most of her doctors, she was the patient with retinoblastoma that had metastasized to her liver, causing her to …
Letters of recommendation help open gates to university admissions, jobs, and scholarships. Now that more colleges are ditching SAT/ACT requirements and medical schools are grading pass/fail, these letters will likely rise in importance. As a decision-maker myself, I rely on a letter writer’s personal judgment in vouching for (or not mentioning) an applicant’s work ethic, experience, and character.
At least I did—until the subject of one of my own letters …
During my fellowship in palliative medicine, I have learned the value of home visits. I learn more about my patients’ lives in two minutes of seeing their homes than I could in a lifetime of clinic visits. During home visits, I get to pet dogs, touch quilts, study photos, and admire charming heirlooms that would fetch only a few dollars in a garage sale, but that in these homes are …
“In July 2015, journalist Johann Hari gave a TED Talk that over 20 million people have since viewed. Hari offered convincing evidence that vulnerability to opioid addiction is a consequence of the conditions under which people live — the social determinants of health — rather than simple exposure to opioid pain relievers. This theme is brilliantly elaborated by economist Anne Case and Nobel Prize winner Angus Deaton …
ChatGPT and Epic Systems
This year’s buzzword in academic and now business technology is ChatGPT. Epic Systems, Microsoft, and OpenAI (the owners of ChatGPT) have announced the release of the next evolution in artificial intelligence (AI) called GPT-4. This new system integrates AI with electronic health records with the hopes of advancing medical care and associated services.
In-basket messaging is the first section of electronic health records that will be significantly changed. …
In the dynamic field of health care, physicians hold a vital role. Their invaluable contribution as life-savers, pain alleviators, and guides towards healthier living necessitates continuous learning and improvement. A potential catalyst for such progress is friendly competition among physicians. This concept isn’t about outdoing each other for a prize but striving for better patient outcomes, refining medical practices, and nurturing a culture of excellence.
A study by the National Bureau …
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