The COVID-19 pandemic has left an indelible mark on the health care system and its professionals. With an increased demand for nursing staff during the crisis, many young nurses entered the workforce to fill the gap. However, this new generation of nurses has brought a set of expectations and attitudes that are now putting a strain on hospitals and impacting physician salaries. …
Medical school can be a daunting journey for many aspiring physicians. As I look back now at the beginning of my 4th year, this has certainly been the case for me. With an overwhelming amount of information to learn and retain, students often find themselves struggling to keep up with the pace of the curriculum. Although somewhat mitigated by USMLE Step 1 transitioning to pass/fail, students are also pressured to …
A KevinMD article about Jimmy Carter’s end-of-life care decision, “The heartbreaking story of Jimmy Carter: a call for Medicare reform in end-of-life care,” indicated that the former president’s decision was heartbreaking. However, I have a different view. In my opinion, the 39th president, at age 98, made an autonomous and well-informed decision.
On February 18, The Carter Center announced in a statement that “after a series of short hospital stays, …
Premeds, don’t let them mislead you again.
It was once said that if we were 30 percent less intelligent, we would likely become happier. Sadly, awareness precedes intelligence. There is terrifyingly little strength involved in witnessing any tragedy that would either take a very long time to unsee or would stick with us to the grave. Around January, we heard the shot go around the world; 11 …
Rubinstein-Taybi syndrome (RTS) is a rare congenital disorder characterized by a broad spectrum of clinical features, including intellectual disability, growth retardation, and distinct craniofacial and limb abnormalities. Named after Dr. Jack Rubinstein and Dr. Hooshang Taybi, who first described the syndrome in 1963, RTS remains an area in which the medical community has limited understanding, diagnosis, and treatment options. Improved awareness and research efforts are needed …
The rapid advancements in artificial intelligence (AI) have left many parents questioning the best career paths for their children in a world increasingly influenced by automation. One field that continues to be indispensable, despite AI’s growing presence, is health care. The unique qualities of human empathy, critical thinking, and adaptability remain essential in this sector, ensuring that health care professionals retain a …
Musical genius and mogul Rihanna recently graced the Oscars stage for her second performance after the birth of her son, with a baby bump indicating her second pregnancy. She described her first birth as “blessed” and “beautiful.” While many expecting parents long to describe their birthing process similarly, there are realities within the medical system that complicate this narrative for those who are not celebrities. When my partner and I …
I’m building a platform for people to talk about all things women’s health. It serves the needs of education and awareness, peer support, and community building. These are all things I have wanted to offer, but until now, I didn’t know how to do so.
It started with trying to figure out how to leverage and embrace technology to bring my knowledge to patients. Every day I give the same information …
Last week I walked past him sitting outside of the OR. It was morning, before all of the first start cases, but he had been there all night. I already knew this. Two back-to-back transplants overnight. He, a surgical fellow, me, a critical care anesthesiologist who was a surgical resident over a decade ago. I could see the circles under his eyes that seemed to take up over half of …
In a recent posting, “The vital importance of climate change education in medical schools,” the author concluded that climate change is “here and undeniable” and, based on her experience of wildfires, that the cataclysmic consequences are already upon us.
Many would disagree, including Nobel Prize-winning physicist Dr. Ivar Giaever who, on resigning from the American Physical Society (APS) in protest, wrote: “In the APS it is OK to discuss whether …
In November 2022, revisions to the United States Pharmacopeia’s (USP) General Chapter <797>, a standard for sterile pharmaceutical compounding – defined as the process of “combining, admixing, diluting, pooling, reconstituting, repackaging, or otherwise altering a drug product or bulk drug substance to create a sterile medication” – were published. USP <797> plays a major role in guiding …
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I am naturally a problem solver, and I share this characteristic with most of my fellow physicians. When I felt burned out at one point in my career, I was certain that a literature search would help me solve the problem by giving me answers I could use to make my burnout a thing of the past.
My research, within the academic literature and information on the web, led to some …
“My best friend’s mother arrived at our oncology outpatient department. She had recently been diagnosed with locally advanced breast cancer and was understandably apprehensive, filled with numerous questions. I took her medical history and performed an examination. She didn’t have any relatives with cancer, so all the treatments and terminology were completely unfamiliar to her. Her medical workup was completed, and she began neoadjuvant chemotherapy, with surgery planned for a …
Physicians caught in the tentacles of employment as a means of possibly earning higher incomes and, unfortunately, believing such a platform of medical practice is the panacea of satisfaction and reaching your medical practice expectations that permeate your retirement with regrets.
During my 14 years of clinical medical practice in various settings, including the military, HMOs, and as a hospitalist, my experiences disrupted my initial career plans and intensified my desire …
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In this episode, we discuss personalized medicine with guest Ketan Desai, a physician-executive. We explore how Henry Ford’s mass production method influenced the pharmaceutical industry, and how personalized medicine presents new challenges. CAR T-cell therapy is an …
An excerpt from Twenty-Six.
5 a.m.
“Reminder to everyone, morning round at 6, lots of new patients,” flashes a message from Puta on the residents’ WhatsApp group.
It’s dawn, and the first rays of sunlight illuminate the corner of the bedroom. I roll over, but the alarm clock on my phone keeps ringing. …
Nearly half of all Americans have high blood pressure, but hypertension disproportionately affects Black Americans, with 56 percent of this population affected. The disparity is especially stark for stage II hypertension, which affects 42.1 percent of Black Americans compared with 28.7 percent of white Americans. “In the United States, at any decade of life, blacks have a higher prevalence of hypertension than that of …
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