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For orthopedic surgeons, an all-of-the-above approach lowers liability risks

Jacqueline Ross, PhD, RN and Eric E. Cleckler, RN & The Doctors Company

Conditions

August 22, 2023

During a total hip replacement, a patient experienced a brisk bleed and a drop in blood pressure that required intervention from the anesthesiologist. There was a discrepancy in the documented estimated blood loss, with the surgeon noting 30 0cc while the anesthesiologist recorded 1100 cc. The patient was hypotensive in the PACU and had a discolored leg with no …

A family physician’s burnout journey [PODCAST]

The Podcast by KevinMD

Podcast

August 21, 2023

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

Join Tomi Mitchell, a family physician, as we tackle the pressing issue of physician burnout. This episode delves into the stark disparity between perception and reality in medical careers, exploring strategies to combat burnout and prioritize well-being. …

The high “cost” of waste in U.S. health care, and what we can do about it

Lalitha Sundararaman, MD

Policy

August 21, 2023

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.

The U.S. spends the largest amount of money on health care in the world – around $4.3 trillion annually. However, an estimated 20% to 30% of this is wasted, with no benefit reaching the populace. Culprits contributing to this waste include administrative …

How the 3 laws of thermodynamics illuminate the pathways of health care and AI

Harvey Castro, MD, MBA

Tech

August 21, 2023

The principles governing the universe are not confined to physics and chemistry. In health care, a field that profoundly examines life’s intricacies, we find parallels with the three laws of thermodynamics. This article unveils these connections, offering a physician’s insights into the applications of these principles in patient care, medical innovation, and the integration of artificial intelligence (AI) in health care.

The First Law of Thermodynamics: energy conservation

Thermodynamic principle: Energy in …

Explore the rise in facelift options and embrace the trending popularity

Babak Azizzadeh, MD

Conditions

August 21, 2023

The facelift procedure was first described in 1901 by Eugene Hollander and in 1916 by Erich Lexer. Over the last century, the facelift has become the gold standard for facial rejuvenation and continues to grow in popularity. One of the reasons we can attribute this growth spurt to is the options and advancements in how facelifts are handled. Let’s delve into the fascinating realm of modern facelifts, exploring the incredible …

Pericardiocentesis saves a life

Drew Remignanti, MD, MPH

Conditions

August 21, 2023

An excerpt from The Healing Connection: A Partnership for Your Health.

The blood spurt was alarming though because it therefore indicated that the pressure in the venous system had to be sky high in order to shoot a column of blood in such a continuous arc over my right shoulder.

So, I …

Read more…

Pericardiocentesis saves a life

Exploring consequences of early physician departures [PODCAST]

The Podcast by KevinMD

Podcast

August 20, 2023

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

Join Dennis Hursh, an attorney with over 40 years of experience in health law. We explore the complex decisions physicians face when considering leaving a position without proper notice. Discover the legal, financial, and reputational consequences that …

A heartbreaking COVID-19 case: the importance of trust in medical care

Robert Raschke, MD

Conditions

August 20, 2023

An excerpt from One Hundred Prayers: God’s answer to prayer in a COVID ICU.

(August 30, 2021) Susan was 44 years old and previously healthy; an ardent anti-masker. When she caught delta COVID, she took ivermectin, zinc and vitamin C. She arrived at our ER about a week later, requiring immediate …

Learn to be a Narcan hero: a comic tutorial

Emily Watters, MD

Meds

August 20, 2023

Discover the ins and outs of nasal Narcan alongside psychiatrist Emily Watters. In this comic tutorial, she’ll walk you through the steps in her signature straightforward style, helping you grasp the essentials and empowering you to be a Narcan hero. (Click to enlarge.)

The old man’s friend: Refuse antibiotics to achieve a peaceful death

Althea Halchuck, EJD

Conditions

August 20, 2023

“If you don’t know how to die, don’t worry; Nature will tell you what to do on the spot, fully and adequately. She will do this job perfectly for you.”
– M. Montaigne (1533-1592)

In 2021, former U.S. President Bill Clinton was rushed to a California hospital suffering from a urinary tract infection that had developed into sepsis, a life-threatening blood infection. According to the National Institute of Health and Care Excellence, …

3 ways clinicians can unlock their career potential through writing

Harrison Reed, PA-C

Conditions

August 20, 2023

When I was a child, I discovered I had superpowers. One day my mother left me at home with a list of tasks, chores and invented homework assignments to complete over summer break — the joys of having a mom who is also a teacher. As my eyes wandered down each line of the list, I decided now was the time for my rebellion.

I flipped the paper over, took a …

From stress to wellness: Navigating burnout in health care [PODCAST]

The Podcast by KevinMD

Podcast

August 19, 2023

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

Join Sarah Samaan, a retired cardiologist and physician development coach. Discover how burnout is a response to workplace stress, not a personal flaw, and how it relates to grief and compassion. Gain valuable insights into distinguishing burnout …

As suicide and gun violence rise, we need gun purchase waiting periods now

Taytum Kahl

Policy

August 19, 2023

In 2018, physicians began #ThisIsOurLane, a movement arguing that gun violence is a public health epidemic that medical professionals have a vital role in dismantling. Gun suicide rates are increasing across America – particularly in states with the fewest gun laws. Guns are the most lethal method of self-harm, with a fatality rate of 90%, yet only 11 states are enforcing …

Mitigating physician burnout: Rediscovering your dignity

Sarah Samaan, MD

Physician

August 19, 2023

Treating patients with dignity is a fundamental cornerstone of our profession. Although we can all cite situations where we or our colleagues fell short, most of us aspire to helping our patients feel safe and respected. Yet the flip side of this equation is rarely mentioned. And the truth is that physicians are often not treated with the same dignity by their systems or their patients.

In this article, I’ll go …

The government should establish a Youth Behavioral Health Advisory Council

Mitchell Berger, MPH

Policy

August 19, 2023

Even as the declared public health emergency for COVID-19 ended on May 11, two other public health emergencies continued. The first such emergency, the opioid crisis, was initially declared in October 2017, more than two years before COVID-19. A second emergency was declared for youth mental health in October 2021 by three major national associations, including the American …

Michael J. Fox asks: “Am I still me?” in a new documentary – a question many with critical illness face

Harvey Max Chochinov, MD, PhD

Conditions

August 19, 2023

Still: A Michael J. Fox Movie was recently released by Apple TV+ and provides a ringside seat to the daily, formidable challenges facing the actor since he was diagnosed with Parkinson’s disease more than 30 years ago.

There is, of course, tremendous irony in this movie’s title, given Parkinson’s disease, a non-curable neurodegenerative disease that affects well over six million people around the world, denies those afflicted the ability to keep …

A pediatrician embraces direct primary care [PODCAST]

The Podcast by KevinMD

Podcast

August 18, 2023

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

Join Andrea Wadley, a pediatrician who navigated career burnout to embrace the direct primary care (DPC) model. Discover how DPC transformed her practice, offering personalized care, shorter wait times, and improved doctor-patient relationships. Andrea’s journey sheds light …

Patient complaints prompt hospital to reevaluate doctor’s bedside manner

Jeff Kane, MD

Physician

August 18, 2023

Tom, a doctor friend, recently told me he was reprimanded by Michael, his hospital’s medical chief of staff, after two patients lodged complaints against him.

One instance involved a man whom Tom informed of a cancer recurrence. When the man cried, Tom put his hand on the man’s knee, attempting to comfort him. However, the man didn’t find it comforting. He said nothing to Tom but complained to administration, stating that …

Avoid being an uninformed financial patient

Amarish Dave, DO

Finance

August 18, 2023

As doctors, we all know that when we care for an informed patient, the conversation is more meaningful, and the patient can make a more informed decision about their care.

The same is true in the investing world. We are all very busy, but it is important we understand some basic financial terms so when we are either picking our own stocks or mutual funds or talking with a financial advisor, …

Love and medicine: the journey of a cardiologist’s life

Stephen Stowers, MD

Physician

August 18, 2023

An excerpt from Box of Birds: What New Zealand taught me about life and the practice of medicine.

While dobutamine improves the strength of heart contractions and can thereby help raise blood pressure, it also has properties that dilate the arteries, which in this patient’s case dropped the blood pressure further. …

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