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The ICU experience that changed a young doctor’s perspective forever

Conditions

February 24, 2023

As a healthy 30-year-old intern with an infant, I never expected to land in the ICU on a random Thursday at 10 a.m. As I prepared to start my first precepted thoracentesis at the VA, I suddenly began to experience double vision. Assuming it to be a weird manifestation of anxiety, I politely stepped out to try to gather myself. I ran some cold water and splashed it on my …

Breaking down the broken medical system: a physician’s eye-opening experience with patient neglect

Rebecca Weinshilboum, DO

Physician

February 24, 2023

I am asking my fellow medical professionals to give a sincere show of hands: How many of you are terrified of your fate should you become the patient?

The prospect of navigating the medical system as a patient should strike fear in your heart, especially if you cannot advocate for yourself (although the system will also make that next to impossible).

The current medical/hospital system of care in the United States has …

From CV to career: How to enhance your medical portfolio [PODCAST]

The Podcast by KevinMD

Podcast

February 23, 2023

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

In this episode, we’re talking about how to stand out from the crowd in a competitive job market for physicians. Our guests, Aaron Morgenstein, a board-certified orthopedic surgeon, and Claire Unis, a pediatrician, will discuss how to …

Finding emotional presence in a dehumanizing system: a physician’s journey

Xinran Maria Xiang, MD

Physician

February 23, 2023

Virtue and self-sacrifice were supposed to be my protection. As a first-generation immigrant, the necessity of hard work had long been ingrained like a birthmark. I never questioned the belief if I overworked and overprepared, I would fulfill my responsibilities, be accepted, and become worthy of happiness. By the time I finished medical training, I had checked off the first two boxes, but worthiness? Fulfillment?

I never considered asking those questions …

Candy weed: no protection for marijuana child poisoning

Roneet Lev, MD

Conditions

February 23, 2023

Timmy’s eyes were rolling side to side in his head as his limp body did not respond to his mother’s calling. He was rushed to the hospital and admitted to the ICU. The 4-year-old ate one of his mother’s cannabis-infused, rainbow-sherbet-flavored gummies and ended up with marijuana poisoning and in a coma. There is no antidote to THC, the psychoactive chemical in cannabis, so Timmy had to wait and detoxify …

Voices unheard: the plight of patients and clinicians in the health care system

Michele Luckenbaugh

Policy

February 23, 2023

“The practice of medicine is an art, not a trade; a calling, not a business; a calling in which your heart will be exercised equally with your head.”
– William Osler

I hear a voice in the still of the night when all the sounds of the world have been hushed. It should be a time of peace and rest for me, but instead, concerns and fears rise to the surface. Who …

Saving lives, one heart at a time: the fight against women’s heart disease

Bobbi Bogaev Chapman, MD

Conditions

February 23, 2023

Heart disease is the leading cause of death for women in the United States. According to the Centers for Disease Control and Prevention, heart disease killed 314,186 women in 2021. This means that approximately one out of every five female deaths was due to heart disease, with the worst mortality burden on African American women.

It is abundantly clear that we are not where we need to be in terms of …

Building trust with patients: the power of credibility, trustworthiness, and likeability

Michael J. Grace, JD

Conditions

February 23, 2023

An excerpt from The Mumbo Jumbo Fix: A Survival Guide for Effective Doctor-Patient-Nurse Communication.

When advertising agencies launch a new ad campaign, one of their popular strategies is the testimonial. As consumers, we see testimonials all the time in both print and electronic …

Certified, but denied: the impact of board certification on patient care [PODCAST]

The Podcast by KevinMD

Podcast

February 22, 2023

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

In this episode, we’re joined by Emmanuel K. Konstantakos, an orthopedic surgeon, and Jeff Morris, an attorney and CEO of the American Board of Physician Specialties. They discuss the ongoing debate about physician board certifications and the …

The hormone nomenclature debate: Is a name change the key to patient safety?

Charles Sharp, MD

Conditions

February 22, 2023

In the latest issue of Clinical Endocrinology News, I found an interesting article reporting a proposal to change the name of a hormone. The rationale for the proposed change was “patient safety.”

In 2009, a patient with known panhypopituitarism was admitted to a U.K. hospital for elective surgery. Diagnosis included panhypopituitarism with diabetes insipidus. The patient developed hypernatremia and volume depletion, tragically leading to pronounced hypotension and death.

The author attributes this …

Nursing for change: Prioritizing Black nurses’ health and well-being

Kashica J. Webber-Ritchey, PhD, RN

Policy

February 22, 2023

As we spend February reflecting on Black Americans’ history, humanity, and contributions, let’s also consider how to improve the systems and structures that impact Black lives moving forward.

We can start with health care. Retention and recruitment are challenging, especially for nurses from underrepresented groups in nursing, according to the American Association of Colleges of Nursing (AACN).

As a Black, Chicago-based nursing researcher, I see first-hand the changes needed to make …

A tale of medical malpractice, the legal system, and a fight for justice

Anonymous

Physician

February 22, 2023

I have been fortunate in my forty-five-year medical career never to have been sued for the care I delivered to a patient. I attribute this, in part, to being a family physician and having ongoing relationships with my patients and, in part, to being willing to admit to my mistakes if I make them and things turn out badly. I see how gut-wrenching going to court is for doctors so …

Healing clinician-associated trauma: a call for connection

Kara Wada, MD

Physician

February 22, 2023

Our modern existence is a state of perpetual disconnection.

Earbuds in. Staring down at our screens. Avoiding eye contact.

Disconnected from each other and ourselves, we go about our lives in adult parallel play.

Numbing any hint of uncomfortable feelings with more Netflix or scrolling.

The social, political, and health consequences of this existence have accelerated over the last three years. As a result, the physician-patient relationship is more fractured than ever. Physicians are …

The rise of direct pay: a solution to the fragmented, impersonal and costly medical system

Paula Muto, MD and Jeffrey Gold, MD

Physician

February 22, 2023

It used to be easy. You didn’t worry about your health care or how to pay for it. You had a family physician who cared for you in the office and the hospital. They coordinated every aspect of your care, including working with consultants. And after discharge, they would resume caring for you knowing what had occurred firsthand. That was then.

This is now.

Patients rarely see their primary care physician in …

Biosimilars have saved patients billions of dollars and are changing the treatment landscape. Here’s how.

The Podcast by KevinMD & Timothy de Gavre

Podcast

February 21, 2023

This article is sponsored by Sandoz, a Novartis division, and global leader in generic pharmaceuticals and biosimilars.

When I started working in the health care industry over 25 years ago, I was compelled by a passion to make a difference and improve the lives of those around me. Ultimately, that mission …

The power of advocacy: a medical student’s journey to helping an uninsured immigrant

Fabiola Plaza

Education

February 21, 2023

It’s the day of my last case presentation for my neurology rotation. Hearing the subway doors shut, I run up the stairs just in time to see them close. Breathless, I walk to the center of the platform. Noting the next train isn’t coming for another seven minutes, I groan in frustration and pull out my notes to spend the time to prepare.

I see a woman approaching me from the …

The middle road to childhood obesity treatment: Empowering kids with healthy habits

Paul Porras, MD

Conditions

February 21, 2023

The new American Academy of Pediatrics guidelines for childhood obesity have shifted from a “watchful waiting” method to “early and aggressive treatment.” Coverage of the guidelines in the Washington Post, the New York Times, and other reputable news outlets have readily accepted this new depiction of childhood obesity as a disorder in need of immediate, aggressive intervention and has given little or no attention to what …

The consequence of neglect: the lack of business education in medical schools

Curtis G. Graham, MD

Physician

February 21, 2023

Repeated media articles continue to inform the public that we don’t have enough physicians to handle our health care, and it’s worsening. We have at least 174 accredited medical schools in our nation that are still producing medical doctors and about 22,000 annually from all medical schools who enter a medical practice of some kind.

That must be a satisfactory number because they aren’t building medical schools much anymore. The existing …

Why are doctors sued and politicians aren’t?

Kellie Lease Stecher, MD

Physician

February 21, 2023

During the COVID pandemic health care workers needed to work tirelessly to correct the false information that politicians easily spread through the country. The President made claims that the virus was not real, that physicians were getting financial kickbacks from using COVID on death certificates, and that health care workers were benefiting from the pandemic. Physicians, nurses, and staff needed to talk to patients about COVID, and it really took …

3 hospitalists’ struggles with board certification: a tale of ineligibility, cancelled tests, and unfair fees

Anonymous

Physician

February 21, 2023

When I finished my pediatric residency almost 20 years ago, I embarked upon a career in general pediatrics because I didn’t enjoy any particular subspecialty enough to commit my career to it. After spending several years in a mostly outpatient setting (peppered with child abuse consults, circumcisions, and an unsatisfyingly small number of hospitalized patients), I knew I had to change and move across the country to pursue pediatric hospital …

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