Once hailed as “The Paris of the Caribbean” the city of San Pedro de Macoris (SPM) was established in 1822 and became one of the major producers of sugar, molasses, bovine cattle, rum, and Major League Baseball players.
In the mid-1800s Cuban immigrants threatened by a slave revolt and their own war of independence, settled in SPM and established the country’s first “ingenious” or sugar mills or bateyes. They brought their …
“No matter what, your healing work matters. No one should tell you otherwise, and nothing can change that, not even a shortcoming. You provide healing in a way no one else can. Care for yourself, and you can be the healer you truly wish to be.”
J. C. Sue is a …
As we anticipated the release of new CDC data on overdose deaths, those of us who specialize in substance use disorders braced for grim statistics, but this milestone was still shocking: over 100,000 lives lost to overdoses in one year, the great majority from opioids. Overdose deaths began outpacing traffic fatalities in the United States in 2013, but 2.5 times as many people died from an …
It became a prison to me — impending doom.
I knew I had only three months left before I could retire. Three months isn’t long, but it is a lifetime away.
That long drive to work in that heavy highway traffic where there was always a collision. The anxiety of the drive knowing all along there was even more anxiety to come.
The patients that were involuntarily committed — forever schizophrenics and bipolar, …
In late November, the state of the COVID-19 pandemic shifted once more when South African scientists reported the discovery of a new SARS-CoV-2 variant named Omicron. When panic surrounding Omicron’s emergence set in, numerous countries instituted travel bans on South Africa and neighboring nations.
As a medical student, I have begun to examine COVID-19 epidemiology and policy decisions more closely. Given that Omicron is already circulating globally and …
I understand what it feels like to be in the depths of depression and hopelessness. I have had a lifelong battle with stuttering, obsessive-compulsive tendencies, depression, and suicide.
I continually fight these battles and have learned to heal and recover through family, friends, and ultra-running. Since attempting to take my life on September 12, 2009, I have developed wellness tactics to help me journey through life to achieve optimum performance and …
Thank you, Dr. Kara Pepper, for your recent article “Why you should not use BMI for your New Year’s resolution.”
Our weight-obsessed, BMI-focused culture has been a thorn in my side for much of my life. And since eating disorders thrive in secrecy, let’s get talking. In sharing my story, I hope to encourage revision of the way we speak to patients and utilize (or do not utilize) …
Welcome to a special episode of The Podcast by KevinMD.
In this 60-minute episode, I partner with DrFirst, a pioneer in health IT for over 20 years. We bring together physicians with different backgrounds to explore information overload and physician burnout.
Dr. Sameer Badlani is chief digital officer, …
Remember in Jurassic Park when Ian Malcolm describes Chaos Theory to Ellie Satler, watching a drop of water roll down her hand? It might roll to one side or the other based on any number of differences in the hair on her hand, subcutaneous blood flow, imperfections in her skin, all tiny variations in a complex system, affecting the outcome. The scene came to mind last week when in 24 …
I’m angry. The sound cut out again, for the fifth time in the last hour. “Why can’t I get through one telemedicine visit without some technical problem?” I ask myself. I can feel the chest discomfort, my shoulders tense, I start to flush, tell-tale signs of frustration and anger bubbling up. I did not go to medical school to become tech support. After 12 patients, it’s finally time for lunch. …
“There is nothing like staying at home for real comfort,” says James Austen. So, instead of traveling and waiting for hours by standing in a queue, what if health care is provided to you at home? That’s why home hospital care (HHC) is a viable solution for physicians and patients. HHC is an innovative, technologically advanced, and effective care model in which certain patients receive hospital-level care at their homes …
Pediatric cardiac anesthesiologist, woman, mother, wife, friend, mentor. I can’t remember a time when I wasn’t trying to “work smarter, not harder” to get it all done and feel good about myself, only to begin climbing the mountain with a fresh list the next day. My goals were simple: peace of mind and a sense that I was in control of my life and doing a good job for all …
“For me, my own personal stories of opioid patients come to mind, including one who keyed my car when I stopped prescribing his opioid after an acute injury. I think of some local opioid overdose deaths in my community. I would love to hear what other doctors and clinicians have …
ADVERTISEMENT
Every primary care provider has been there. A patient comes in requesting a pre-operative evaluation or places a phone call or EMR message expressing the need for “clearance” before having a surgical procedure. Sometimes, we even get a request from the surgeon’s office with paperwork for “clearance.” Time is always, seemingly, of the essence regarding these evaluations, and either the patient or the operating surgeon requests this be done expediently …
Medical school is like a tennis match—a series of short sprints and challenges that, when put together, tell a larger story. Unlike tennis, however, everyone can win. Being “successful” in med school has multiple meanings—from caring for your rural hometown, working with your institution to implement a racism in medicine curriculum, and matching into orthopedic surgery. No matter how you define “success,” there will be bumps and potholes along the …
I would love to say 2021 outshone 2020. But I think sometime around mid-fall of last year, we realized the joke was, sadly, on humanity, and that was not going to happen.
Yes, we finally had vaccines (thank God and bless those involved forever), but the life purpose of a virus is to replicate, somehow, someway — and Delta was born.
The tragedy of the preceding winter still haunted all of us …
ADVERTISEMENT
The majority of my coaching clients are physicians. It isn’t easy for them these days. For the most part, doctors are rational types who believe in science, data, and facts. They have trouble understanding why so many of their patients seem to have signed on as extras in the unreality show of a skilled Pied Piper with a large and devoted following. How sad that so many people have followed …
If you knew we are like the “Two Fridas,”
that our hearts are connected,
would you change your mind?
Would you stop
as you are about to cut
the artery feeding your heart and mine?
If you knew that when you cry because of your loneliness,
because of your longing for your family,
that I cry, too, (though behind your back,
after I have comforted you)
would you change your mind?
If you knew that your isolation,
with the tubes and gadgets
coming …
“Advanced analytics can provide the insights needed to understand social determinants and help develop interventions that assist patients in overcoming some of the challenges and adverse environmental and social factors that are barriers to healthier behavior. Moreover, analytics are needed to support the team-based approach to care delivery. With advanced …
ADVERTISEMENT
I’m a small-time doc in a small town, and I work at a small hospital in the Midwest, and I’m proud of it. The huge university hospitals (like Cleveland Clinic) get all the glory (especially in society and in the press), but small hospitals like mine drive this country.
It has been really weird working at a small hospital, where it seems like …
Get free updates delivered free to your inbox.
