Human touch and scientific veracity are missing in health care technology

Tech
September 8, 2022

Working remotely during the coronavirus pandemic has immersed physicians in technology, perhaps accelerating its integration with medical practice – but not necessarily its acceptance or authenticity.

I tend to doubt the veracity of much of what I read in electronic health care records. I also question reports based on data gleaned from large medical databases – for example, summaries about physician compensation and practice trends.

Many reports that profile physicians are generated …

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5 things this allergist-immunologist will never do [PODCAST]

Podcast
September 7, 2022
YouTube video

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“Jumping on the recent TikTok trend of medical professionals sharing the things they would never do given their knowledge and expertise, I am sharing the five things I would never do as a board-certified allergist-immunologist.”

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Turning obstacles into opportunities with diversified health care perspectives

Physician
September 7, 2022

I have experienced a wide spectrum of the health care ecosystem since childhood giving me a deeper insight into its future need. I suffered for 23 years with a wrong diagnosis and frequent long-distance hospital visits before my heart operation. For 14 years, I shifted through multiple doctors and hospitalizations for my father’s mismanaged diabetic complications, including a foot ulcer with cellulitis. My academic mentor said, “Your father himself is …

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Innovation for all: Adapting patient-facing tools to promote digital health equity

Tech
September 7, 2022

More often than not, ground-breaking health care advancements are disproportionately accessible for those who already have favorable social determinants of health.

Improving cost, access, and quality, but for whom?

The boom of telehealth and digital health during the pandemic was a necessary shift to bridge the critical access gap while also supporting the public health measures implemented to slow the spread of COVID-19 – but did this change …

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Top tips for new interns [PODCAST]

Podcast
September 6, 2022
YouTube video

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“New resident physicians who have earned their MD degrees will be heading to hospitals to start their residencies during the last two week in June and the first week in July. What can a beginning doctor do …

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Why health care will never be the same after the COVID-19 pandemic

Policy
September 6, 2022

The health care industry will never be the same again following the COVID-19 pandemic. We can’t risk dying from a virus that had already killed so many people and disintegrated fruitful lives the world over. We need to use new protocols, technological advances, and safety measures to safeguard ourselves from other possible viruses.

Health care is a complex industry where one small change can have a whopping impact. Unfortunately, the last …

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How to motivate a “lazy” teen

Conditions
September 6, 2022

A high school objective: take in young, immature students, work on them in various ways for four years and send them out educated, confident and purposeful. At least that’s the way it’s supposed to be. Perhaps that’s the way it used to be. But things are different now.

On editorial pages and talk show stages, school systems are routinely blasted by an indignant public. Fingers are pointed. Blame is placed. Why …

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When it comes to feeding infants, support is best [PODCAST]

Podcast
September 5, 2022
YouTube video

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“What really is best and first when it comes to infant feeding: support. Support is best. Whether we are talking about infant feeding or frankly anything else related to postpartum or the fourth trimester, support is critical.

The …

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A personal story about trying new things

Physician
September 5, 2022

You’ve got to understand that I don’t like anything being thrown at my face.

Seriously.

This fear goes back to my childhood in Ontario, Canada, when after school in the winter, the neighborhood kids got together to play hockey. Our back yards abutted on a park which had a big field that, come winter, was iced over by a local parent late at …

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Residency almost killed me — literally

Physician
September 5, 2022

One morning, I was sitting in resident lecture. This time was supposedly protected, but we realized fairly quickly that the work still had to be done, and “I had lecture” never really worked out well as an explanation.

By this time in the week, I had already worked 80 hours, and the luxury of sitting down for an hour in a row was the main upside to the lecture. I kept …

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How a medical-legal consultant helped refute a possible pre-existing medical condition argument

Physician
September 5, 2022

Doing medical-legal consulting is a great way to use your medical training in a non-clinical field that really helps people. One of the many things we can do is help attorneys refute the question of a pre-existing medical condition. Often opposing counsel will try to lay off accident injuries as not related to the accident or injury in question.

As you may know, medical-legal consulting is a new non-clinical field in …

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Medical education has woken up, and that’s a good thing

Education
September 5, 2022

A Black woman whose kidneys only function at 15 percent of normal wishes to be evaluated for a kidney transplant. Although this is very reasonable, before 2021, many physicians would have said, “I’m sorry, but your kidney function is not bad enough to be referred for a transplant.”

This is because the kidney function calculator used before 2021 overestimates kidney function for Black people, making her kidney function seem “too good” …

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How to make primary care rotations more appealing for students [PODCAST]

Podcast
September 4, 2022
YouTube video

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“It is time that every health profession school specifies their criteria for optimal teaching primary care practices and for the training that would optimize their students’ experience. It is time that we, as primary care physicians, advocate …

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Are we too scared to talk to our patients about their weight?

Conditions
September 4, 2022

Talking about weight isn’t easy. Case in point, I was scheduled to perform five back-to-back fluoroscopically guided procedures. This was not unusual, but all my scheduled patients happened to be seriously overweight. Excess fat and skin made it difficult to see my needles during the interventional procedures. Therefore, what was ordinarily a routine procedure suddenly became complex and challenging.

I am an interventional pain management physician. For many of my patients, …

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How whole-person care can make us better healers

Physician
September 4, 2022

My patient at a pain clinic on a military base in Virginia carried the deep wounds of war on his face. Not physical scars, but a sallow, slack complexion and a hollow-eyed look of exhaustion and defeat. A veteran of the war in Afghanistan, he had long been suffering from anxiety, depression, and other complications of PTSD, although his presenting complaint was back pain.

The patient, whom I’ll call Sergeant Carlson, …

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How writing a letter on Substack might recharge your life in medicine

Physician
September 4, 2022

“The good life is ever-changing, challenging, devoid of regret, intense, creative, and risky.”
-Friedrich Nietzsche

One year ago, bruised and battered like any physician practicing in this pandemic, I decided to double down on weariness and start writing a medical letter on Substack. I’ve been writing about once a week, with subjects ranging from the newest coronavirus variant of concern, to a reflection on the hidden strengths in frailty, to the pleasure …

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