Prevention
Our most effective weapons are lockdowns, masks, distancing, ventilation and vaccination, but we can also protect close patient contacts pharmacologically. Subcutaneous REGEN-COV (Regeneron’s monoclonal antibody combo, casirivimab plus imdevimab) lowers the rate of illness by a whopping 81.4%. This has been known since April and blessed by the FDA in July, but has yet to catch on.
Outpatient therapy
A year and …
Wood art
The taxing journey of going through an illness often has the turning point of hearing a “diagnosis.”
Diagnosis locks a person inside a sick body. Diagnosis is a label that dictates certain behavior in an individual and the whole circle of people around that person, including family members, workplace, health care providers, and insurance companies. Diagnosis is a journey from diagnostic …
“After my last promotion, my institution adopted new guidelines and criteria for incorporating social media into promotion. I understand several other academic institutions have taken similar approaches, and it is enlightening to learn that academic medicine is evolving to match the current state of medical education. I encourage anyone considering …
“Imagine this scenario: a busy mom struggles to balance work and parenting during the pandemic when suddenly her teenage son begins to anger. He gets out of control, screams threats, and kicks a hole in the wall. Neighbors call the police, who recommend the family go to the emergency department …
An excerpt from Physician Betrayal: How Our Heroes Become Villains.
A mass casualty event begins with one act of betrayal. By one person. A person with power. In medicine the assault weapon—doctor’s orders.
One act of betrayal by one doctor may lead to an unstoppable cascade befalling all colleagues downstream in rapid succession.
Physician betrayal always begins with self-betrayal—the act of …
As a pulmonary and critical care doctor and the mother of three children too young to receive a COVID-19 vaccine, life has been harrowing. At the beginning of the summer, however, I was beginning to breathe a sigh of relief. My children had been in school last spring, and by the heroic efforts of their amazing teachers and staff, completed the school year free of sickness or quarantine from COVID-19. …
How does a physician become a thriller author? Where do his stories come from? How long does it take to go from idea to finished product? How did his experience as a physician influence his books?
John Bishop is a retired orthopedic surgeon.
He shares his story and discusses his …
As third-year medical students, we recently stepped out of the classroom and onto the wards, eager to provide the quality care we had been working towards for the better part of the last decade. We were, however, quickly met with a stark reminder of how climate change can jeopardize our ability to do so. We entered the ER in the midst of a blistering heatwave to find two patients waiting …
“Are there specific ways empathy will be tested in the standardized patient exam?” a medical school classmate of mine earnestly asked following a lecture years ago. I laughed, thinking that teaching empathy was impossible. As an optimistic and naive medical student, I had thought of myself as naturally empathetic. During those days, I was able to spend hours with patients, gaining their confidence while hearing their stories and concerns. I …
“Feedback in the assessment stage is always useful for improving the design of a device — especially as it relates to improving long-term aspects, such as patient outcomes or cost-effectiveness. This kind of feedback can only come after a device has been on the market and in use for a …
Americans are dying in ICUs in far greater numbers than would otherwise be if not for a newly misapplied 57-year-old rule banning the only American board-certified ICU doctors available in many cities from providing critical care, leaving only nurses to do the doctor’s job in treating ICU patients.
There is a severe national shortage of only 25 percent of the needed board-certified intensive care unit doctors — known as critical care …
One day, a primary care physician located about two hours away called my office in a desperate attempt to find a rheumatologist. His lovely 64-year-old patient, very healthy otherwise, recently developed a severe and disabling inflammatory arthritis. After conservative treatments failed, he tried to refer the patient to the traditional medical system. However, they could not get a sooner than six months appointment. This is a symptom of a broken …
In June 2020, I wrote a short piece about the COVID vaccine that turned out to be prophetic. I said that the vaccine’s immunity might wane over time, that there might be bothersome side effects immediately, and that the public might ignore social distancing and mask-wearing once they were vaccinated. I worried that there would be political pressures to focus more on the economy than on public health.
And I wrote, …
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“As I approach this last stretch of residency, still entrenched in the rigors of training and the intensity of raising three young children under five years old, I am in a unique position of being able to reflect on the years and look ahead at what I want to build …
When you enter medical school, you put your trust into an unspoken promise: Work hard, pass all your classes, and you’ll come out as a doctor after four years. While mostly true, this perception doesn’t take into account the residency application process and the possibility of graduating without a position as a physician-in-training. This thought didn’t cross my mind until I decided to apply for otolaryngology, one of the most …
“While the COVID-19 pandemic exposed and normalized the need for increased mental and behavioral health services over the last year and a half, addressing mental health issues as a regular form of their wellness will persist beyond the pandemic. However, as the adoption of virtual technologies continues to open up …
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Unfortunate outcomes are inevitable even when practicing quality medicine. Most are random events, but some are medical errors. The majority of physicians have been sued and those, who have not, will be. Common to all defendants is that the lawsuit is totally fallacious.
To be fallacious, the outcome of a medical intervention must be an unpreventable random mal-occurrence. This is the only alternative to a medical error. Nevertheless, there is a …
“I’m smart enough to be a physician. As if being the smartest person in the room makes you the best physician in the room. Hint, it doesn’t. Being a good physician is a culmination of knowledge, skills, and strengths that you, as an individual physician, uniquely brings to the field.
It’s …
By now, many of you would have read my article, “Who needs scientists? It’s not like we listen to them anyway.” So, let me tell you another fiction story. But, first, I need to give you some background to this story.
Many of you would know about the theory of evolution by natural selection and how it explains the diversity we see today. It’s an excellent idea, and …
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“In times of uncertainty, human behavior often makes people resort to less-than-stellar behaviors; unhealthy personal environments can become manifest as well. Often, these coincide with health care being used more frequently and the safe haven of health care delivery being sought. With all physicians being leaders, it is incumbent …
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