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Why North American medical cannabis can’t compete globally

Meds

February 5, 2023

The United States and Canada started a movement that began as medical cannabis and quickly exploded into adult-use cannabis markets. However, the North American operators failed to properly regulate the processes from growing to manufacturing to compete in a global pharmaceutical-level market. Europe has taken the lead as the heavy-weight producer of truly medical-grade pharmaceutical cannabis flowers and products. Notably, many operators in the U.S. and Canada claim to produce …

The dark side of medicine: How the profession can become an emotionally and psychologically manipulative relationship

Elizabeth Hughes, MD

Physician

February 5, 2023

To the quiet physician who keeps her head down and powers through her days while secretly calculating the ratio of BS-to-be-tolerated versus time-to-retirement:

I have some tough love for you.

You are in a toxic relationship.

How do I know? I’ll let you in on my secret: I was in a psychologically and emotionally manipulative marriage for over twenty years.

At the start of our relationship, I felt blissfully lucky …

The challenges and rewards of being the doctor in the family

Jean Paul Brutus, MD

Physician

February 5, 2023

Let me tell you that being a doctor in the family can be a tricky business! On the one hand, you’re the go-to person for all things medical, so you’re never short on people to talk to at family gatherings. On the other hand, you’re also the go-to person for all things medical, so you’re never short on people to talk to at family gatherings. That can get old very …

Investing in real estate syndications: Is it right for you? [PODCAST]

The Podcast by KevinMD

Podcast

February 4, 2023

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

In this episode, we are joined by Harry Nima Zegarra, a critical care physician, as we dive into the world of real estate syndications. This type of group investment, where several people come together to acquire a …

A heartbreaking yet heartwarming story of a pediatric neurology resident’s struggle and empathy

Dr. Sujana Madathil

Physician

February 4, 2023

The pager beeps early on the first day of my inpatient pediatric neurology service week. The pediatric intensive care unit (PICU) would like us to perform a brain death examination on a young boy before potential organ donation. An apparently healthy boy who had an unexpected clinical course that led to his current state.

As a pediatric neurology resident, I often have difficult conversations with our patients and families, but the …

The rise of at-home STI testing: a solution to America’s growing problem or a risky gamble?

Nikki Kasal

Conditions

February 4, 2023

In 2021, I spent the year before starting medical school calling and counseling the patients of a busy urban emergency department on the results of their sexually transmitted infection (STI) tests.

“What exactly is gonorrhea?” some would ask. “Is there a cure?”

“No one ever taught me about this,” one older gentleman lamented when we discussed using condoms to prevent the transmission of infection.

Stories like his reflect our society’s hesitancy to discuss …

The struggle to save the unpredictable: a look inside emergency departments

Veronica Bonales, MD

Physician

February 4, 2023

Emergency departments have their share of regulars. The patients come back time and time again. Some you don’t mind. Some of you inwardly cringe and say, “Oh, God, them again.” Seriously, George, this is the second time this shift.

They come and go until you notice that you haven’t seen someone in a while. You don’t say their name because there’s an unspoken superstition that, like saying “Beetlejuice” three times, they’ll reappear. …

The future of medicine is now: AI’s role in diagnostics and treatment

Yousuf Shah

Tech

February 4, 2023

OpenAI’s ChatGPT took the world by storm a couple of months ago when they opened it up for public use. Since then, people have shown the infinite number of ways it can be applied in just about every area of life, from telling you the recipe for your favorite food to writing scientific abstracts that are essentially indistinguishable from real ones.

It offers insights and ideas to abstract questions and truly …

How direct primary care can revolutionize health care [PODCAST]

The Podcast by KevinMD

Podcast

February 3, 2023

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

The U.S. health care system ranks poorly among high-income countries, but the direct primary care (DPC) model offers a potential solution. In this model, primary care providers are paid a consistent fee through a retainer or membership …

The hidden costs of teaching surgery: an academic surgeon’s perspective

Arthur Williams, MD

Physician

February 3, 2023

I ran across one of those bordering-on-sappy Facebook posts that always pull me in, asking people to describe their job poorly and make it comically accurate. The photographer admitted she would flash clients, shoot someone, and then frame someone else. The bartender alluded to being a psychiatrist, marriage counselor, babysitter, and thirst quencher. You get the picture.

I am sure that each specialty in medicine has its own pithy, confuscating …

It’s time to stop focusing on family weight

Wendy Schofer, MD

Physician

February 3, 2023

My eyes fell upon a horrible newspaper headline from 2008: “Fat kids die earlier.” That is the first article that I remember talking about obesity in childhood, but there were plenty more in the early 2000s. At the time, I clipped it because it reinforced my approach at the time: identify issues, educate, act, and avoid.

Over the past two decades, there has been an increase in the prevalence of children …

Navigating the challenges of coaching in the medical field

Curtis G. Graham, MD

Physician

February 3, 2023

Coaching is a synonym for mentoring, counseling, guidance, preceptor, teacher, tutor, and professor. Regardless of how you choose to perceive the word “coaching,” the significant action implied by the word is to provide the client with appropriate verbal, video, written, and audio communication or information necessary to enable you to reach a higher level of success or accomplishment in your medical career.

Ads to physicians, like those below, occasionally have a …

Not just another Hallmark holiday: Happy National Women Physicians Day

Aaron Morgenstein, MD & Corinne Sundar Rao, MD

Physician

February 3, 2023

February 3rd marks the annual observance of National Women Physicians Day, a special day dedicated to honoring the countless female physicians who have dedicated their lives to the health and well-being of their patients. The holiday was created in response to the fact that although women make up over half of all medical school graduates, they still only make up a small percentage of physicians in practice today. This day …

An angel in the woods: a tragic story and the gift of life

Debbie Moore-Black, RN

Conditions

February 3, 2023

We lived in the woods. Five acres of trees. You could barely see the sky. We left the big city for this piece of heaven. And by chance, we met a couple that had a 5-year-old daughter. Our son was four years old. They became best friends. They’d swing on the swing set, play in the sandbox, and splash each other in our little pool.

Kayla was this sweet, tiny girl. …

Postpartum depression or psychosis: Understanding the reality behind Lindsay Clancy’s story

Courtney Markham-Abedi, MD

Conditions

February 2, 2023

The recent case of Lindsay Clancy has weighed heavily on my heart over the past several days. According to her husband, she was a young mother who was suffering from postpartum depression or psychosis and receiving treatment in an intensive outpatient program. She allegedly took her children’s lives and tried to end her own life.

The DSM 5-TR nomenclature for this condition is peripartum onset, referring to mood onset during pregnancy …

A cardiac arrest is a tragedy. Multiple cardiac arrests are a moral injury.

Damian E. Caraballo, MD

Physician

February 2, 2023

On January 2, 2023, Buffalo Bills Safety Damar Hamlin collapsed secondary to cardiac arrest on live television, horrifying millions of Americans. We saw broadcasters, fans, players, and reporters crying on live TV as they watched the psychological trauma of a resuscitation. “No one should ever have to witness this” was a common refrain during the broadcast. For that one night, America was privy to what thousands of health care workers …

7 ways to help your doctor help you: a guide to improving your health care experience

Toni Brayer, MD

Physician

February 2, 2023

Surveys show that people are pretty unhappy with the state of health care in the United States these days. Insurance is way too expensive, and co-pays and cost-sharing are out of control, with patients paying the bulk of office visits out of their own pockets. Staffing shortages mean fewer people answer phones, and finding a primary care doctor open to new patients is darn near impossible in my neck …

How to speak “Southern” in the ER

Jeff Baker, MD

Physician

February 2, 2023

While one could say I was born in the South, I had to move a lot closer to the Mississippi to find that my Southern California momma and daddy had left certain nuances of expressive gentility untouched in the process of raising me right. Northwest Arkansas, where we’ve come to settle, may not be considered the Deep South, but you certainly can hear it from here.

One good place to do …

Read more…

How to speak “Southern” in the ER

Hospitals at a breaking point: Lack of staff and resources leave ERs in chaos

Edwin Leap, MD

Physician

February 2, 2023

I recently worked an evening shift in the emergency department the day before New Year’s Eve. Patients arrived in waves, by car and by ambulance. They seemed to check into the triage area every few minutes. When I left at midnight, there were 23 patients awaiting admission in the ER waiting for four, six, 12 or more hours — some for a full day.

Simultaneously, there were about 20 waiting to …

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