They are the foundation of the CDC’s 2016 opioid guidelines, resulting in legislation limiting opioid prescribing in 36 states. Morphine milligram equivalents, or MMEs, are used to set arbitrary prescribing limits for opioids by physicians since many state legislators fail to understand — and translate into policy and law — the ’16 guidelines. If we had all known the history of MMEs, perhaps we would not have been so eager …
“Doctor, why don’t you remember when I was last hospitalized? I told you about that two months ago. You obviously don’t care if you can’t remember. Is all of psychiatry like this? Maybe I need to see someone else. Why won’t you prescribe Ambien for my insomnia during pregnancy along with all the other medications I am on? My last doctor had no problem giving me Ambien during pregnancy.”
This was …
In most professions, the pecking order is clear, even when there’s no formal designation.
Take pro football. Although nothing in the rulebook grants status or authority to certain players, everyone knows the starting quarterback is the most valuable person on the field. That’s because no other player can do more to win (or lose) a game.
You might assume the same type of logic applies to medicine. If saving …
“Sickle cell disease (SCD) affects about 100,000 Americans as an inherited genetic disorder with intermittent exacerbations requiring hospitalization. SCD is also a painful and complicated disease with no single physician specialist that can provide pain relief. While SCD pain is similar in severity to cancer pain, patients struggle to find …
I was truly gutted when watching the recent Saturday Night Live that joked about nut allergies. My son Joshua, who is 16 years old, has an anaphylactic peanut allergy. I found the segment to be insensitive to the millions of people globally who live each day with food allergies, an invisible but potentially fatal disease.
How do I explain to my son that it is OK to make …
If you have never heard the term “financial infidelity,” it doesn’t mean you don’t know what it is. In fact, according to a recent creditcards.com survey, 32 percent of respondents have financially cheated on their partners. Both finances and cheating can be complex subjects to discuss, even with and, sometimes especially with, those closest to you. Not surprisingly, this topic is pertinent to physicians and dentists because they tend to …
I love generic brand products. I will fight to the last breath for my Shoppers’ Choice Adhesive Bandages rather than pay an extra $0.49 for Band-Aids. So why, then, have I been paying up to $395 every month for brand-name medication for the last two years instead of getting the generic version for $7.56? After all, aren’t generic drugs the same as their brand-name counterparts?
Let’s go back to November 2019, …
“We know regulators can move quickly to confront a health crisis because we have seen it in action. During COVID, the nation eased regulatory burdens at all levels of government to help health systems and doctors leverage technology and change the way they deliver care and to drive vaccine …
Throughout history, ancient tribes practiced cannibalism with the intent of bolstering their own courage or energy by consuming their defeated enemies. They wanted to be what they ate: full of courage and vigor. They would even eat their enemies to vanquish their energetic spirits before they ascended to the afterlife.
Christian Communion also practices the consumption of the figurative blood and body of Christ. It serves as a remembrance …
Arguably one of the most overlooked yet incredibly important aspects of your malpractice insurance policy is the Consent to Settle Provision. You’re paying thousands of dollars a year for your malpractice insurance; you should have a say in how your claims are handled, don’t you think? Today we’re going to talk about the consent to settle provision – why it’s important, how carriers can limit you, and what you can …
An excerpt from The Empathy Academy.
It might be tempting to choose an easier path, Monty thought, but amid the stress, pain, and tragedy, there were also triumphs: A patient’s seizures stop. A CT scan is clear. He remembered resuscitating Mrs. Caldwell and feeling a wave of relief upon …
“Their absence makes me feel sad,
I look around at my peers, envious and curious,
Obsessing over when they will show up.
When they do, they never seem to live up to expectations,
Too small, too uneven, but what’s sure is it’s a sign I’m no longer a child.
It adds to my wardrobe …
Over coffee each morning, I quickly skim the headlines on my laptop before heading to work. It is Washington winter, it is dark outside, and the headlines in health care news are grim. Health care workers are burned out. Doctors are working hard all day and coming home to find scathing reviews on online rating sites. Some have their compensation tied to the results of patient surveys. Patients are trusting …
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I entered my Manhattan apartment around midnight, roughly an hour after observing a transplant team recover kidneys and a liver from a young patient newly pronounced dead. Still wearing scrubs, I sat down on my bed, and, like a ghostly twin or guardian angel, watched myself spill tears.
The scene I witnessed in the operating room that evening as a second-year medical student was at once grotesque and hallowed, shocking and …
On March 10, I had the distinct privilege of presenting to the ONC Health IT Advisory Committee at their meeting titled “Health Equity by Design.” The presentation highlighted five areas of focus for health IT in reducing health disparities: health equity data collection, actionable analysis of the data, integration of health care and social service providers, the special role that health information exchanges (HIEs) can play, and access to health …
While the mental illness patient is afflicted by very real and painful feelings, these feelings are internal and not visible to others. The indications of the condition then, whether those of depression, anxiety, or even hallucinations, can be said to be invisible to observers — family, doctor, etc. — in fact, to everyone other than that individual sufferer of mental illness.
A constellation of signs and symptoms is often used to …
“I understand that the biggest fear you have about going through chemotherapy is losing your hair. I just want to tell you. You will be fine. Trust me.
I know it’s barbaric. Why don’t we have medicines to treat cancer that will not make you lose your hair in this …
To spend an entire college year (two semesters) studying epistemology seemed like a colossal waste of time when I was 19. We had no choice; we had to take it, and I got a pretty good mark, as I recall. It took a half year to find out what it was about, but it seemed to concern itself with how we obtain knowledge. There is inductive reasoning and deductive reasoning …
January 24, 2014, was a typical day for me, spent hurrying up and down the halls outside the operating rooms at the hospital where I was an attending anesthesiologist. I often “ran the board” or was the charge person, and I enjoyed being the facilitator. Each operation was written on a magnetic strip and we moved them around like pieces of a puzzle to get the surgeries done efficiently. I …
The medical establishment has made wonderful strides in destigmatizing psychiatric disorders. However, we have helped to create a devastating stigmatization of emotional distress. Somehow, as it has become acceptable to suffer from a psychiatric illness, it has become increasingly unacceptable to suffer from emotional distress and the current medical practice has nurtured this change.
We have simply and overwhelmingly lost touch with the human aspect of medicine. When someone is in …
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