Extreme athleticism and the risk of atrial fibrillation

Conditions
January 23, 2021

Consider the following sports icons:  tennis legend Billie Jean King, basketball veteran Larry Bird, triathlete Karsten Madsen, baseball pitcher Kenley Jansen, and cyclist champion Haimar Zubeldia.

What do all of these well-known professional athlete heroes have in common? They are athletes with atrial fibrillation, also called AFib. AFib is the most common heart rhythm disorder worldwide, accounting for 750,000 hospitalizations per year in the US alone. It is estimated that 6 …

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Why do people keep going to church?

Physician
January 23, 2021

Physicians in general are a pretty intelligent group of professionals. However, we sometimes make the mistake of thinking that we must also know a lot about almost everything because we know a lot about one particular thing. However, given the exploding pace of advancing knowledge, that idea is hubristic. But it isn’t just science and technology where we fall short.

During the COVID pandemic, one of the things most contentious has …

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How to (almost) never have a bad shift [PODCAST]

Podcast
January 22, 2021
YouTube video

“To understand how to create good shifts irrespective of external factors, I turned to the ancient philosophy of Stoicism. One of its core tenets is that we must focus on what is within our control. Epictetus said: ‘Happiness and freedom begin with a clear understanding of one principle: Some things are …

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COVID vaccines: side effects, myths, and madness

Conditions
January 22, 2021

I received my COVID vaccine on December 21st before starting an ER shift; sitting in the cold, plastic chair in a hallway-turned-vaccine-clinic, I tipped my head back to blink tears into submission as I reflected on making it this far in the pandemic without contracting COVID.  Four days later, after three twelve-hour shifts, I tested positive for COVID.

The COVID vaccine did not cause my positive result; getting exposed …

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Unmasking inequality: the power of community organization during COVID-19 [PODCAST]

Podcast
January 21, 2021
YouTube video

“Touted by some as a ‘great equalizer,’ the COVID-19 pandemic has brought to the forefront long-standing disparities in access to health for Black, Latinx, immigrant, and low-income communities. While we are all in this fight together, some are bearing the burden more than others. Studies have shown that Blacks in the …

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There’s a doctor in the house, and maybe also a physician: a view from osteopathic medicine

Physician
January 21, 2021

The Wall Street Journal’s decision to publish an attack on Dr. Jill Biden’s right to be called “doctor” has appropriately unleashed a firestorm. According to Joseph Epstein, the editorial’s author, Biden should drop the title because she isn’t what people often think of when they hear the word “doctor,” namely a physician. For Epstein, ‘Dr. Jill Biden’ sounds and feels fraudulent, not to …

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How the vaccinated may become the next super-spreaders

Conditions
January 21, 2021

With COVID-19 vaccines being administered to our front-line health care workers and residents of long-term care facilities, we are beginning to see the light at the end of the tunnel of this pandemic. Yet, given the time-limited nature of the vaccine’s development, we have yet to learn the extent to which vaccinated people can spread the virus. The COVID-19 vaccinations prevent disease, but we know little about if …

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General surgery, palliative care and the new meaning of the phrase, “going viral”  [PODCAST]

Podcast
January 20, 2021
YouTube video

“Today and for the foreseeable future, COVID-19 is a serious threat, virulent and contagious, not only leading to an impressive display of human vulnerability and arrogance, but also demonstrating how innovative and creative humans can be during a time of crisis.

On a daily basis, I am inspired by the outpouring of courage, …

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The hidden reason you struggle with your charts and what you can do about it

Physician
January 20, 2021

For most clinicians, this will sound familiar:

I can feel the resentment bubbling up as I sit down to chart on a beautiful Saturday afternoon. I’ve got dozens of charts hanging over me, and if I don’t get them closed, there will be yet another miserable head thrashing with my practice admin. My kids are clamoring for my time, and every fiber of my being is resisting getting these charts done. …

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Who is the ideal patient?

Physician
January 20, 2021

I once attended a business coaching workshop for health care professionals. For one of the exercises, we had to draw our “ideal patient.” The instructor told us to be as specific as we could. We were encouraged to set up a full name profile, age, gender, race, and health challenges. Some of us even wrote two-page background stories about how our ideal patients grew up and who they were dating. …

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My Klonopin withdrawal story

Meds
January 20, 2021

It was September 11, 2001. My dad had cheated on my mom again, the building that I worked in at that time had received an anonymous tip that we were a potential target for the terrorist attacks, and my mom, who needed a reprieve from my dad’s crap, was vacationing in Florida and was worried for me and my well-being. Plus, my dad was threatening to kill himself, and I …

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How shame almost ruined a physician’s life [PODCAST]

Podcast
January 19, 2021
YouTube video

“I do want you all to know that shame is a very familiar brain track (like an 8-track tape, if you know what that is), but not one I am stuck in. The above experience of failing a class turned out to be amazing. I am now appreciative of how far I …

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End medical school grades

Education
January 19, 2021

There should be no grades in medical school. Forty-something percent of applicants get accepted to one or more medical schools. To even apply to medical school, one needs to have not only graduated or be on track to graduate college, but also needs to have passed the MCAT and have the support of a pre-medical application committee. I am no mathematician, but I do not think that it is a …

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I am an orthopedic surgeon who decided to stop taking insurance

Physician
January 19, 2021

I am an orthopedic surgeon, and I only take cash. When I tell people this, it usually conjures up images of some money-grubbing doctor eager to make a dollar any way they can. Personally, I am not incredibly incentivized by money in and of itself. I try to live a reasonable lifestyle and keep my expenses under control. I started a cash-only practice not for the love of money but …

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COVID vaccines, overcoming skepticism, and pandemic theater [PODCAST]

Podcast
January 18, 2021
YouTube video

“Environmental cleaning rightfully plays a more prominent role within health care facilities to control the spread of other diseases, but even hospitals have overreacted when it comes to contact precautions for SARS-CoV-2.  I recently went to get a flu shot from one of the hospitals I cover, and I couldn’t help but …

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Rest in peace, primary care

Physician
January 18, 2021

The corporatization of medicine has destroyed primary care as a specialty. The primary care physician is supposed to be your go-to doctor, your advocate, the coordinator of your health care. Now that corporations buy out hospitals and private practices in an almost predatory fashion, the priority is turning a profit for the corporation at the expense of not only patient health but also the health and well-being of the primary …

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How ocean plastic picking made me a better pediatrician [PODCAST]

Podcast
January 17, 2021
YouTube video

“It has been over a month since I started this new hobby. I told my middle-school-aged daughter tonight, ‘I am going to write a post about how ocean plastic picking has made me a better pediatrician.’

She replied, ‘You mean better than other pediatricians?’

‘No, I mean a better pediatrician than I was …

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Is pathology an ATM machine?

Physician
January 17, 2021

It was Friday night, and after a long day of grossing, I was ready to leave the hospital when the department’s door opened, and the nurse shouted, “we have a frozen for an emergency liver transplant.” Without hesitation, I took the specimen and called the attending on call. After a few minutes, the surgeon arrived anxiously to our reading room. “We flew all the way from Pennsylvania to get this …

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This physician is overwhelmed. She is not alone. [PODCAST]

Podcast
January 16, 2021
YouTube video

“I am overwhelmed right now. I know I am not alone. I hear it in the voices of my friends, family, colleagues, patients. We are all feeling it.

I am overwhelmed by this virus. There is so much to learn, so much to teach. Every day the information changes. Who is credible? Who …

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