The elevator area on the ground floor of our hospital is split. As you enter, the common elevators are on the left, and to the right is a set of double doors, with a sign posted reading, “AUTHORIZED PERSONNEL ONLY.” And behind those doors are the employee elevators, elevators for hospital beds, and large elevators where we can run a code while traveling up or down.
The employee elevators are private, …
An excerpt from Health Design Thinking: Creating Products and Services for Better Health.
Design is the ancient practice of shaping materials to achieve goals and express beliefs. Human beings and other creatures make tools and build structures in order to survive, thrive, and dominate their surroundings. Unlike …
I wish that I didn’t have the experience of working 34 years as a nurse. I know the big picture in a hospital. A recent article stated that the Twin Cities, where I live, has 500 ICU beds, 450 ventilators. As of last Friday, those were 95 percent full.
Apparently, there are new CDC guidelines stating that healthcare workers can wear surgical masks when N95 masks are not available, but the …
As a cardiologist, a mom of three school-aged kids, a physician’s wife, and associate dean of student affairs, I am acutely aware of how the COVID-19 pandemic has affected our communities. In this time of constant change and concern, it is important to find joy in whatever we can. This week is Match Week. Instead of our senior medical students celebrating their accomplishments together, they are social distancing and foregoing …
An excerpt from Of Plagues and Vampires: Believable Myths and Unbelievable Facts from Medical Practice.
The concept of a vampire predates Bram Stoker’s tales of Count Dracula – probably by several centuries. But did vampires ever really exist?
In 1819, 80 years before the publication of Dracula, John …
Being a medical student during your clinical years imparts a certain feeling of invincibility. For many of us, this is our first-time taking care of patients. Our history-taking and physical exam skills are being honed like superpowers. Our clinical knowledge is growing. We begin to take ownership of patients as our own.
With all but two clinical rotations left in my third year, and at the peak of my own feelings …
Please print or share these graphics that can help educate the public on the do’s and don’ts of COVID-19 coronavirus. Courtesy of family physician Kevin Nguyen.
(Please click to enlarge.)
I recently attended a cardiology conference where a dear friend of mine was presenting on the topic of hypertrophic cardiomyopathy. She discussed how fibrosis within the ventricle causes diastolic dysfunction, an inability of the myocardium to relax. My ears perked up. Just the week before, while on vacation, I personally experienced the inability to relax.
Though I was free to lounge around New Orleans while my husband attended the annual CHEST …
Collectively across our country, as society shuts down, physicians, along with our brave co-workers in the hospital, will be going to work to combat the largest pandemic we have seen in our lifetimes. While such a crisis frightens us all, it has also served as a soul-renewing time for medicine. Over the next several months, our tribe worldwide will be risking their health and lives to serve and treat patients …
The first step on any journey is having a direction to follow. When you decided to become a physician, you no doubt sought out advice from trusted mentors: advisors, other physicians, even peers who had traveled that road before you.
Becoming a physician likely started as an abstract thought that became all-consuming. Somewhere along the line, your everyday life revolved around school, training, procedures … you get the picture. Now that …
Strange times right now, huh?
The spread of COVID-19 is expected to be massive because the virus is sneaky
I live in Maryland, and our schools are shut down statewide due to coronavirus (COVID-19).
That means that since I’m a pediatrician, I’ve been peppered with questions from patients, family, and friends wondering what they’re going to do with the kids for at least two weeks (and, realistically, probably four or more).
They’re all asking …
Recently, I realized that something needed to change in my family life. With three busy daughters at three different schools who participate in multiple activities along with my full-time job as an anesthesiologist, my life depended on accurate and concise communication. However, this was the third time in a week that a ball had been dropped between my husband and me.
This time it resulted in my middle daughter, Laini, being …
14 years ago, I recited the Hippocratic Oath, and two sections have always stuck with me:
“Into whatsoever houses I enter, I will enter to help the sick” and “I will use treatment to help the sick according to my ability and judgment.”
The events over the last couple of weeks have affected me deeply. Of course, I’m concerned about a novel virus that is infecting and killing people. But, I’m more …
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I’ll admit that a month ago, I thought COVID-19 was going to be another overblown SARS or MERS or even H1N1. I talked about it with my friends in the medical field, and we had a bit of a “been there, done that” attitude. But I was wrong, and in the time since, I’ve educated myself as much as possible. This strain of coronavirus is more contagious than the flu, …
All hands on deck! No one sits this one out. We are all MD/DOs. We all took the same oath, and in unison. Year after year, we graduate as our parents and grandparents shed tears of joy. In those years of sleep-depriving, relationship-straining, self-confidence-trying medical school and residency: We dissected everything. The human body, the human heart (the non-anatomical one), and even what it means to follow that damn oath. …
It’s 2020, and many of us are more motivated than ever. We want to get fit, eat healthier, and continue to survive residency. While these are noteworthy goals, consider one more thing: making money doing something you love … outside of medicine. A.k.a., start a side hustle. If you’re unsure of where to start, here are a few side gigs to pursue as a resident.
Start a blog
For those who love …
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Medical residents and fellows have always been in an interesting situation. They are embarking on the foothills of their career and obtaining the skills and knowledge they need to press forward. They are likely in the most idealistic mindset they’ll ever be in their career, and they’re networking with their future general practitioners and specialists; it’s an exciting time of life.
One twist is that they have …
“Everything we do before a pandemic will seem alarmist. Everything we do after will seem inadequate.”
– Michael Leavitt
Why are we writing this?
The COVID-19 pandemic has reached a point where containment is no longer possible. The COVID-19 threat is real, and rapidly getting worse. Many of you are very nervous; some are unsure of the validity of the information you are reading. As physician leaders, we felt it was important to …
Over the last few years, there has been a slew of articles about patients receiving surprise bills after ER visits. One woman was charged $5,751 for an ice pack and a bandage. An infant was charged $937 for an antibiotic ointment. Who sends bills like that? Is it the ER doctors? No. It’s large corporations.
ER docs want to help you regardless of …
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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 26-year-old man is evaluated during a follow-up visit after presenting to an urgent care clinic for back pain 1 week ago. Laboratory studies at that time were significant for a serum creatinine level of 1.4 mg/dL (123.8 µmol/L); other laboratory studies, including urinalysis, were normal. A …
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