An excerpt from Medical Myths: A Sceptic’s Journey.
Most people have heard the joke about rabbits and vitamin A: “Are carrots good for your eyesight?”
Well, I never saw a rabbit wearing glasses!
Vitamin A, one of the essential groups of vitamins, is …
The historical medical significance of carrots
Multifaceted diversity continues to be a challenge to achieve in medicine, which is concerning given the irreplaceable value that a diverse community of clinicians provides to research, patient care, and medical education. Current initiatives to expand diversity are centered around academic mentorship models, in which striving to teach more students the life sciences and frontiers of biomedicine as early as elementary or middle school can provide critical exposure and pique …
Unpacking the timely need to address the lack of diversity in medical media
“The first 100 days of COVID made me confront and reflect on a lot of aspects of myself and life, as philosophical as that sounds. Often times, I’m exhausted talking about COVID every single day and frustrated because we should be in a much better place right now as a nation. The …
A medical student’s 100 days of COVID [PODCAST]
Recently, I started suspecting that RT-PCR testing was not foolproof at ruling out COVID disease after seeing a fair number of patients with typical signs and symptoms but a negative PCR. I have encountered some patients hospitalized with typical COVID pattern pneumonia, thromboembolism with multiple negative PCR tests. Some of these folks even had exposure history and the signature hallmarks unique to this virus, like multiple peripheral opacities on CT …
Why COVID PCR tests aren’t as accurate as you think
As communities of color continue to be disproportionately decimated by COVID-19 and the brutal impact of racism and other longstanding systemic inequalities, academic medicine finds itself at a critical inflection point in defining its role in addressing social injustices not only for its patients but also for its academic workforce. In the aftermath of George Floyd’s killing, many medical schools and teaching hospitals released statements condemning racial injustice and vowed …
“The flu vaccine can strengthen your immune system, prevent the disease spread among those closest to you, protect your children, and reduce the health care system’s burden. Protecting ourselves and others as we traverse a pandemic is paramount in saving lives and keeping our communities safe and healthy. Along with our ongoing …
Why flu vaccines are more important than ever in this pandemic [PODCAST]
“We have to start understanding these as the real costs of climate change. We are paying these costs now. In my state of Oregon, people are going to start getting sick and dying in the next few days of the wildfire smoke choking the air. When they show up to the hospital …
Climate change, cardiac arrest, and the price of inaction [PODCAST]
“As we get excited about vaccine news and results, we need to evaluate our messaging and how we can get to high enough COVID-19 vaccination rates to achieve herd immunity. This requires broad and frequent education on the safety and efficacy of the vaccines. It also requires active listening to address concerns …
COVID-19 vaccines: Channeling the 7 habits to get from vaccines to vaccinations [PODCAST]
COVID-19 has turned the world on its head. A major problem we have faced since the beginning is that it had already been spreading like wildfire for a few months since the end of 2019 — before most of the world realized that it was time to take action against this respiratory virus. We’ve therefore been on the back foot from the very start.
The blunt truth on why stopping COVID is impossible
Health care has been hanging by a thread for some time — in our community and across the nation. The COVID-19 pandemic exposed weaknesses inherent in an underfunded public health system, a monopolized hospital, and a fractured medical supply chain.
At the beginning of this pandemic, I wrote, “Our lives will not be saved by the government. And lives will not be saved by elected officials or large institutions. Lives will …
Is there hope for COVID with home visits?
“Growing up in Puerto Rico, ‘babas’ (bottles: biberón/botellas) and ‘bobos’ (pacifiers: chupetes/chupón) were very common among the families and children of the island. I still remember our Abuelita giving us milk in our “babas,” so my younger sister and I were sure to fall asleep better. From the time of our births, …
Bottles and pacifiers: advice from a Latinx pediatrician [PODCAST]
On those brisk walks across the hospital, I briefly look over at the instillations from local artists. Those pieces ignite a chain reaction of creative empathy and even critique from both patient and provider alike. In the briefest moment, we mentally collide into the artist’s creation, catching glimpses of their point of view. The result is our engagement in the vital need for our own creativity.
Hospital art fosters a welcoming, …
Creativity in medical school and beyond
“These encounters made my evening shift much more emotional than usual. I am still not sure what it was exactly that evoked such strong feelings of sadness. Was it having a patient who was a health care worker? Was it the rapidity in which all three patients’ conditions deteriorated? Was it …
Why COVID is so emotional for physicians [PODCAST]
As a fellow, I made a list of what I wanted in my first job. I dreamed, prayed, and wished for the contract to finalize. It did. I went to Ohio hoping that this was my first, last, and always job.
Eight years later, I left feeling completely broken. On my first anniversary of leaving, here are the major lessons that changed my life.
1. It’s not my job’s job to make …
Lessons learned from leaving my first job
I have never felt so alone. I was lying in bed with severe abdominal pain. Pain I never had before. Well, at least not for a reason.
As I lay there, I kept thinking, what if I die while I wait until morning. It was the middle of the night. I had not felt well since earlier the week before with a severe diarrheal illness. One that only babies have with …
Alone in the hospital in the midst of a global pandemic
“Iodine-based contrast agents are widely used for CT and other X-ray studies. They light up blood vessels and enhance perfusing tissue. These agents are essential for diagnosing everything from clots, to tumor, to bleeding. Unfortunately, many patients do not get contrast studies they may benefit from, due to unnecessary confusion about …
Think you have an iodine allergy? You may want to reconsider. [PODCAST]
“In the midst of a COVID-19 pandemic, getting a flu shot has never been more important.
Many people are staying indoors, wearing a mask, and washing their hands frequently. In this environment, patients ask me, “With all this social distancing, do I really need a flu shot this year?” The answer is unequivocally, …
Behind the scenes of a hospital’s COVID response [PODCAST]
In some people, COVID-19 causes mild or no symptoms at all. In others, it can cause significant respiratory distress that can lead to death. Once infected with COVID-19, is there anything that someone can do to foster a less severe infection? The answer is likely “yes,” avoid the use of outpatient steroids.
The risk factors for a poor outcome with COVID-19 include age over 65, obesity, diabetes, and a compromised immune …
COVID-19 and the use of outpatient steroids
“If we do not raise objections to this kind of comedy, we are teaching those around us that food allergies can be funny. It is no that surprise that data indicates kids and adults are anxious, embarrassed, and bullied due to food allergies. When we make light of anaphylaxis, we perpetuate …
Food allergies are not funny [PODCAST]
There’s not a perfect financial planning vehicle in existence. Salary deferral plans, like many retirement plans and 457 plans, carry pros and cons. Many hospital systems have a combination of 401(k), 403(b), and 457 plans. The 401(k) is often designed for the employees who make under a certain amount, say less than $150,000 or so. Then the 403(b) with an option to contribute to a 457 salary deferral plan is …
Pros and cons of 457(b) plans: What physicians need to know
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