I have been a doctor for twenty years, but I’m also a patient. We are all patients. This summer, my previously mild heart rhythm problem got a lot worse. By July, I was having frequent episodes of heart rates four times normal, causing me to almost lose consciousness. It was dangerous and scary. I consulted with a highly specialized doctor to fix this for good. He threaded four wires …
Why socialized health care is not right for America
“Telehealth has come into focus during the COVID-19 pandemic as physicians face an immediate need to reduce exposure by providing care—or at least triage—remotely when appropriate.
Under usual circumstances, telemedicine is comparatively low risk. That said, telemedicine does bring specific risks to patient safety and physician/practice liability. Minimizing those risks calls for adapting daily practice routines around informed consent, documentation, and other …
How to minimize virtual medicine liability risk [PODCAST]
The United Nations designated 2016 to 2025 the “Decade of Action on Nutrition” in recognition of the growing importance of food and diet as it relates to all aspects of human health. We’re almost halfway through, and we’re not making the progress we need to.
A comprehensive study of scientific evidence for global diet goals and sustainability, the EAT-Lancet Commission Summary Report, stated, “Read more…
Put nutrition counseling in primary care
The little things?
The little moments?
They aren’t little …
I noticed the two of them shortly after I arrived for my shift. I was standing at the counter, immersed in a chart, when out of the corner of my eye, I saw them walk out of their treatment room. Together.
Slowly, they walked into the hallway, looking first to their left and then to their right, wondering which way to go. One of …
How blessed was I to witness this true love story
“As a physician working with human trafficking survivors, I have become accustomed to those with a history of surviving violence. But the patient in question is in my general primary care practice. This should highlight to care providers that there may be many more patients out there who have been exposed to trauma in their past, and we need to take …
Human trafficking survivors and trauma-informed care [PODCAST]
I am a psychiatrist. My field has been marred with human rights violations and treatments that though well-meaning, did not yield the results that were intended. I have always been at the watch and helm of speaking out when I see gaps and places where my colleagues and I are called to do better. I have been treating patients for over 15 years now. I have remained silent …
Doctors are killing themselves, and who is taking notice?
“As I read about Dr. Breen, saddened by the fact that we have been robbed of yet another young, promising, motivated physician, I am reminded that as bad as this pandemic is — and truly believe it is awful — when it gets better (and I have to believe that it will), we can’t forget. Because all the other things that have always …
A message from a pediatric emergency physician: Be kind [PODCAST]
I am a third-year medical student at what I believe to be the most diverse medical school in the country. Every year our entering class is made up of at least 20 percent of students who identify as underrepresented in medicine. Beyond that, we make it very clear that if fighting against health and social inequities is not a thread of the very fabric of who you are, this may …
A medical student’s story of racism and bias
“In the best of times (and these are certainly not), all patients need advocates all the time; now more than ever, vulnerable patients need them more but don’t have access to them. Vulnerable populations have more at stake when visitors are limited or prohibited. What’s more, vulnerability may be exacerbated due to youth, advanced age, disability, cognitive impairment, illness acuity, language …
Patient advocacy is more important now than ever [PODCAST]
This article is sponsored by Pri-Med.
As a clinician during this challenging time, it’s critical to have access to timely, reliable information. Pri-Med, a leading medical education provider, has developed new courses on COVID-19 and other relevant topics each week to meet the educational needs of today’s primary care …
Primary care pearls from trending CME/CE courses on Pri-Med.com
As the world battles COVID-19, summer has turned to autumn, and a new chill is in the air. With this change, even in a pandemic, comes the flu season. As a physician assistant (PA), one concern for my patients’ health is the possibility that many will forgo routine health checks or other preventative care because they are avoiding medical settings. When it comes to flu vaccinations, I am especially concerned.
In …
The role of physician assistants during the pandemic
The social unrest that has erupted in the wake of the George Floyd murder has prompted many U.S. professional organizations, including those dedicated to medical education, to make changes to advance racial and socioeconomic equity. Right now, a fierce debate rages among medical students over how the Alpha Omega Alpha Honor Medical Society (AOA) nominates and inducts fourth-year medical students. An example of this debate is reflected in the new …
Rapid changes to AOA inclusion are inequitable
“As a medical student, you find potential patients everywhere. Whether you’re on an airplane or on a romantic dinner date, we’ve all heard those famous words, ‘Is there a doctor in the house?!’ Here are some of my favorite ‘patient’ encounters.
The best friend curbside. I was playing ball with my boys – that’s right FIFA on the PlayStation – when my …
It’s so important for medical students to share their stories [PODCAST]
President Trump was administered dexamethasone therapy for COVID-19 treatment, and had two episodes of low oxygen saturation levels that required supplemental oxygen, said doctors at Walter Reed Medical Center at a press conference on Sunday.
“In response to transient low oxygen levels, we did initiate dexamethasone therapy [and] our plan is to continue that for the time being,” …
President Trump received dexamethasone and had 2 episodes of low oxygen saturation levels
We’ve never met, but I’ll bet you could use some encouragement right about now. This has been a tough year. Maybe for you, like me, depression feels like an old song that keeps getting played and stuck in your head over and over through the years. Or maybe this is the first time you’re experiencing the weight of it in your body, the diminishing physical and emotional energy, the infuriating …
A love letter to the physician with depression
“One of the calls you dread making as a doctor is telling a family member their loved one is dying. That was the call I received when my grandfather decompensated. We grow accustomed to making the call as clinicians, but we never expect to get it ourselves.
I felt for his pulse. Slow …
How coronavirus took my grandfather’s life [PODCAST]
A brief press conference at Walter Reed Medical Center on Saturday sought to provide answers, but may only have raised more questions about President Trump’s clinical status since his COVID-19 diagnosis.
The main point of contention between White House physician Sean Conley, DO, and reporters was if the president ever received supplemental oxygen. Conley said the president’s last oxygen …
The Trump health update that raises more questions
As physicians, we know all too well how life can change in an instant. How tomorrow is never promised. This knowledge can sometimes feel overwhelming, but it is also a gift.
Because we know how precious life is.
I am a physician—but I am also a patient. An infertility patient, for whom each passing year can feel like a lost opportunity.
Because my eggs don’t have the perspective. They don’t see the privilege. …
Infertility as a physician: the gift of perspective
Walking through the sliding glass doors at 10:55 p.m. on a Monday, I found myself wondering if it would be a good shift or a bad shift. In emergency medicine, a “good shift” has to strike many delicate balances. It can’t be too busy, but it also can’t be too Q-Word-That-Must-Not-Be-Named. It should have some high acuity patients, but not so many that care becomes unmanageable. The staff and residents …
How to (almost) never have a bad shift
“Living the surreal experience of the COVID-19 pandemic challenges us on multiple levels. As a physician, I feel the responsibility to understand the magnitude of the situation and implement the best measures to protect my patients, trainees, my family, and myself. I experience the fear of getting sick or losing a loved one and the sadness and frustration of seeing millions …
COVID-19 through the eyes of my kids [PODCAST]
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