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 …
Who are responsible for outrageous medical bills? Hint: It’s not doctors.
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 …
MKSAP: 26-year-old man with back pain
Once, when I was a senior resident covering a busy trauma service at a county hospital, I was on call for nine days in a row while my co-chief had an uncovered vacation. It was July, and we were all — interns, junior residents, and me — new and uncertain in our roles. I left the hospital only twice in those nine days.
When I finally signed over my pager for …
It’s time to stop treating suffering like a necessary rite of passage
If you open Google and do a search for “Caribbean medical schools,” it will quickly become clear to you that not everyone is a fan, but just because something doesn’t work for one person doesn’t necessarily mean it hasn’t worked for hundreds. Established, upper-tier Caribbean medical schools are credible alternatives for hardworking students unable to secure seats at U.S. schools. That’s a provable fact. Thousands of students across multiple Caribbean …
How can you determine a Caribbean medical school’s quality?
Most physicians have spent decades training for the day that they see their first patient or perform their first surgery. This extended time involved to become a physician does not leave a lot of spare time in college or medical school for most physicians to take any significant coursework in economics, finance, or investing. Yet, physicians have a tremendous amount of knowledge with regards to all aspects of health …
A physician in the venture capital world
I became a physician to help people. So isn’t fighting for issues that help protect my patients such as racial equality, LGBTQ rights, gender pay equity, access to health care, and education all part of patient care?
Don’t my patients want to have a doctor who is fighting for them both in the office and outside it?
When I started working as a resident physician and later went on to my attending …
Why doctors should get political
A New Jersey physician assistant who was the state’s first COVID-19 patient is speaking out from his hospital bed, calling his illness “severe” and raising concerns about his treatment.
James Cai, a 32-year-old non-smoker with no other health conditions, has been at Hackensack University Medical Center for about a week and says his illness has worsened significantly over that time.
“In the …
A previously healthy clinician, now critically ill with COVID-19
Guillain-Barré syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy in which the body’s immune system attacks peripheral nerves. Clinical and epidemiological evidence seems to indicate that most cases are preceded by an infection such as Campylobacter jejuni enteritis, but in many cases, no cause is identified.
GBS is characterized by symmetrical muscle weakness that begins in the legs and ascends. The degree of weakness can vary from mild difficulty with ambulation …
Learn about Guillain-Barré syndrome with a Medcomic rap
While it’s well known that China and Iran have under-reported their COVID-19 statistics, Italy has been fully transparent. What we are learning is very concerning. The Lombardy province alone has experienced a surge in deaths due to the coronavirus— from 20 to 66 deaths in just one day. Analyzing data for the country as …
COVID-19: Why I’m very concerned
I recently read a medical school commencement, delivered by a physician, that was both inspiring and sadly reminiscent of what physicians should aspire to throughout their careers.
This physician relayed how patients throughout her training and career had provided her with moments of clarity, helping her identify the “why” she chose a career in medicine. She went so far as to describe how a group of patients saved her from choosing …
Entitlement, arrogance, and isolation in modern-day medical practice
COVID-19 is here, and it isn’t going away. The SARS-CoV2 virus, and the disease it causes, has entered the ecosystem of human pathogens and is running up numbers that make it appear to be heading into the realm of the pandemic.
Let’s look at how health care workers and patients alike can mitigate the damage …
What prevents coronavirus? A pathologist grades COVID-19 precautions.
There is constant tension to remain on-time working in a primary care clinic, seeing patients every twenty minutes back-to-back. It takes an incredible ability for the front desk staff, medical assistants, and the physician to be able to keep this flow running smoothly only to have it be derailed by the late patient who does not understand how their actions affect everyone else after them.
I currently work in a system …
Dear patients: Please show up on time
With the escalating pressures on hospitals, health care facilities, and practitioners to be cost-effective, it is increasingly difficult to justify spending money on education and training. Education and training are expensive when adding together the costs of curriculum development and educators. While finding the right person for the job is important in getting the job done, most, if not all, management would agree that the “right” person includes appropriate education, …
Continuing medical education: Why it’s important and how to make it effective
Just to give you my background, I manage a large hospitalist program for a busy downtown community hospital that is part of a large health system consisting of a total of 29 acute care hospitals in the same geographical area.
One of the reasons why our team was hired recently to manage this hospitalist program was to change the existing work culture, which had resulted in poor team performance, low physician …
Start a hospitalist program with these 6 steps
Currently, in America, there are only three legal groups of prescribers, the physicians (which include MDs, DOs, DPMs), the nurse practitioner (NPs), and the physician assistant (PAs).
The first class of physician assistants, in 1965, was also the year of the first class of nurse practitioners. Today there are nearly 300,000 NPs In America and 123,000 PAs.
PAs are outnumbered almost three to one, and the trend, with the rapid rise, and …
What’s the future of the physician assistant?
As a new nurse, I was constantly overwhelmed. I had spent four years of my life learning how to become a nurse, and then here I was, being “a nurse” and wondering all the time whether I was even any good at it. My heart was in it. But every moment of every shift, I felt anxious about my understanding of the information presented to me. I remember conversations with …
A great nurse shares their knowledge and does not judge
Finances were reported as the second leading cause of physician depression for men and women in 2018.
Doctors, like anyone else, face normal challenges that life throws at them. Additionally, they carry a huge weight on their shoulders as they go through rigorous training, are trained to put patients first, and are expected to increase …
Here’s why doctors are financially depressed
I was busy running around the ER on a particularly busy shift when my phone buzzed, and a text message from Jane’s ex-boyfriend David popped up on the screen. I was surprised since I had not talked to him in over three years; therefore, I ignored it until I had a moment to myself an hour later and finally opened the message.
The first line of his message got straight to …
My first physician colleague who died by suicide
Is it time to rethink how we determine the capacity of our patients who are addicted to drugs? I recently began debating this question after I took care of a young woman with endocarditis. She had a long history of IV drug abuse that had led to the development of endocarditis. She had been admitted one week earlier and was being prepared for surgery, but she left against medical advice …
Do patients addicted to drugs truly have capacity?
I’m here today to let you in on a little secret. It’s not something that I’m particularly proud of, and it’s work that I’m always trying to improve upon. But it’s true. And today you’re about to find out something I’m desperately trying to hide.
So here it is. Yes, I’m a doctor. And yes, I’d like to think that I’m pretty good at my job. But you know what? There …
Doctors: It’s OK to sometimes suck
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