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Why staying ahead of your pain with opioids is the wrong advice

Myles Gart, MD

Meds

March 22, 2019

I often hear the mantra, “You must stay ahead of your pain, or else.” The president of the American Academy of Pain Medicine, states a common mistake people make, is waiting too long to take pain medication. By the time you’re in pain, you’re starting from behind the eight ball. “It takes a lot more medicine to control pain after it’s started as opposed to starting it ahead of time,” he …

Hope is essential in every field of medicine

Shannon Casey, PA-C

Conditions

March 22, 2019

A man in his fifties is wheeled into the emergency department on a gurney hoping he’ll still be around to cheer from the sidelines at his daughter’s next soccer game. A little girl on the pediatric floor upstairs simply hopes her tummy stops hurting. A woman in the clinic explains her puzzling symptoms and hopes that this is the specialist who will finally be able to ascertain why she hasn’t …

9 non-clinical career options for doctors

Maiysha Clairborne, MD

Physician

March 21, 2019

With burnout on the rise, many physicians are choosing to leave clinical medicine for alternative careers. Other physicians are wondering if it’s worth it to stay in a workforce that does not pull for the well being of their front line workers. Gone are the days where physicians stay stuck, suffering in a practice or career that is no longer fulfilling or worse, causing burnout. Those physicians are considered old-school …

Adverse childhood experiences: How changing a child’s environment can help

Heather Finlay-Morreale, MD

Conditions

March 21, 2019

Some children present to me with complex problems or multiple problems that fail to resolve after the typical interventions.

I recall a child with severe abdominal pain. He had tried numerous medicines and had had scopes and studies galore. It had reached the point where he was being scheduled for exploratory surgery to try and see the cause of his pain. I lost track of his case when I rotated elsewhere …

Why are we hemorrhaging emergency nurses?

Rada Jones, MD

Policy

March 20, 2019

I started my medical career late. Really late. By that time, I’d lived a few lives. I’d earned a boatload of initials. I’d changed husbands, languages, and continents. I’d written a useless novel, and I’d been a Mary Kay lady.

One day over lunch as I was looking for something to do with myself, my husband suggested medicine. I spent the next nine years immersed in my medical training, feeling guilty …

This doctor paid off $200,000 in student loans in 19 months. Here’s how.

James Turner, MD

Finance

March 18, 2019

There are some milestones that need to be appropriately celebrated. For the 80% of physicians who graduated with student loan debt, paying those loans off certainly qualifies as such a moment. Everyone has a different way of tackling their student loans. Today, I want to outline how we paid off $200,000 in student loans in 19 months, and then discuss what our plans are to rid ourselves of the rest …

3 health tips to help busy physicians

Suneel Dhand, MD

Physician

March 18, 2019

Practicing medicine at the frontlines is hard. It’s damn hard. Every minute you need to be alert, ready to respond to a potential life or death situation, and be called to another important problem. The current medical practice environment — with excessive bureaucracy, suboptimal information technology, and extreme time pressure with patients — adds exponentially to the mix, and can make for a very stressful job. Make no mistake, even …

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3 health tips to help busy physicians

Why many doctors live paycheck to paycheck

Cory Fawcett, MD

Finance

March 18, 2019

Wealth seems to be an elusive dream for many people. They desire to become wealthy, but feel they don’t earn enough money to reach that goal, as if earning more would make the difference. A study of 10,000 millionaires presented in Chris Hogan’s new book, Everyday Millionaires, showed that 69% of these millionaires reached that level of affluence on a household income of less than $100,000 a year. If all …

The story of an attending’s empathy

Ton La, Jr., MD, JD

Education

March 16, 2019

“Hey, you’re a med student. Right?”

“Yes, I am. Do you need me to scrub in?”

“That would be wonderful, yes! Everyone is either out on vacation or is sick. It’s just me and the resident.”

“OK, I’ll be back in a few minutes.”

I was on my OB/GYN rotation, and once a week I follow one of the surgeons. It was 7:20 a.m., and a patient was coming in for an unplanned, stat …

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The story of an attending’s empathy

“Doctor” or first name: Which do you prefer?

Health eCareers

Physician

March 16, 2019

This article is sponsored by Careers by KevinMD.com.

“Sometimes you want to go where everybody knows your name.” So go the famous lyrics from the theme song for “Cheers,” the iconic sitcom of the 1980s. The name thing can get really personal in medicine — and everyone has an opinion — as evidenced by a plaintive blog posting …

Understanding 6 trends shaping health care through gastroenterology

Praveen Suthrum

Tech

March 15, 2019

If you throw a pebble today, it’s likely to land on an article that talks about how artificial intelligence and its brother — machine learning — are changing health care.

Yes, I get it broadly. But I was curious to explore how exactly health care’s trends are shaping a single medical specialty. I chose gastroenterology (GI) because I’m most familiar with the space. And here’s what I found.

Trend #1: Manipulating bacteria …

A pediatrician’s tips for your kids’ snacking habits

Jennifer Trachtenberg, MD

Conditions

March 15, 2019

Parents often ask me about snacks for their children once they are eating table food. Should they even give them snacks? If so, what kinds are good for them, and how often? In general, after age one I recommend three kid-size meals and 1 to 2 snacks to help them get their daily nutritional requirements. Try not to stress or obsess at each feeding about them eating all that you …

An orthopedic surgeon’s guide to tennis elbow

Nancy Yen Shipley, MD

Conditions

March 15, 2019

As a sports medicine orthopaedic surgeon, I often see patients with complaints at their elbow. One of the more common diagnoses is tennis elbow, otherwise known as lateral epicondylitis. Surprisingly, most of my patients with this condition don’t even play tennis! Many types of repetitive arm movement can lead to tennis elbow. It all has to do with the tendons in our arms.

Tendons are the structures that hold muscle to …

The consequences of celebrity endorsements in health care

Sheindel Ifrah

Meds

March 14, 2019

“Try this,” whispers Kate Winslet as I wander past the Lancôme counter. “Your glowing skin will thank you.”

The consequences of a celebrity endorsement are seemingly harmless when it comes to revamping a makeup routine, but what happens when this type of advertisement seeps into the world of health care? It has been proven many times that celebrity endorsements influence decisions about specific political candidates, issues or parties, and the positive …

Does work-life balance really exist for young mothers pursuing medical careers?

Sheindel Ifrah

Education

March 14, 2019

As our society’s awareness of mental-health issues increases, the idea of balancing personal and professional life has become a central topic of conversation. It cannot be disputed that finding a healthy equilibrium is especially important for mothers who enter the professional world, medical or otherwise. As a student in an accelerated post-baccalaureate pre-health program and a mother of a 3-year-old girl and a 10-month-old boy, I have made many strides …

The fallacy of patient-centered care

Myles Gart, MD

Physician

March 14, 2019

I often wonder what it was like before patient-centered care became a mainstream catchphrase. Was there a poor relationship between the patient and physician in the outpatient setting? Were hospitalized patients’ feelings, desires, goals, and therapy options ignored? It amazes me that we were able to care for patients more than ten years ago without using a “patient-centered” approach.

According to NEJM Catalyst, “Patient-and family-centered care encourages the …

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The fallacy of patient-centered care

How Tom Brady and Lebron James can change your patients’ health

Abdel Albakri

Conditions

March 13, 2019

As medical professionals, one of the most challenging things to do is to motivate a patient to make changes in their lives. We passionately want the best for our patients, and it is sometimes so difficult for us to be able to connect with and inspire them to take the next step on a path to disease prevention and longevity. The solution? Enter Lebron James and Tom Brady.

It is no …

Why do patients call me by my first name?

Karen Fahey, MD

Physician

March 13, 2019

For the past several years, I have been befuddled by patients calling me by my first name (Sara) instead of my professional title (Dr. Jones). At first, I ignored this, but as it became more common, I started telling some of these patients that I preferred being called Dr. Jones rather than by first name. This took some patients aback — probably thinking I was a snob — while others …

49 ways to stay out of my ER

Rada Jones, MD

Physician

March 13, 2019

I’m an ER doc. I care for patients. All patients: Those who need to be in the ER; those who don’t; those who wouldn’t be there if they knew better. For them, for you and for fun, I’ve got some tips to keep you happy, safe and away from my ER. Enjoy.

1. Never, ever say “hold my beer and watch this!” Besides “I do!” they are the most dangerous words …

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49 ways to stay out of my ER