An excerpt from The Inner Pulse: Unlocking the Secret Code of Sickness and Health.
by Marc Siegel, MD
The Pulse of Recovery
People are like stained-glass windows. They sparkle and shine when the sun is out, but when the darkness sets in their true beauty is revealed only if there is light from within.
–Elisabeth Kübler-Ross
The inner pulse can keep beating—loudly—long after doctors, researchers, and their monitors predict …
There are many aspects to being a doctor. Just as important are the many aspects that go into being a patient. Of course, the difference is that one has been perceived as being a position of power and the other one has not. I don’t believe this distinction is useful or true in today’s world.
Patients and doctors work …
What links belief in tarot cards, UFOs and vaccine rejectionism? Yes, they are all forms of superstitious or magical thinking, but are there characteristics that predict who will believe in such nonsense? That’s one of the questions that psychologists Marjaana Lindeman and Kia Aarnio seek to answer in their paper, Superstitious, magical, and paranormal beliefs: An integrative model.
Lindeman and Aarnio postulate that believers in superstition, paranormal phenomena and pseudoscience make …
Whenever I speak about social media to doctors across the country, I often get asked, “How do I deal with a negative online review?”
Here’s one way not to handle it: sue the patient writing the review.
There’s a well publicized case in Minnesota, where a resident posted a screenshot of …
Kimberly Hiatt was a pediatric critical care nurse who accidentally gave an infant a fatal overdose of calcium chloride last year.
By accounts, it was a calculation error. A human mistake.
After the incident, the hospital fired her.
This past April, she took her own life.
Although it cannot be concluded that the tragedy was directly responsible for her suicide, the incident clearly …
An excerpt from This Won’t Hurt A Bit (and other white lies): My Education in Medicine and Motherhood. Copyright © 2011 by Michelle Au. Published by Grand Central Publishing.
Let’s look at this first purely from the perspective of personal investment and expectation. To practice medicine, …
I must have missed the declaration of war on pubic hair.
It must have happened sometime in the last decade because the amount of time, energy, money and emotion both genders spend on abolishing every hair from their genitals is astronomical. The genital hair removal industry, including medical professionals who advertise their specialty services to those seeking the “clean and bare” look, …
I was quoted recently in the New York Times’ Well blog, in a Danielle Ofri piece on Facebook and doctors.
There’s no question that Facebook has been a minefield of sorts for the medical professions, with infractions ranging from unprofessional conduct by medical students to patient privacy violations by attending physicians.
One solution would be for doctors to simply avoid …
When I advise students about how to choose a specialty, I suggest that they seek out advice from physicians who are at least 10 years out of residency and leading the type of life they hope to have in the future.
It is difficult, and perhaps impossible, to anticipate in your late 20s or early 30s what practicing a certain specialty will be like when you are 40, 50, or 60.
Find …
by Graham Walker, MD
In The Hitchhiker’s Guide to the Galaxy, the Babel Fish was a fish you stuck in your ear that allowed you to understand any language spoken to you. We’re not far off.
Google recently released a new version of their (free!) Google Translate app for Android phones, featuring conversation mode, which allows you to have a back and forth …
Patient privacy and social media use in health care often go together when reported in mainstream media.
When physician blogs were a relatively new phenomenon several years ago, the majority of the media coverage focused on edge cases, where doctors inadvertently revealed patient information.
Only a minority of the headlines focused on the positive aspects, such as how …
When applying to medical school, the American Medical College Application Service (AMCAS) asks aspiring physicians if they would like to be considered “disadvantaged” applicants or not.
Many premedical students find themselves troubled by this question and wonder, what does it mean to be disadvantaged? How does being a disadvantaged applicant affect my medical school application? According to the information American Association of …
In my forays into the history of medicine I came across these six little words by Hippocrates.
They seem strangely modern, almost like something you might find on a Hallmark-card for today’s medical school graduates. I don’t know how old the translation is and I couldn’t understand the original text if I tried – but these simple words really touched me when I …
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by Benjamin P. Geisler, MD, MPH
Everybody is talking about Accountable Care Organizations or ACOs these days.
The reason being that the Centers for Medicare and Medicaid Services or CMS has released the rules for shared savings between ACOs and CMS.
The complete proposed rule is 429 pages long and they’re seeking comments on it now until early June.
What is an ACO?
ACOs will take care of …
Federal law generally prohibits physicians from referring their own patients to a diagnostic facility in which they have an ownership issue – a practice called “self-referral” – unless the facility is located in their own practice.
This exemption exists to allow patients with access to a laboratory test, x-ray, or other imaging test at the same time and place as when patients are seeing their physician for an office visit. Less …
Recently, I received a call from the son of some old friends. This 30-year-old man has been an elementary schoolteacher for the past few years and recently decided that he would like to go to medical school and eventually become a surgeon. He wanted to know what I thought of the idea.
Suppressing the urge to tell him not to even consider …
Having a healthy level of respect for opioids is critical for any physician. For those of us who prescribe or recommend this class of medicines on a daily basis, this statement rings all the more true.Recent events and research reinforce this reality.
“Oxycontin, Other Opioid Painkillers Tied to Higher Health Risks” was the title of a recent BusinessWeek article …
I am infinitely blessed by The Girl Effect. As I look back through the generations of my family, I see it rolling toward me, through me like a wave.
I am sure it started even before my grandmother stole her parents’ car with intent to drive by herself from Austin to Chicago to see the World’s Fair in 1924; I just don’t have much history to work with prior to that. …
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 28-year-old woman has a 3-month history of easy bruising and bleeding gums. She feels otherwise well. Medical and family histories are unremarkable, and she takes no medications.
On physical examination, temperature is normal, blood pressure is 110/70 mm Hg, pulse rate is 64/min, and respiration rate …
American Medical News published an informative essay by Kevin B. O’Reilly on December 13, 2010, about errors in diagnosis and why doctors make them.
According to Gordon Schiff, MD, associate director of the Center for Patient Safety Research and Practice at Brigham and Women’s Hospital, “The problem of diagnostic errors has gotten short shrift in the broader patient safety movement.” The article focused on …
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