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Clayton Foster is an infectious disease physician.

Why working in Hawai’i health care isn’t all paradise

Clayton Foster, MD
Physician
July 2, 2025

Most people could think of several good reasons to move to Hawai’i and work in health care. It’s a beautiful gem of a place with welcoming people and Aloha Spirit. Why save up for an occasional Hawaiian vacation when you could be enjoying sunny beaches, warm waters, and lush jungles year-round? The problem is that entry into Hawai’i’s health care system has largely become a revolving door of those who …

Read more…

Why working in Hawai’i health care isn’t all paradise

COVID vaccines, overcoming skepticism, and pandemic theater [PODCAST]

Clayton Foster, MD
Podcast
January 18, 2021
YouTube video

“Environmental cleaning rightfully plays a more prominent role within health care facilities to control the spread of other diseases, but even hospitals have overreacted when it comes to contact precautions for SARS-CoV-2.  I recently went to get a flu shot from one of the hospitals I cover, and I couldn’t help but …

Read more…

COVID vaccines, overcoming skepticism, and pandemic theater [PODCAST]

Why that wound won’t heal

Clayton Foster, MD
Conditions
September 26, 2020

Despite the advances in modern health care, chronic wounds remain highly problematic.  For the critically ill and those with mobility issues, missing just one routine repositioning could send them down a protracted path of intensive wound care therapies.  Even our ambulatory patients develop non-healing ulcers from neuropathy and microvascular disease.  For purposes of this discussion, the question of how the wound formed isn’t nearly as important as why it persists …

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Why that wound won’t heal

COVID transmission should not be a touchy subject

Clayton Foster, MD
Conditions
September 19, 2020

Our understanding of COVID-19 is still evolving, but after observing millions of cases worldwide over the last nine months, we can speak to transmission patterns with a modicum of confidence.  SARS-CoV-2 is spread primarily through the air.  Contact with contaminated surfaces, by comparison, plays a minuscule role in transmission.  Why, then, has every surface with the slightest prospect for human contact become subject to “enhanced cleaning?”

Yes, there are studies reporting …

Read more…

COVID transmission should not be a touchy subject

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  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

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    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician

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