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Physician voices
We in Southern Oregon saw how the pandemic raged in other areas of the country. We were waiting. It would hit here, eventually, we knew it. It came to our city slowly, and then we had a spike. Still, it…
We in Southern Oregon saw how the pandemic raged in other areas of the country. We were waiting. It would hit here, eventually, we knew it. It came to our city slowly, and then we had a spike. Still, it was much milder than many other places, and we were grateful to be spared the worst of it.
People started getting vaccinated. It was like a baptism of sorts, and the …
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We are all out of ideas for how to convince you to get vaccinated
Physician voices
There were recently many news articles and coverage exalting a physician for working 250 straight days during COVID. 250 days, that’s nearly 8 1/2 months without a day off. While this physician displays dedication and caring, I don’t think we…
There were recently many news articles and coverage exalting a physician for working 250 straight days during COVID. 250 days, that’s nearly 8 1/2 months without a day off.
While this physician displays dedication and caring, I don’t think we should celebrate this as an achievement. The truth is he’s working every day all day for one of two reasons. Either there is no one else, and he’s a victim of …
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Physicians who work themselves into the ground have nothing to be proud of
Conditions and diseases
As I sit here writing this, one of my friends and colleagues is on a ventilator. He’s fighting for his life. He’s a very healthy guy who runs marathons; we even did some race training together a couple of years…
As I sit here writing this, one of my friends and colleagues is on a ventilator. He’s fighting for his life. He’s a very healthy guy who runs marathons; we even did some race training together a couple of years back. And now, he’s in critical condition and may not survive. He’s one of the numerous physicians and other healthcare workers to be stricken with COVID-19. I do not know …
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We are losing the COVID-19 war. Here’s how we can turn the tide.
Conditions and diseases
As doctors, we know how this disease progresses. We know the prognosis for patients who need to be on a ventilator. We know that if we have a cardiac arrest during the course of COVID infection, our prognosis gets much…
As doctors, we know how this disease progresses. We know the prognosis for patients who need to be on a ventilator. We know that if we have a cardiac arrest during the course of COVID infection, our prognosis gets much grimmer. Faced with this knowledge, how do you decide how far you are willing to go to try and survive?
If you had to be intubated on a ventilator, would you …
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How far are you willing to go to survive COVID-19?
Conditions and diseases
Doctors used to be heroes. We used to be universally respected. Our opinions used to mean something. And now? Now the president of the United States goes on live TV and vilifies us. Pointing the finger, shifting the blame to…
Doctors used to be heroes. We used to be universally respected. Our opinions used to mean something. And now? Now the president of the United States goes on live TV and vilifies us. Pointing the finger, shifting the blame to us as the reason you can’t go to the bar and watch the game, or go to Disney World, or get drunk every day on spring break at the beach. …
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Now is not the time to vilify doctors
Conditions and diseases
I’m not gonna lie. It’s scary as hell to be a doctor right now. In Italy, which is our projected immediate future, up to 10 percent of infected people are health care workers. Health care workers are also more likely…
I’m not gonna lie. It’s scary as hell to be a doctor right now. In Italy, which is our projected immediate future, up to 10 percent of infected people are health care workers. Health care workers are also more likely to experience severe and critical diseases. There’s not a great explanation for why this is, other than just higher risk from repeated exposure over and over to infected persons. When …
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It’s scary as hell to be a doctor right now
Conditions and diseases
I’ll admit that a month ago, I thought COVID-19 was going to be another overblown SARS or MERS or even H1N1. I talked about it with my friends in the medical field, and we had a bit of a “been…
I’ll admit that a month ago, I thought COVID-19 was going to be another overblown SARS or MERS or even H1N1. I talked about it with my friends in the medical field, and we had a bit of a “been there, done that” attitude. But I was wrong, and in the time since, I’ve educated myself as much as possible. This strain of coronavirus is more contagious than the flu, …
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I thought COVID-19 was overblown. I was wrong.
Physician voices
Stepping into a hospital for the first time as a clinical medical student is a strange dichotomy. There is still so much you have to learn before you will become a physician, but you are quickly thrust into life-and-death situations.…
Stepping into a hospital for the first time as a clinical medical student is a strange dichotomy. There is still so much you have to learn before you will become a physician, but you are quickly thrust into life-and-death situations. One of my early rotations was in the emergency room. As a student, you have no actual authority and must be closely monitored at all times. Many times you will …
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I had just witnessed my first patient die
Conditions and diseases
I cannot get behind fat acceptance, or better stated in medical lingo as “normalizing obesity.” As a physician and as someone who has been obese or morbidly obese my adult life, I know first hand what it’s like to hate…
I cannot get behind fat acceptance, or better stated in medical lingo as “normalizing obesity.” As a physician and as someone who has been obese or morbidly obese my adult life, I know first hand what it’s like to hate my body and feel ashamed of it. I still do this very moment as I type this, that’s something I have to work on.
Funny thing is, I am much more …
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Don’t sign off on fat acceptance. Don’t normalize obesity.
Physician voices
I was lucky to be raised in a place and time where I have not had any significant barrier in my way because I am a woman. I have been allowed to make my own choices and pursue my own…
I was lucky to be raised in a place and time where I have not had any significant barrier in my way because I am a woman. I have been allowed to make my own choices and pursue my own path in life. My gender never deterred me from achieving what I set out to do. Can you imagine being a woman a hundred or two hundred years ago or …
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The implicit biases of gender stereotypes in medicine
Physician voices
Future generations will look back on the opioid epidemic as the greatest tragedy of modern medicine. The recent 60 Minutes special about drug distributors really highlights that manufacturing and prescribing opiates was never about the best interest of patients. The…
Future generations will look back on the opioid epidemic as the greatest tragedy of modern medicine. The recent 60 Minutes special about drug distributors really highlights that manufacturing and prescribing opiates was never about the best interest of patients. The pharma companies saw a business opportunity that could be exploited by offering patients a little pill to take their pain away. What person, given the chance, would …
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We shouldn’t be surprised that there is an opioid crisis when medicine is operated as a business
Physician voices
Being a health care provider has always come with personal risk. We care for all patients, which includes patients agitated due to psychiatric issues, dementia, acute medical illness, alcohol or drug intoxication or just anger. Patients can be extremely volatile…
Being a health care provider has always come with personal risk. We care for all patients, which includes patients agitated due to psychiatric issues, dementia, acute medical illness, alcohol or drug intoxication or just anger. Patients can be extremely volatile and lash out unexpectedly causing physical injury to their doctor, nurse or another provider. Besides the physical risk, patients can be emotionally and verbally abusive as well- and both types …
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7 ways for doctors to stay safe at work
Physician voices
We are all guilty of having biases. Some of them we know about and proudly flaunt. Some of them have been ingrained so deeply that we do not even know they exist. Weight is an issue that brings out strong…
We are all guilty of having biases. Some of them we know about and proudly flaunt. Some of them have been ingrained so deeply that we do not even know they exist. Weight is an issue that brings out strong biases, and multiple studies have demonstrated a high level of bias from physicians against overweight and obese patients. Obese patients are often treated rudely and are not given the same …
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Doctors must stop fat shaming their patients
Drugs and prescribing
What is it like living in pain? Those of us who have ever experienced unremitting pain for months or years know that it is enveloping and all consuming. I struggled with intractable pain for several difficult years, and I am…
What is it like living in pain? Those of us who have ever experienced unremitting pain for months or years know that it is enveloping and all consuming. I struggled with intractable pain for several difficult years, and I am fortunate because my pain finally got better — what if your pain never did?
That is a horrible reality millions of people are living in right now. The chronic pain population …
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Want to stop the opioid epidemic? Stop prescribing opioids.
Physician voices
This is the patient's eight admission over the course of two weeks. The patient is a heroin abuser and has bacteremia and endocarditis. Their heart valve is failing and they are in and out of congestive heart failure. Every day,…
This is the patient’s eight admission over the course of two weeks. The patient is a heroin abuser and has bacteremia and endocarditis. Their heart valve is failing and they are in and out of congestive heart failure. Every day, dozens of medical professionals converge on the patient to give treatment and advice. And every day after hearing that advice, the patient leaves the hospital against medical advice and goes …
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7 ways to combat compassion fatigue
Physician voices
I am a practicing hospitalist physician in Dayton, Ohio. Dayton has emerged in the last year as the city with the highest per capita death rate from opioid overdoses. When we measure the number of deaths here we talk about…
I am a practicing hospitalist physician in Dayton, Ohio. Dayton has emerged in the last year as the city with the highest per capita death rate from opioid overdoses. When we measure the number of deaths here we talk about how many there are per day, not per week or month. We have been inundated with heroin and other products laced with fentanyl or carfentanil. Every other drug, including marijuana, …
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What it’s like to be a doctor in the heroin capitol of the U.S.
Physician voices
As doctors, we are good at lots of things — we are smart, efficient, hard-working, proficient, role models and leaders. Then why do so many of us place our own health and well-being after our jobs? As a physician, my…
As doctors, we are good at lots of things — we are smart, efficient, hard-working, proficient, role models and leaders. Then why do so many of us place our own health and well-being after our jobs?
As a physician, my most prevalent discussions with patients always boil down to very simple recommendations: eat right, exercise, sleep and manage your stress. Lifestyle changes are really the key to solving many of the …
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We’re smart doctors. But why aren’t we so smart about our health?
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