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 …
What would a world without vaccines even look like?
Well, it turns out that we do not have to wonder since accurate historical records allow us to distinctly see and learn for ourselves. This is in keeping with our Secretary of Health and Human Services’ (HHS) recent guidance to Do Your Own Research.
What we actually need, individually and as a nation, is clear and consistent science-based advice when it comes …
My son was born with a congenital cytomegalovirus (cCMV) infection.
Unless you specialize in prenatal care, infectious disease, or pediatric audiology, you’ve probably never heard of it.
That’s the first part of the problem.
And, even if you have heard of it, unless you’re a public health advocate or a parent (or both, like me), you probably don’t know enough about it—at least, not in the ways that matter most to patients.
That’s the …
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Patient advocate Tami Burdick discusses her article, “How collaboration saved my life from a rare disease doctors couldn’t diagnose.” Tami shares her personal and arduous journey with granulomatous mastitis (GM), a rare …
As an infectious disease fellow years ago, I was called to the hospital in the middle of the night for a possible case of measles.
I reviewed the clinical basics, as I was not quite sure what to expect, not previously …
Scientists have known about bird flu (H5N1) for decades as a virus that primarily affects birds. Until suddenly, one day, it didn’t. In March 2024, H5N1 showed up somewhere very unexpected—in dairy cows in Texas (and their milk). And then, the virus started jumping to other mammals—goats, domestic cats, and even dolphins—and to humans who interacted with these animals. While there was no evidence …
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Health care public relations leader Melanie Doupé Gaiser discusses her article, “Antimicrobial resistance needs a publicist.” She highlights antimicrobial resistance (AMR) as an urgent and deadly public health crisis that is not …
It’s a common scenario in the emergency department (ED). Peak cold and flu season brings in patients complaining of fever and chills, with increased heart rates and elevated white blood cell counts. Too many patients, not enough beds. As emergency medicine providers, we have to make quick, challenging decisions at triage, prioritizing the sickest patients based on their vitals and symptoms and getting them on the right care pathway.
On the 20th of January 2025, President Donald Trump signed an executive order that initiated a freeze on foreign aid, including the President’s Emergency Plan for AIDS Relief (PEPFAR). This abrupt suspension of funding has triggered a global health crisis, undermining decades of progress in combating HIV/AIDS and endangering millions of lives across the globe.
PEPFAR and its global success
Launched in 2003 under …
The COVID-19 pandemic hit the world five years ago, and the world seems to be contemplating that history lately. Numerous articles reflect on that time now that we are passing that first major milestone. In many ways, we are still struggling with the fallout and will be for the foreseeable future.
In mid-2021, things started returning to “normal” in the health care setting. The absolute jubilation of having a vaccine available …
The mass layoffs at federal health agencies, combined with the recent flurry of federal government announcements—paused communications, stop-work orders, and canceled meetings—have the health care and life sciences communities on edge. One announcement I found quite concerning was the cancellation of the Presidential Advisory Council on Combating Antibiotic-Resistant Bacteria meeting scheduled for January 28. This was supposed to be a gathering of experts focused on the growing threat of antimicrobial …
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Emergency physician W. Frank Peacock discusses his article, “What if a doctor didn’t wash their hands between patients?” He explores the critical role of hand hygiene in preventing hospital-acquired infections while exposing …
As you should know, bats carry Histoplasma capsulatum and shed it in their feces (along with Aspergillus and other fungi, bacteria, and viruses). They evolved to deal with the photophobia and tinnitus it causes by hunting at night using echolocation. Bats are protected in the U.K. to the point that it is illegal to remove or block them from their roost. They even have bay colonies in royal residences—which would …
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Hello! Your friendly next-door ID physician here checking in! I haven’t submitted anything here in several years. I’ve been too caught up with my work and family to delve into my creative side. But the very recent news that we will have a new head of human and health services (an individual without formal health care training and who has expressed a rather strong anti-vaccine sentiment in the past) paired …
I’ve been an emergency room doctor for 35 years. I have probably washed my hands over 150,000 times. What the heck? How much is enough? What would happen if I just didn’t wash my hands?
Well, first, the hand-washing police (yes, there is such a thing … they wander around the hospital watching for clinicians who don’t wash their hands) would record that I had committed a violation, and I would …
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Pediatrician Christina Suh discusses the KevinMD article, “More than just the flu: Helping families and doctors prepare for pan-respiratory viruses.” In this episode, Christina addresses the challenges of the current pan-respiratory season, …
In previous flu seasons, only about half of all Americans got the flu shot. Now we face pan-respiratory season, when we must worry about RSV, COVID, and the flu. The good news is these vaccines are lifesaving. The bad news is that if people don’t get them, they aren’t very effective and we might see fewer people get them at all.
As a clinical psychologist, I’ve spent my career thinking about …
American health care is broken. There are decades of literature detailing the physician shortage, burnout, moral injury, administrative bloat, devaluing of physicians, the shift from fee-for-service to real value unit (RVU)–based compensation, as well as the challenges of electronic medical records. No discernible and substantive changes have been made.
Coming from a health care family, I was familiar with the challenges I would face as a physician. My father, John Denman, …
In the land of the free, we find ourselves facing a perplexing and troubling trend: the rise of mask bans across America. These bans, ostensibly aimed at public safety, represent a dangerous overreach that threatens the very freedoms we hold dear.
America has long prided itself on being a bastion of individual liberty, where the government’s role in dictating personal choices is limited. Yet, with alarming bipartisan support, we’re witnessing an …
When I was doing my medical training at St. Vincent’s Hospital in New York City (a proud and fine hospital that has sadly closed), the official word was that we could not counsel patients to use condoms to prevent HIV transmission. Like many other doctors in training, I was bothered by this edict but kept in mind that St. Vincent’s had been at the forefront of providing compassionate care to …
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