poem
Courage is a Dead CurrencyIn this country courage is a dead currencyNo longer a legal tenderAccepted in any reputable storesIts coins and banknotes are counterfeit Try slipping a Canadian quarter In the vending machineAnd nothing happens. No guttural rumbleNo churning of inner gearsNothing falls. The slot remains emptyNo matter how hard you pound the red fa çadeThere ’s nothing we can do to stop itSo many of us have exhausted ourselvesSuffering the years to accumulateNow worthless little mounds of green billsLittle nest eggs to draw onWhen the time came to be brave Some hold on to it, hoping it come...
Source: Buckeye Surgeon - February 19, 2023 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
poem
Poem #34This is the poem of my lifeIn it everything will be perfectNothing will flowNot a word will rhymeIt will lack articulable meaning People will be so angrySuch words were inscribedOthers will laugh What the hell, they ’ll askThis sheet of whiteUsed to be so clean,Who ’s smudged it all up?Shake their heads and walk awayFor them, it ’s a strange languageOr just a lousy translationIt ’s not my fault thoughThey don't really see it Not the way I doI find it beautiful My first goalMy truest laughMy favorite song It ’s not my fault at allI didn ’t even write it It was just the...
Source: Buckeye Surgeon - January 12, 2022 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Appreciation in the personal finance world
has two different components to it: Quantitative: increasing value of net worth and financial assets Qualitative: feeling of gratitude for one ’s finances, resources, and circumstance. This is not dependent on the dollar amount. These are both important, but the qualitative is the best predictor of increasing wealth and personal […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 28, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/latifat-alli-akintade" rel="tag" > Latifat Alli-Akintade, MD < /a > < /span > Tags: Finance Practice Management Source Type: blogs
Creating Family-Friendly Learning Environments: Parental Leave and Other Policies in GME
Joining editor-in-chief David Sklar and senior staff editor Toni Gallo (@AcadMedJournal) to discuss their personal experiences with parental leave and other policies that can help create more family-friendly training environments for physicians are recent and current residents Ariel Sklar, Alli Webb, and Michael Maguire. Guests also discuss the graduate medical education learning environment and the implications of these issues for trainees and their institutions.
This episode is now available through iTunes, the Apple Podcast app, and SoundCloud.
Read more about this topic, including the report by Blair and colleagues and...
Source: Academic Medicine Blog - January 15, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Audio Featured Trainee Perspective GME learning environment medical education parental leave residency Source Type: blogs
Behavioral weight loss programs are effective — but where to find them?
The US Preventive Services Task Force (USPSTF) is a team of volunteer experts from various primary care medicine and nursing fields. They identify big medical problems, review the research, and translate it into action plans (called practice recommendations) for doctors like me.
Just this fall, they tackled obesity, with the goal of identifying effective ways we in primary care can help people to lose weight.
And it’s not about aesthetics. This is about disease prevention, especially diabetes, high blood pressure, and heart disease, which are particularly associated with obesity.
They were NOT looking at surgeries or oth...
Source: Harvard Health Blog - November 12, 2018 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Diet and Weight Loss Healthy Eating Source Type: blogs
MKSAP: 49-year-old woman with obesity, hypertension, and type 2 diabetes mellitus
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 49-year-old woman is evaluated during a follow-up visit. She is overweight and has hypertension and type 2 diabetes mellitus, both of which are well controlled. For several years, she has attempted to lose weight through various commercial diets; dietician-monitored, calorie-restricted diets; and physical activity. She has worked with a behavioral therapist, and although she has not achieved weight loss, her weight has remained stable. She exercises 30 minutes daily. Medical history is also remarkable for glau...
Source: Kevin, M.D. - Medical Weblog - September 1, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Obesity Primary Care Source Type: blogs
MKSAP: 47-year-old man with hypertension, type 2 diabetes mellitus, and obstructive sleep apnea
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 47-year-old man is evaluated during a follow-up examination. He is obese and has hypertension, type 2 diabetes mellitus, and obstructive sleep apnea. He reports that he has always has been overweight, and over the years, his weight has gradually increased to 123 kg (271 lb). During the past 2 years, he has tried several commercial diets; a dietician-monitored, calorie-restricted diet; increased physical activity; orlistat; and a combination of these interventions, all without achieving sustained weight loss. M...
Source: Kevin, M.D. - Medical Weblog - May 26, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Primary Care Source Type: blogs
How to Inspire a Dementia Patient to Shower
Getting an Alzheimer's patient to shower can be difficult. In order to accomplish this mission you will need to learn how to be a guide, how to use bright light, and how to use positive reinforcement.Listen Now or Continue ReadingBy Bob DeMarcoAlzheimer's Reading RoomThousands of caregivers and dementia professionals have used these techniques and they work.My mother usually resisted when I asked her to take a shower - for years. When she occasionally said something other than NO, I looked to the heavens as if it was a reward.Learn More -5 Tips, How to get an Alzheimer's Patient to ShowerSubscribe to the Alzheim...
Source: Alzheimer's Reading Room, The - July 17, 2017 Category: Neurology Tags: alzheimer's awareness alzheimer's care Alzheimer's Dementia care of dementia patients at home caregiving dementia care dementia help for caregivers family caregiving health memory care Source Type: blogs
6 tricks that pharmaceutical marketers use
Long before the Internet and direct-to-consumer advertising, the medical profession tried to reassure people about their health concerns. Remember “take two aspirins and call me in the morning?”
Flash forward to today’s online “symptom checkers.” They are quizzes to see if someone has a certain disease and exhortations to see their doctor even if they feel fine. Once drug makers discovered that health fears and even hypochondria sell drugs, there seems to be no end to the new diseases, symptoms and risks people need to worry about.
In fact, since drug ads began on TV, Americans take so many drugs it inspires ...
Source: Kevin, M.D. - Medical Weblog - May 30, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/martha-rosenberg" rel="tag" > Martha Rosenberg < /a > Tags: Meds Medications Source Type: blogs
Trump Is Wrong: Muslim Immigration Is Reducing Radical Islamism
During his inaugural address, Donald Trump vowed to “completely eradicate” radical Islamic terrorism. Today, in its first moves intended to do that, the administrationacknowledged its plans for a complete ban on immigrants and refugees from several majority Muslim countries, including Syria, Iraq, Iran, Libya, Somalia, Sudan and Yemen. Yet the new policy will work contrary to its goal. U.S. Muslim immigration is reducing radical Islamism and anti-Americanism around the world.For President Trump to fulfill his promise, America will need to do more than kill terrorists and arrest their collaborators. It will need to cha...
Source: Cato-at-liberty - January 25, 2017 Category: American Health Authors: David Bier Source Type: blogs
Just...I Don't Know. Interpret As You Will
Right now, it just seems like no one understands me, no one else is going through what I am. I guess I am just really weird, and all alone in how I feel and what I think.Seriously? No one else gets anxious from these horrible political accusations, commercials, doom and gloom messages? The media is the absolute WORST! They make it sound even worse than the candidates, but at least it is missing the sinister tones that flip my stomach over and over.I guess people are for one candidate or the other, and they are only anxious about their candidate not winning or what is being said about them. Yes, I was th...
Source: bipolar.and.me - November 3, 2016 Category: Psychiatry Tags: anxiety bipolar disorder nine inch nails suicide Source Type: blogs
The Future of Work Part I
Have you ever taken some time to think about what work will look like 5, 10 or even 20 years from now? If you haven’t, it is probably worth the effort because a changing work environment may have dramatic implications for how you are employed in the future. In these two posts, I want to talk about some of the trends I’m seeing and how they may play out in the coming years.
Outsourcing
Companies are getting better and better at spinning off specific business functions and letting them be handled by others. For example, many businesses can’t justify running payroll in-house. It is cheaper to hire a company...
Source: Productivity501 - September 20, 2016 Category: Psychiatry & Psychology Authors: Mark Shead Tags: Misc Source Type: blogs
MKSAP: 48-year-old woman with gradual weight gain
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 48-year-old woman is evaluated during a routine examination. She is concerned about her gradual weight gain over the years and requests counseling on how she can most effectively lose weight.
Over 8 years, she has gained approximately 18 kg (40 lb). With several commercial diets, she has lost weight but always gains it back. She has a sedentary job, and often skips breakfast or eats dinner on the run. She states she cannot fit exercise into her busy day. She takes no medications and has no allergies.
On physic...
Source: Kevin, M.D. - Medical Weblog - April 25, 2015 Category: Journals (General) Authors: mksap Tags: Conditions Obesity Source Type: blogs
Pills vs. Programs
By Quinn Phillips
It has often been observed that our health-care system is designed, first and foremost, to provide treatment for acute conditions — that is, conditions that can be treated and cured, leaving the patient healthy until the next illness or malady comes along. Chronic conditions such as Type 2 diabetes and obesity often receive less attention than they deserve, given that they account for a large share of health-care costs in the United States and many other industrialized countries. For example, many insurance plans will cover only a few hours of diabetes education, while fully covering amputations due...
Source: Diabetes Self-Management - August 6, 2014 Category: Diabetes Authors: Quinn Phillips Source Type: blogs
Weight-Loss Meds
By Amy Campbell
If only the magic bullet for weight control really existed. We could pop a pill every day that would allow us to eat what we wanted, when we wanted. This pill would banish diabetes, high blood pressure, and high cholesterol. We'd be a lot happier, too. Unfortunately, all of this is wishful thinking. A magic bullet, whether it be pill, potion, or powder, has yet to surface.
A lot of options exist for helping with weight loss, but there are pros and cons to all of them. Diets are hard to follow, exercise takes time, behavior modification is hard, and surgery seems drastic. Medications are a possibility, but ...
Source: Diabetes Self-Management - November 4, 2013 Category: Diabetes Authors: Amy Campbell Source Type: blogs
