A man his 50s with chest pain. What happens when you treat with morphine rather than with reperfusion?
Written by Pendell MeyersA man in his late 50s presented to the ED with 3 days of left chest pain radiating into the jaw and neck. He described it as " heartburn. " The pain radiates into his left arm and causes numbness and tingling from time to time. The history does not state what changed on day 3 that made him finally present to the ED; the history has no details as to whether the pain was off and on, or fluctuating, or whether the pain become persistent soon before arrival (these are key details and would help with many important questions we will have below!). Vitals were normal, and his triage ECG is below, at...
Source: Dr. Smith's ECG Blog - December 17, 2021 Category: Cardiology Authors: Pendell Source Type: blogs
Why the medical profession should give people with criminal records a second chance
I am a board-certified osteopathic family physician who worked most of my career as a hospitalist. I am thankful to my university, family medicine program, and the state boards for being open-minded and future-minded and admitting and licensing me, respectively. I was arrested and convicted of multiple counts of trafficking and abusing cannabis and MDMARead more …Why the medical profession should give people with criminal records a second chance originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 26, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/louis-j-riccardo" rel="tag" > Louis J. Riccardo, DO < /a > < /span > Tags: Physician Primary Care Source Type: blogs
A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him?
Written by Pendell MeyersA man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. He called EMS who brought him to the ED. He had active chest pain at the time of triage at 0137 at night, with this triage ECG:I sent this ECG, without any text at all, to Dr. Smith, and he replied: " LAD OMI with low certainty. V3 is the one that is convincing. " After his response I sent him the baseline ECG (below), still with no context at all except that this was his prior ECG:Dr. Smith replied: " Now high certainty. By the way,...
Source: Dr. Smith's ECG Blog - October 5, 2021 Category: Cardiology Authors: Pendell Source Type: blogs
Transcript for Using Machine Learning in Residency Applicant Screening
We reported one year in the paper, but we’ve done it two years now. And filled 20 spots of individuals who, for whatever reason, were not invited on the initial review. But the algorithm suggested, “Hey, this person could be an amazing fit for our program.” And what was probably the most interesting thing, and again, it’s sort of qualitative findings but was that when you asked the program directors to look back at those folks who were not invited initially, but the algorithm said, let’s give them a consideration it was often metrics related issues.
Jesse Burk-Rafel:
They came from maybe...
Source: Academic Medicine Blog - September 20, 2021 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast Transcript Audio AI machine learning medical education residency application resident selection RIME Source Type: blogs
Does Our Healthcare System Work for the Most Vulnerable Americans?
By DEBORAH AFEZOLLI, CARL-PHILIPPE ROUSSEAU, HELEN FERNANDEZ, ELIZABETH LINDENBERGER
“Why did you choose this field?” Most physicians are asked this question at some point in their early careers. We are geriatrics and palliative medicine physicians, so when that question is posed to us, it is invariably followed by another: “Isn’t your job depressing?”
No, our job is not depressing. We are trained in the care of older adults and those with serious illness, and we find this work very rewarding. What truly depresses us is how many vulnerable patients died during the pandemic, and how the scourge of COVI...
Source: The Health Care Blog - September 3, 2021 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Patients Physicians Carl-Philippe Rousseau Deborah Afezolli Elizabeth Lindenberger Geriatrics Health policy Helen Fernandez Palliative Care Source Type: blogs
An underutilized way to relieve stress [PODCAST]
“As a former hospitalist who transitioned out of clinical practice in 2015, I ’ve been deep in the physician wellness space for years. Far and away, the most effective way I’ve supported health care professionals during this time (often in my role as a founding board member of the mindful health care collective) is with aRead more …An underutilized way to relieve stress [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 30, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Psychiatry Source Type: blogs
NC Pediatricians/Physicians RISE Against CHEAP/PROFITEERING Hospital Executives: Maybe I'm Not " Disgruntled " . . . Or " Disruptive " . . . OR ALONE . . . After All.
First, read the following article (linked in red) at North Carolina Health News - " lifted " from a story/letter published at the Charlotte Ledger:The doctor won ' t see your newborn now - North Carolina Health NewsIt only under-scores the cheap, supremely arrogant C-Suite mind-set that I ' ve been blogging about . . . and fighting . . . as an inpatient Pediatrician covering the duty in small/rural/community hospitals in NC and Virginia . . . for over 20 years.Pediatricians that work for hospitals are " a-dime-a-dozen " . We ' re " interchangeable light bulbs " . We can be " replaced by nurses " . The gen...
Source: Dr.J's HouseCalls - June 23, 2021 Category: American Health Tags: ApolloMD APRN Central Carolina Hospital CMS Duke Lifepoint JCAHO LDRP medical scope creep Mother-Baby Care Pediatric Hospitalist Pediatrics Quality Assruance Source Type: blogs
ZDoggMD spoofs archaic physician culture and EHRs in new Doc Vader videos
The hospitalist known by many as the satiric ZDoggMD imagined himself as Lord Vader and produced a trilogy of humorous videos featuring “Doc Vader” dealing with the often-frustrating problems of communicating his needs within a hospital.
The videos’ titles spoof the mega-popular Star Wars films.
Here ' s “Doc Vader, Episode I: The Pager Menace. " (Source: Healthcare IT News Blog)
Source: Healthcare IT News Blog - June 15, 2021 Category: Information Technology Tags: EHR, Core Technologies Source Type: blogs
How photography made me a better doctor
In my first year as an attending hospitalist, I personally discovered what Hippocrates realized millennia before, “Life is short and the art long.” Clinical reasoning is an intellectual labyrinth that can only be mastered with deliberate practice, introspection, and perseverance. However, I soon found that spending hours poring through manuscripts and cases was not onlyRead more …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 - June 5, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/moksha-patel" rel="tag" > Moksha Patel, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs
Patient satisfaction through a hospitalist lens [PODCAST]
“In addition to leaking private information to an unauthorized individual who just happened to ask for Ms. Mann by name, Larry commanded Nigel to worsen this HIPAA violation. Given the tone of his command, Larry must have felt right proud of his informing an aggressive, unconfirmed querent. If so, perhaps he should have paged NigelRead more …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 - June 4, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Hospital-Based Medicine Source Type: blogs
A Unique Partnership Delivers Acute and Holistic Home Care
Mayo Clinic, Kaiser Permanente, and Medically Home join forces to offer patients the best of both worlds, forging a partnership that has the potential to redefine the hospital industry.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.One of the problems facing most patients who require hospital admission is removing their familiar surroundings and emotional supports. While these resources might be considered less critical than specialized clinical expertise, there ' s little doubt that these "less important...
Source: Life as a Healthcare CIO - May 14, 2021 Category: Information Technology Source Type: blogs
Let's Talk About Hospitals And Rural Healthcare (Particularly Mother-Baby Care): My Letter To The NC Government Commission/NC State Treasurer In Support Of Randolph County's Application For A Loan To Save Randolph Health
Author ' s Note: The lawyers have a saying, " Res Ipsa Loquitur " " . Translated from Latin, it means, " The thing speaks for itself " . This is the text of the letter I sent to theNC Local Government Commission (embellished with a few links and additional comments in red) . . .in support of the state of North Carolina granting a loan to Randolph County (via the NC Rural Healthcare Stabilization Act) . . . for purposes of assisting in the " rescue " of Asheboro ' s Randolph Health - in a bankruptcy Court-approved buy-out of Randolph ' s assets by American Healthcare Systems, LLC.On May 4th, afte...
Source: Dr.J's HouseCalls - May 7, 2021 Category: American Health Tags: Asheboro Atrium Health Bankruptcy Cone Health Duke Lifepoint LGC Medical Whistle-blower Mother-Baby Care NC Rural Heatlh NCDHHS Non-profit Randolph Health UNC Health Wake Forest Baptist Source Type: blogs
Bloated notes are a huge problem and a time suck
In a moment of caffeine-depleted delirium, I volunteered to head the creation of a “notes committee” for my 80-member hospitalist group. I placed myself on a 72-hour hold and quickly established a group consensus:“Bloated notes are a huge problem and a time suck. I ’m glad you [rather than me] are working on this. My […]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 - May 4, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/craig-bowron" rel="tag" > Craig Bowron, MD < /a > < /span > Tags: Physician Health IT Hospital-Based Medicine Primary Care Source Type: blogs
By jeopardizing privacy, did this physician meet patient satisfaction goals?
An excerpt from Under the Collar: Frank Conversations about Healing that Harms: Simply Speaking. Hospitalist Nigel admitted elderly Ms. Mann who had developed dehydration after several days of unrelenting nausea and vomiting. Respecting patients ’ privacy, Nigel asked Ms. Mann to name the individuals with whom the team could disclose her medical course and treatment. Ms. […]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 - April 30, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/adedotun-adewusi" rel="tag" > Adedotun Adewusi, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs
Reflections on a year of COVID
One year ago, on March 14, I worked my first of many COVID shifts as a hospitalist at a large academic teaching institution in Chicago. In the beginning, I think most of us on the front lines felt a strange combination of duty, fear, and exhilaration. There was this novel virus, the world was shutting […]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 - March 16, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/manya-j-gupta" rel="tag" > Manya J. Gupta, MD < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs
