Hello, (Friends of Doctor) Dolly!
I know many of you are landing here thanks to my daughter, Dr. Dolly. She was just published on KevinMD.com, and my celebratory post on Facebook labeled her a " chip off the old Doctor Dalai " . Thus, her friends are now discovering whatIdo in my spare time. Hopefully this won ' t reflect badly on Dolly. She is, after all, at the beginning of her career, and I ' m at the end of mine. We don ' t want potential employers, colleagues, administrators, scrub-nurses, or Uber-drivers to think she might turn out like me! (For privacy reasons, I ' m not linking back to KevinMD.)In some ways,I ' ve taken a page fromher book. While i...
Source: Dalai's PACS Blog - March 19, 2017 Category: Radiology Source Type: blogs
Childbirth in the U.S. and India: How it falls short and why
After eight years of practicing obstetrics and researching childbirth in the United States, I know as well as anyone that the American maternal health system could be better. Our way of childbirth is the costliest in the world. Our health outcomes, from mortality rates to birth weights, are far, far from the best.
The reasons we fall short are not obvious. In medicine, providing more care is often mistaken for providing better care. In childbirth the relationship between more and better is complicated. Texan obstetricians, when compared to their counterparts in neighboring New Mexico, are 50% more likely to intervene on t...
Source: Kevin, M.D. - Medical Weblog - March 19, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/neel-shah" rel="tag" > Neel Shah, MD < /a > Tags: Physician OB/GYN Source Type: blogs
These 2 words can soothe patients who have been harmed
When Donna Helen Crisp, a 59-year-old nursing professor, entered a North Carolina teaching hospital for a routine hysterectomy in 2007, she expected to come home the next day.
Instead, Crisp spent weeks in a coma and underwent five surgeries to correct a near-fatal cascade of medical errors that left her with permanent injuries. Desperate for an explanation, Crisp, who is also a lawyer, said she repeatedly encountered a white wall of silence: The hospital and her surgeon refused to say little more than “things didn’t go well.” Crisp spent years piecing together what happened. “I decided I was going to find out eve...
Source: Kevin, M.D. - Medical Weblog - March 18, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/sandra-g-boodman" rel="tag" > Sandra G. Boodman < /a > Tags: Patient Malpractice Source Type: blogs
My mother isn ’t a drug-seeking patient. She’s in pain.
The patient, age forty-nine, complained of abdominal pain. She was taking both slow- and fast-acting oxycodone to manage the pain, and she also took antidepressants and a sleeping aid. She’d come to the hospital several times in the past year, always with the same complaint. This time, not feeling well enough to drive, she’d come by taxi. The veins in her arms were small, threadlike and collapsed, like those of a ninety-year-old or a recreational drug user.
Her medical file was huge, with reports from her primary-care physician, from local hospitals and the gastroenterology department of a highly regarded teach...
Source: Kevin, M.D. - Medical Weblog - March 15, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/christina-phillips" rel="tag" > Christina Phillips < /a > Tags: Patient Pain management Source Type: blogs
Undoctored: Giving back control over individual health
The new Undoctored book is scheduled for release this coming May 9th, 2017, a book that shows how you can be freed from the bonds of a predatory, profit-seeking healthcare system. Here’s a bit more from the book, now available in pre-release.
Undoctored: An excerpt
Unquestionably, there are situations in which doctoring and the healthcare system are needed. If you are bleeding, injured, or struggling to breathe with pneumonia, some old-fashioned suturing, bone-setting, or antibiotics can still do the trick. Nobody around here is going to replace their own hip joint or treat a urinary tract infection with sal...
Source: Wheat Belly Blog - March 12, 2017 Category: Cardiology Authors: Dr. Davis Tags: Wheat-Free Lifestyle autoimmune diabetes gluten grains hypertension Inflammation metabolic undoctored Weight Loss wheat belly Source Type: blogs
White coat syndrome or white coat logo syndrome? The pitfalls of doctor shopping by “brand”
People often get hung up on brand names—many times in situations where branding is of little significance. For example, some people are willing to pay double the price for a wool coat that is exactly the same in terms of material, style, and outward appearance just because there is a small designer label on the lining that nobody sees. In some cases, the brand-name and no-name wool coats are manufactured in the exact same factory. The consumer had the wool pulled over their eyes in terms of the price markup for identical merchandise. This can also happen when it comes to health care.
Co-pay or co-played?
In terms of cost...
Source: Harvard Health Blog - March 10, 2017 Category: Consumer Health News Authors: Paul G. Mathew, MD, FAAN, FAHS Tags: Health Health care Managing your health care Source Type: blogs
A victim of sexual harassment as a medical student
When I was a third-year medical student, I was a victim of sexual harassment.
I had a patient (I no longer remember his name, so let’s call him Mr. X) who was in his eighties and I had to do a rectal exam on him. I had been on the team taking care of Mr. X for a while, and I was fine doing the rectal exam and checking for blood in the stool. These type of things often fall on the medical student as the low person on the totem pole. Mr. X repeatedly asked me where I was from and even though I answered California, he was not happy with my answer. He had served in the war. Korean? Vietnam? I no longer remember....
Source: Kevin, M.D. - Medical Weblog - February 17, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/melanie-tioleco-cheng" rel="tag" > Melanie Tioleco-Cheng, MD < /a > Tags: Physician Hospital Source Type: blogs
Your doctors may be lying about how long they worked today
America’s resident physicians have strict limits on how many hours they can work in the hospital. Many break that limit and keep quiet about it. Others lie.
Resident physicians are the doctors-in-training that millions of Americans come into contact with at teaching hospitals across the country. We work for three to seven years (it depends on the medical specialty) under the supervision of attending physicians. From admission to discharge, we are the often-tired, ever-present doctors who likely take part in your hospital care.
We are supposed to follow rules that specify how many hours we are able to work in a single str...
Source: Kevin, M.D. - Medical Weblog - February 12, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/christopher-lee-bennett" rel="tag" > Christopher Lee Bennett, MD < /a > Tags: Education Hospital Residency Source Type: blogs
This Mini MRI is Adorable and Improving Neonatal Care
Who knew MRIs could be cute? Researchers from the University of Sheffield, GE Healthcare, NHS Foundation Trust, the Sheffield Teaching Hospital, and the Wellcome Trust collaborated to bring us a miniature FMI scanner for newborns. The scanner is only one of two in existence, and was recently installed at the Royal Hallamshire Hospital ’s Jessop Wing in South Yorkshire, England. The other is stationed at Boston Children’s Hospital but is not in use. Around the size of awashing machine, the scanner is apart of an initiative to diagnose brain abnormalities and other birth complications in newborns, in particular preemi...
Source: radRounds - February 11, 2017 Category: Radiology Authors: Julie Morse Source Type: blogs
More Health Care Professionals and Trainees Provoked to Resist - Dana-Farber Cancer Institute Protest of Leaders' Acquiescence to Trump's Muslim Travel Ban
The executive order by President Trump that temporarily banned immigration from seven predominantly Muslim countries provoked health care professionals and trainees to challenge another health care leader whom had not been so challenged previously.We recently described how professionals and trainees protested the decision by Cleveland Clinic CEO Toby Cosgrove not to cancel a fund raising event a Mar a Lago, the resort owned by President Trump, even though Mr Trump ' s ban had resulted in the deportation (since reversed) of a Cleveland Clinic physician trainee, and Cleveland Clinic health care professionals and trainees had...
Source: Health Care Renewal - February 9, 2017 Category: Health Management Tags: anechoic effect boards of directors Bristol-Myers-Squibb conflicts of interest Donald Trump Harvard Medical School logical fallacies Source Type: blogs
What ’s New and In the Queue for Academic Medicine
What’s New: A Preview of the February Issue
The February issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org or on your iPad using the Academic Medicine for iPad app. Highlights from the issue include:
Expanding Group Peer Review: A Proposal for Medical Education Scholarship
Dumenco and colleagues share their experience with a group-peer review exercise and suggest expanded use of team reviews could enhance the quality of medical education scholarship. A podcast on this article is available in iTunes.
A Case Suspended in Time: The Educational Value of Case Reports
Packer a...
Source: Academic Medicine Blog - January 31, 2017 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview administrative burden biomedical research peer review scoping review Wikipedia Source Type: blogs
Don ’t engage in fishbowl emergency medicine
How in the heck would three nurses and I ever orchestrate ECMO in the middle of the night in my community ED? I pondered this over tuna tartare while listening to ivory tower docs discuss cutting-edge modalities like they were part of treatment algorithms everywhere. The conversation turned to REBOA, and I wondered how many academicians had ever manned a single-coverage ED.
Ivory tower medicine and my world, where there is only one doc and three nurses to handle whatever comes through the door, are vastly different. Practicing in the trenches of a small community ED means I’ll never see REBOA or experimental treatmen...
Source: Kevin, M.D. - Medical Weblog - January 6, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/sandra-scott-simons" rel="tag" > Sandra Scott Simons, MD < /a > Tags: Physician Emergency Source Type: blogs
Lessons From The Field: How Local Innovators Are Reshaping How Doctors Are Trained
The Josiah Macy Jr. Foundation spent the past year traveling the country to discover what different regions were doing to better align physician residency training programs with the many changes occurring in health care delivery. The model of graduate medical education (GME) in the United States is held in high esteem both here and around the world, but it needs to adapt to an environment of constrained resources coupled with expanding societal health needs.
The foundation partnered with six academic institutions (Vanderbilt University, in Nashville, Tennessee; University of Texas System MD Anderson Cancer Center in Hous...
Source: Health Affairs Blog - December 15, 2016 Category: Health Management Authors: George Thibault Tags: Featured GrantWatch Health Professionals Organization and Delivery Source Type: blogs
Money in Medicine Report
In late November, a report was released that focused on money in medicine, and the top thirty drugs that were associated with pharmaceutical industry payments to Oregon doctors. Interestingly, the top thirty list did not include many drugs that are known to be household names. For example, the top three drugs – Bydureon, Invokana, and Toujeo – are prescribed for diabetes, a highly prevalent disease in America. Three others on the list are prescribed for multiple sclerosis, a debilitating condition that is incurable and can be hard to live with. Hysingla, an abuse-deterrent hydrocodone pill, is also high on the list.
A...
Source: Policy and Medicine - December 5, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
How medical colleges can improve healthcare in India
There is no doubt that the municipal corporation teaching hospitals such as KEM, Nair and Sion are brilliant medical institutions. I've been trained at them , and the clinical training is excellent because there are so many patients who throng to these hospitals for their treatment. They do an outstanding job, especially when you consider the constraints which they have to operate under. Thus even though their bed capacity may be 2000, they will often have a far larger number of inpatients ( many of whom are nursed on a mattress on the floor ) because they don't turn any patients away. While they are doing a great job, th...
Source: Dr.Malpani's Blog - December 2, 2016 Category: Reproduction Medicine Source Type: blogs
