shutterstock_99170549 In a field filled with history, data, and very smart people, it can be difficult to do anything with confidence. And yet, this is one of the most desirable traits a doctor can have, that and a light hand when it comes to handing out narcotics. However, I have never been a fan of over-confidence. I feel that if you are going ...

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Polycystic ovarian syndrome (PCOS) is becoming a significant problem in women’s health. Between 1 in 10 to 20 women have the condition, although more than 50 percent remain undiagnosed. PCOS is the leading cause of female infertility and women who do become pregnant have higher rates of miscarriage, preterm birth, and gestational diabetes. Women with PCOS have a greater likelihood of developing diabetes, cardiovascular disease, and endometrial cancer than women without ...

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shutterstock_114520012 In the late 19th century, Dr. William Halsted, a pioneer of modern surgical techniques, performed ultra-radical mastectomies for women with breast cancer. The procedure, soon named after him, involved the surgeon removing not only the breast itself but also surrounding musculature and the associated lymphatic system. Halsted believed, and taught generations of medical students, that the more radical the procedure, the higher the ...

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shutterstock_239583778 The woman lying on the transport cot in the examination room was terrified. I could see it plainly in her eyes, but there was no time to stop and comfort her. I was a young, recently graduated nurse in a busy urban emergency room, struggling to keep up with its daily array of shootings, stabbings and crises. ER nurses hustled. We dealt with ...

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"Sometimes a simple, almost insignificant gesture on the part of a teacher can have a profound formative effect on the life of a student." - Paulo Freire Think back to a moment when a teacher or “authority” figure gave you a compliment. We all have them, from kindergarten to high school to college and sometimes graduate school and work. The reason why many of you can recall such moments is that unlike ...

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shutterstock_52832917 Daytime TV advertising is dominated by two players. Pharmaceutical companies with direct to consumer pitches and the so-called "toxic tort." How confusing it must be to the average person to see a new drug pushed by one commercial, to be immediately followed by another commercial from a lawyer trying to sue for the known side effects of the exact same drug. It ...

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shutterstock_173882891 Patients are entitled to receive medical advice 24 hours a day. If you call your doctor at 3 a.m., you will reach a physician who will advise you. Of course, it may not be your own personal physician as this individual cannot be expected to be available 365 days a year until he retires. Physicians partner with colleagues who share on-call responsibility ...

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shutterstock_224970232 I have worked in a lot of hospitals over the past two years. Quite a few of the facilities have been critical access hospitals, which is to say that they are very small, typically having fewer than 25 inpatient beds, and are usually somewhere in the boonies. A number of characteristics allow a hospital to qualify as critical access and receive additional ...

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shutterstock_141783304 As an Air Force family physician and faculty at a family medicine residency, it was my job periodically to lead an inpatient team of young family medicine residents and medical students.  That particular morning seemed like any other -- half a dozen new admissions, total census of a dozen or so, and a few new consults.  And it was my habit to ...

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shutterstock_112692424 The U.S. health care system is headed toward a profoundly digital future. Provider organizations around the country are adopting and updating their health information technology (HIT) infrastructures. Many have begun requiring that clinicians gain proficiency in electronic health records (EHRs) in order to provide clinical care. A proliferation of start-ups and HIT companies in health care is poised to disrupt (innovatively or ...

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shutterstock_245476813 The explosion of tech and screens into the lives of children is outrageously obvious to me as a pediatrician. Besides the fact that most kids and parents seem to be attached to a phone or tablet when I enter the exam room, when I ask questions about how kids spend their days (and nights), screens seem to be part of everything. You'd think ...

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Money-640x480 I’m a physician entrepreneur. In 1998, I opened my first clinic. My malpractice: $500 per year. Then I tried life as an employed physician. Hated it. So in 2005, I opened my ideal clinic. Best. Job. Ever. My malpractice: $1,230 per year. Want low premiums? Here’s how I did it. A quick tutorial. New malpractice policies mature over five years. So the first ...

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shutterstock_151579694 During my third-year internal medicine rotation, I was introduced to and helped care for a patient named Casey (name changed to protect privacy). I identified with Casey because we were the same age, and I felt empathetic toward her situation. Casey was very sick, a direct result of her risky behavior. She was admitted for infective endocarditis secondary to intravenous opioid abuse. She ...

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Mid-November, and Christmas music is already blaring from speakers camouflaged in silver holiday tinsel. Frank Sinatra’s croons reverberate throughout the barren expanse that is Somerset Mall at 8 a.m. “I’m dreaming of a white Christmas…” It’s raining outside. I begin to laugh and try to explain the apparent irony to my grandmother, but my attempt gets lost in translation. My Chinese is poor. Her English, poorer. ...

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You need to watch ZDoggMD's latest.  This is one of the most powerful videos you'll see.  Ever. From ZDoggMD himself: "Here’s Ain’t The Way To Die, based on the Eminem and Rihanna masterpiece Love The Way You Lie. It’s the first video we’ve made that is not funny -- well, that is not funny on purpose, in any case. We initially planned to use blatant comedy to break down taboos around the process ...

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shutterstock_174773759 If someone was sitting on a veranda somewhere in the Alpha Centauri system, reading about health care in America of planet Earth, one would most likely conclude that the family of viruses known as the common cold are destroying a health system already crippled by a glut of poorly educated physicians practicing their miserable craft on a slow-moving ...

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A continuing series on physician online reputation.  Created in partnership with The Doctors Company as part of their social media resources for physicians It's important for physicians to monitor their online presence because more patients than ever are researching their doctors on the web, and negative news stories or negative patient reviews can be a part of your online presence and you want ...

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shutterstock_262498211 As my third year of clinical rotations comes to an end, I’ve been reflecting on the ways in which I use my training as an anthropologist on the wards. One patient comes to mind, a recent immigrant from South Asia who came into the hospital after an accident where he was bicycling and got hit by a car. He was scanned from ...

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shutterstock_206417596 acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. In the spring of 2009, I represented the American College of Physicians (ACP) at a meeting in Washington of health policy experts discussing payment reform. When I arrived at the cocktail reception the night before the meeting, a ...

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The acronym "MI" has traditionally meant myocardial infarct, or heart attack. Recently it's taken on a new, more salubrious meaning: motivational interviewing. A growing number of docs are practicing this technique, which amounts to listening to patients to help them recognize their internal sources of behavior. Boston's NPR affiliate, WBUR, describes typical MI interventions in which doctors, instead of demanding that patients stop smoking or drinking or overeating, gently ...

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