nursedoc gomerblog Nurse Shannon Wilkens on floor 4 west thought she saw someone she knew in scrubs walking into room 414. “He was tall, I swore he looked familiar. Our charge nurse informed me he was recently hired and volunteered to work nights,” Wilkens recalled. “So being that it was slow, and I had only three patients as opposed to ...

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A new revelation has added to the ongoing controversy over the health risks of e-cigarettes. Some commentators have viewed the use of this electronic delivery system for nicotine as a way for smokers to cut down on tobacco cigarettes or quit the habit altogether. Others have contended that e-cigarettes can be a “gateway” to smoking and may actually increase ...

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Ever wonder what your doctor is thinking while taking your history? If we’re doing it right, we’re looking at you instead of a computer. We’re making appropriate eye contact while displaying welcoming body language. And we’re letting you tell your story with as few interruptions as possible. Clearly we are listening intently, but did you ever wonder what’s going through our minds while you’re speaking? I’ve been thinking about this lately ...

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There have been countless instances in which the traditional practice of medicine has been disproved when someone actually took the time to perform a study. But who cares if a treatment doesn’t work -- why does it really matter? Let me walk you through why it’s important, starting with the Hippocratic oath. As physicians, our top priority is to “do no harm.” But this priority often clashes with the patient’s reason for ...

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shutterstock_205278607 Everyone yells at their kids. Oh, I'm sure there are some truly perfect parents out there who don't (and some who don't because they are physically unable to yell), but the rest of us do. Parents are human; we all get frustrated, angry, exhausted and scared and, well, yell. But yelling rarely helps. It usually makes things worse. And it makes us ...

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ZDoggMD channels his inner Bruno Mars so we can all get vaccinated.

asco-logo A friend of mine died after outliving her prognosis for more than a year. I was with her at almost all her appointments with various oncologists. She had asked me to be the note taker for these appointments so that she could focus on the discussion as it happened and then have the notes to review afterwards. Her treatment course was ...

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In his popular tome, The Innovator’s Prescription, Clayton Christensen proposes several cures to health care’s cost disease, known as disruptive innovations. One is the replacement of physicians by advanced practice clinicians (APCs). That is, by nurse practitioners and physician assistants. APCs meet the requirements for Christenson’s disruptive innovators: They cost less (than physicians) and are good enough. There is little doubt that APCs are good enough to deal with common clinical presentations. ...

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It has been fourteen years since I graduated from the University of Michigan Medical School. I have journeyed far from the field of medicine, and yet my heart keeps hearing the call to return to my physician communities and share what I have learned. I simply cannot ignore my sense that the pain within our health care system - now felt at every level, including patients, physicians, and payors -- ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old woman comes for a preconception evaluation. She has a history of hypertension that is well controlled with lisinopril. Medical history is otherwise unremarkable. On physical examination, blood pressure is 134/86 mm Hg in both upper extremities; other vital signs are normal. Results of the cardiovascular examination are unremarkable. There is no ...

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medpagetodayFrom MedPage Today:

  1. Congressman to AMA: Offer SGR Solutions Not Complaints. The American Medical Association (AMA) is doing a disservice by not weighing in on how to pay for repealing the sustainable growth rate (SGR) formula for physician reimbursement under Medicare.
  2. Lethal Injection: A Cruel, Painful, Terrifying Execution. Physicians should abstain from ...

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How informed are doctors? The answer is not obvious. Doctors know enormous amounts of data and have years of clinical experience. Many have solid science backgrounds and some conduct research keeping them at the top of their field.  Most rely on published studies to make their decisions on which products to use. However, only a small percentage of all published studies are level 1 studies: the studies with data that is ...

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There will are lots of things I hope improve in our health care system in 2015, but I’ll just mention one wish today. My wish is that the worthless wellness programs that have sprung up all over corporate America will fade away. I have criticized these programs in the past, but more ammo has come to light. A recent article in Employee Benefit News lists seven factors explaining how wellness programs are ...

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You are human and fallible. - Charlotte Bronte, Jane Eyre Alas, the frailty is to blame, not me -- for such as we are made of, such we be … - William Shakespeare, Twelfth Night Sha-doo-bee, Shattered … - Mick Jagger, “Shattered”, The Rolling Stones, Some Girls (1978) The image of the surgeon is synonymous with strength. Surgeons are stereotypically charismatic, commanding, confident, even arrogant. Strong minds, strong bodies, strong wills. Leaders, especially in the operating room; they even act that way ...

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I am a doctor today because of Dr. J.W. Epstein, my pediatrician in Cleveland in the 1950s. An immigrant from the Nazi terror in Europe (it was family lore that he had escaped the Holocaust), he had trained in Vienna and spoke English with a Germanic accent. His house calls are etched permanently in my memory. His visits were heralded by a fury of activity, led by my mother. “The ...

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Measles in Disneyland should be a wake-up call for the anti-vaccine movement.  Will it? Magicians Penn and Teller do their part and show us why anti-vaccination is nonsense. (Warning: explicit language.)

The life cycle of a medical advance usually goes something like this: from discovery at the research bench and replication of findings to translational research and clinical trials, to implementation. The bottleneck can be at any one of these stages, and often it is in the discovery one; we just haven’t yet found the thing that works. But other times, we have -- the intervention works, we have shown and confirmed ...

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You may not be ready to admit it even to yourself, but you know it’s changing. Permanently. Some say it’s for the better. Others say it’s for the worse. Most don’t really care much one way or the other. After all, health care has been evolving and changing over thousands of years, and the experts best positioned to evaluate the health care turmoil of our times are yet to be ...

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medpagetodayFrom MedPage Today:

  1. Eating Fish While Pregnant -- Worth a New Look? In babies of women who consumed a lot of fish while pregnant, the benefits of n-3 polyunsaturated fatty acids in the fish outweighed the potential adverse effects of mercury exposure.
  2. With RA Remission, Try Cutting TNF Dose. A substantial proportion ...

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Dr. Heathcliff Huxtable.  Black America’s favorite physician is under fire.  Multiple allegations have surfaced and re-surfaced accusing Bill Cosby of various insidious perpetrations.  This blog is not intended to persecute or defend Mr. Cosby, but rather to highlight something to minority physicians that can be easily overlooked. Ask any black male physician under age 40 to name five black doctors who inspired him as a youth, and it is likely that ...

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