Flu vaccines are available, and so that means that the anti-vaccine brigade is out in force. The Daily Mail published an anti-vaccine op-ed by a former reality TV contestant named Katie Hopkins. It was followed by a shorter counter argument by a doctor, but when you are given less than half the word count and are at the bottom of the page it is hard to mount an effective response. Hopefully ...

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According to recent Ohio statistics, 1.3 million people have limited or no access to primary care physicians. Based on the 2015 Ohio Primary Care Assessment, 60 of 88 Ohio counties have medically-underserved populations. The Patient Access Expansion Act (HB 273), co-sponsored by Representative Theresa Gavarone (3rd District) and Representative Terry Johnson (90th District), specifically addresses health care access by prohibiting physicians from being required to ...

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Dear patient, I meet people several like you on a daily basis. It is always a pleasure to meet you since you come much more prepared compared to the average patient. I have seen you with several sheets of paper or even a notebook, a list of questions and an extra sheet of paper on which to write recommendations. You may even have printed research papers and articles off the Internet. I ...

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Text message: Me: “Mom you alright? I just heard that there was an explosion at the Pepsi Center.” Mom: “What are you talking about? I am fine, everything is OK over here.” Earlier that day: It’s the first day of my first ER rotation as an intern. I had endured months on medicine, neurosurgery and the medical ICU. I am finally home back in the ER. I am hoping that today will be a somewhat ...

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For days on end, she looked out of the bedroom window, rocking her baby back and forth on her glider. The maple tree waved at her daily as the breeze came through its branches. Gradually, the leaves made their annual change from green to red and orange and yellow. She watched as the leaves transformed, jealous of their seamless change as she struggled to make her own transition to motherhood. Eventually, ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. For this column, my 61st for the American College of Physicians (ACP), I thought it would be interesting to look back at the first 60 and review the trends and topics that inspired me to write 800 to 900 words every month. Rather ...

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This is a letter I wrote to my wife’s grandfather for Veterans Day back when he was still alive.  He was pretty proud of it, and that made me smile because I knew that if nothing else, he deserved to be proud of what he did for America.  When he died a few months ago, I was able to muster up the fortitude to read it at his funeral.  Here ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 32-year-old woman is evaluated for a 2-month history of weight loss, abdominal cramping, and loose stools. Her stools are malodorous, but she has not noted any blood associated with her bowel movements. Although her appetite is good, she has lost 3.2 kg (7.0 lb). She has ...

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Dear medical student, I’m sorry. You had just finished two years of didactic learning and couldn’t wait to feel like a “real” doctor. You finally were starting your clerkships, that is, ultimately working with patients and getting deep in the trenches. You were bright-eyed as you pulled on your pristine short white coat. You got to the hospital at 5:15 a.m., 15-minutes early for the first day of your very first third-year ...

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I never thought I'd be in a position where I would feel scared at work, but then — it happened. I started writing this piece a long time ago, far before Utah nurse, Alex Wubbels, was assaulted on camera by a police officer. It certainly reminded me to work on this again. A few years ago when I was very green, I was working in inpatient on a ...

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