While reading the book Lean In by Sheryl Sandberg, I was mesmerized by her insight about the self-perpetuating difficulties women face during their careers; however, something was missing. Mrs. Sandberg, the COO of Facebook, wrote an enlightening novel about the differences in mindset between the genders and how this hinders women in their career. I found that she was spot on with my experience as a woman pursuing medicine. Like Mrs. ...

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I recently discussed both the merits and needs for the use of mobile technologies in clinical trials. Recruiting patients via social media is now a reality and has been a topic of discussion in many forums, including mainstream medical journals.  There is no question that online patient support groups serve unique purposes. There are regulatory issues involved in this arena. However, new regulatory frameworks need to be developed in the age ...

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I just finished reading the Journal of Hospital Medicine article called “The highest utilizers of care: individualized care plans to coordinate care, improve health care service utilization, and reduce costs at an academic tertiary care center.” Using a multidisciplinary team of volunteers including members from hospital medicine, ER, psychiatry, ambulatory care, social work, nursing and risk management,  individualized care plans were developed for high utilizer patients.  These patients had multiple ...

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medpagetodayFrom MedPage Today:

  1. Is This 'Meaningful Use'? Docs Say Yes, Patients Unsure. Proposed changes to patient engagement requirements under the federal government's Meaningful Use program are drawing praise from physician groups but are disappointing patient advocates.
  2. Point: Does the Risk of E-Cigarettes Exceed Potential Benefits? Yes. The use of e-cigarettes continues to ...

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We have all seen the statistics; America is an aging country. The baby boomer generation is retiring, and families are having fewer and fewer children. In health care, we often hear about this issue in the context of an inadequate health care workforce. An aging population in conjunction with the ACA has created a quickly growing pool of patients that outpaces the slow growth in the supply of health care providers. But ...

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shutterstock_31681267 On Monday March 30, 2015 our Greenway PrimeSuite electronic health record had a system-wide failure at the level of the Edgemed Computer service center in New York State. It meant that I was back to using pencil and paper to interview patients and record the answers and physical findings. With much trepidation, I began seeing patients with two sheets of white blank ...

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Those of us in health care face tough decisions every day. Should we spend less time with patient A so we can have more time to tell patient B about a bad pathology report? Should we work through lunch to see a few more patients but risk burning out our office staff at a time when morale is at an all-time low? Should we skip our child’s piano recital to attend that ...

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shutterstock_92410900 For my entire life as a physician, from medical school, through residency and now until this 22nd year in practice, I have subscribed to the idea that I should have a chaperone when performing breast, pelvic or rectal exams on women. I was taught to do this from the beginning, and I still do it. Why is this? On some level, the ...

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When I was a resident at the University of Virginia, my wisest mentors gave me one piece of advice that far exceeded all the scientific and statistical jargon that others expected me to swallow. Consider this: When patients walk into your room and sit down, shut up and look into their eyes. When they are done talking, have a conversation. The key word is conversation. The visit should not include a lecture or statistics ...

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I boarded the 8:30 Metro-North railroad train home from Manhattan recently after leaving a medical meeting. It had been a long and productive day, but now I was searching for a mint in my pocketbook because I had a weird taste in my mouth. All I found was a lollipop. Just before the train left Grand Central, a family of three hurried on and sat near me. The father said, “My ...

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medpagetodayFrom MedPage Today:

  1. Hearts Different for ART Kids? Cardiac systolic and diastolic function were altered at age 5 among Chinese children born of assisted reproductive technology (ART).
  2. Doctor Reviews the Ethical Review Boards. When Robert Klitzman, MD, first began researching institutional review boards (IRBs), he was struck by how little he -- ...

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Have a little faith in me. - John Hiatt Spring ushers in major holidays in many faiths and religions. The rites of spring and the vernal equinox, new life and rebirth are springtime themes and touchstones across many cultures. Faith is important to many people and across many cultures and religions. I would assert faith is even important to atheists and agnostics, and those without a formal religious tradition. Faith is important ...

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The theater darkens; children stop laughing, adults sit forward in their chairs. Framed by a single light in the center of the stage, he stands; tuxedo, white shirt, black tie. He stares into the silent crowd, slowly turning his head, lips touched with the slightest, smallest, cruelest of smiles. His gaze fixes upon you; he is just feet away. His hand rises to the brim of his tall hat and ...

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How to insert a central line had been drilled into me long before my first attempt, and I was admittedly nervous performing my first procedure as an intern. But, as a senior resident, watching the intern in front of me insert his needle into the patient’s neck was ten times more anxiety-provoking. I wanted to guide him successfully through the first of many procedures he would need to master, in ...

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I never thought it would go on for so long -- seeing Donald Wyatt, I mean. I certainly didn't plan it this way. More than six years ago, I retired at age sixty-six from my social work job at a mental-health agency. Donald had been my client there for about eight years. As I was cleaning out my office, his mother called. She explained how Donald's father had left when Donald was ...

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This is important to you. Trust me. If you’re young at heart, it matters because it’s your tax dollars this April. If you’re wiser in years, it directly affects your health and the system you’ve been pumping money into for decades. This is the same medical system that you thought would take care of you later in life. Again, this is about your money and your health, so read on. Government-funded health insurance in the United States is administered ...

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According to OECD data, Americans see doctors less frequently than people in any developed nation. We are hospitalized less frequently, and we stay in the hospital less time than citizens of other nations. The vast majority of Americans, more than any other nation, describe themselves as healthy, and America has the largest percentage of young people in its population. So why is health care in America so much more expensive ...

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medpagetodayFrom MedPage Today:

  1. Peds Serve as Primary Prevention for Child Abuse. Physical abuse of children and infants is often difficult to diagnose, but can lead to lifelong physical and mental health disorders, according to a new clinical report from the American Academy of Pediatrics.
  2. Blood Test to Guide RA Tx Proves Cost ...

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“Good morning baby,” she said to me each morning I when I came into her room. Ms. K was an educated woman in her early 50s with three children. She loved drinking tea in the morning. She also had a very advanced case of lobular carcinoma of the breast that had extended into her abdomen. A cluster of cancer cells was obstructing her small intestine, causing her to have nausea, vomiting, ...

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shutterstock_278653268 A couple of months ago I finally joined the swelling ranks of Uber customers. Several friends had been trying to persuade me for some time to start using the service, but me being generally skeptical of new technology (what they call a “late adopter”), it took an extreme situation to get me to finally download the app. It was a freezing February ...

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