(with a hat tip to “Who’s On First?”) acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. (Scene is the back office of a small primary care clinic. Lou is sitting at his workstation, looking at a computer screen. Bud walks by and Lou stops him …) LOU: Hey, Abbott! I just saw a lady ...

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So you want to match into surgery?  This video shows you what it takes.  From the University of Chicago Pritzker School of Medicine, who also created the ever-popular Frozen parody.

Thanks to the measles outbreak, the news is full of stories on vaccines and anti-vaxxers. The blogosphere and Twitterverse and all the other social media dimensions are buzzing with invective against ignorant unvaccinated savages and their backward science denial. For the record, I’m a pro-vaccine physician. My children have been and are vaccinated, despite being unsocialized homeschoolers. I’ve had my own share of needles; Physicians are mandated to have hepatitis B, ...

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They say that the path to hell is paved with good intentions. Few things in medicine illustrate that as well as how we've approached chronic pain management in the past 10 to 20 years. The advances that we have made in medicine in the past few decades have been truly remarkable. But, unfortunately, pain is one of the ailments we still do not treat well. One of the difficult aspects of ...

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It happens every once in a while in my practice: Parents ask if we can delay or skip certain vaccines, or spread them out. According to a study just published in the journal Pediatrics, I'm not alone -- in fact, 93 percent of pediatricians get asked the same thing. Now, it's important to point out that most families don't ask for this. Most families are fine with the current vaccine schedule -- ...

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The world of health care will likely look very different in a decade, owing to a variety of diverse factors including; medical breakthroughs, political reform and not least of all the tremendous advances in technology that are occurring at breathtaking pace. The traditional model of the doctor-patient interaction will also continue to change dramatically (as it already has over the last several years). The days of an unchecked paternalistic relationship ...

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Termites are endemic in southern California, and we’ve had spot treatments several times over the years at various sites in our house where little piles of sawdust have appeared as evidence of termite activity. Finally, it became clear that the termites were winning, and more aggressive treatment was in order: tenting. This is the process of hoisting a big, brightly-colored tent over the whole house and putting an end to ...

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medpagetodayFrom MedPage Today:

  1. Turbulent Future for Oncology. The nation's cancer care system risks slipping into a socioeconomic vortex that threatens the ability to meet a growing demand for care, according to a report from a leading organization of cancer professionals.
  2. Newer Stents Fall Flat in Multivessel Disease. Surgery still beats stents in ...

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The “age of the giants” has passed. The idea of larger-than-life doctors devoting themselves completely to patient care and sacrificing their personal lives in the process is giving way to an era of recognizing the limits to a physician’s work life. This change in attitude has been advanced, in part, by resident work-hour restrictions. These Read more...

You’ve likely seen the Jimmy Kimmel “public service announcement” on vaccines. Over 3 1/2 million people have viewed it on Youtube so if you’re not yet one of them you’ll likely add to the tally now. The first 3 minutes of the monologue are spot-on, and they’re also very funny. Jimmy takes a stand against the “anti-vaxxers.” He mentions that some parents are more scared of “gluten than small pox” ...

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“What would Spock think about the ‘husky’ designation?” That’s what I was pondering. I was wondering how the master of logic would justify and make sense of the clearly derogatory way I was feeling about myself. “Fascinating,” I imagined him saying, and he would raise that patented eyebrow. Then I looked in the mirror, furrowed my brow, took note of the barely present peach fuzz growing under my nose, and with all ...

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Many readers know that I favor empiric antibiotic treatment for adolescent/young adult pharyngitis when the clinical signs and symptoms strongly suggest a bacterial infection. I favor narrow target antibiotics and only in the patients with Centor scores of 3 or 4 (and perhaps some 2s when the patient looks very ill). This would exclude over 50 percent of patients from antibiotics. Most organisms already have developed resistance to penicillin, amoxicillin, and ...

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Physician burnout -- and burnout in general -- is at an all-time high. From this Wall Street Journal article by Dr. Sandeep Jauhar to a recent TEDx talk by Dr. Romila Mushtaq, the angst is palpable. Sadly, as noted in this piece in the New York Times, the suicide rates of physicians and doctors-in-training increase every year. The insurance companies’ complications, government involvement, and economic downturn have all added fuel to this fire of discontent. ...

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To the staff overseeing my medically-complex child, My child has been in this world much longer than you expected; thus I’ve been in this relationship with you much longer than I expected. If I could break up with you and find someone new, believe me I would (I’m sure so would you some days). But that isn’t possible; we’re in a dysfunctional relationship. If we recognize this together and just come to an ...

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medpagetodayFrom MedPage Today:

  1. Helmet Bests Mask for Infant CPAP. Infants with bronchiolitis who were treated with a continuous positive airway pressure (CPAP) helmet did not need to be intubated as often compared with those who used a CPAP facial mask.
  2. Negotiations Heat Up on Permanent SGR Fix. As a deadline looms, Congressional ...

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From new longer-acting drugs to promising gene therapy trials, much is changing in the treatment of hemophilia, the inherited bleeding disorder in which the blood does not clot. I will mark Hemophilia Awareness Month by discussing research and treatment progress, as well as remaining challenges. 1. Many more treatment products are being introduced, including some that last longer. In people with hemophilia, a “factor” -- or blood ...

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shutterstock_113514799 No physician, however conscientious or careful, can tell what day or hour he may not be the object of some undeserved attack, malicious accusation, blackmail or suit for damages  ... " - Assaults Upon Medical Men. Journal of the American Medical Association, 1892 It’s happened again: A well-liked doctor is killed by his patient. Last year’s horrific death of a physician in our community, a ...

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shutterstock_139099052 I have been doing emergency medicine for almost ten years -- thirteen if residency counts, and I sure think it does.  I face the same issues that cause my work colleagues, physicians and nurses alike, to burnout. I struggle with burnout myself, but I keep coming back.  Many days (and nights), I ask myself why I continue to do what I ...

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For many of the millions of low-income families seeking quality health care in the safety net, the quest can be bewildering. They may walk into a drab, disorganized and unwelcoming clinic, with the staff, signage, and endless medical forms all using unfamiliar language, with unexplained, lengthy waiting times, and with providers burying them in information they can’t understand. On a second visit, they may feel even worse when they end ...

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As I travel around speaking about preparing for peace at the end of life, I have found that there are three pervasive myths about hospice that might cause you to inadvertently rob yourself or your family of a peace-filled end-of-life experience. So, I am taking on the job of myth-buster to clear the air. Here goes: Myth #1: Hospice is a place. While hospice can be a place, it is primarily a service. ...

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