“Can you make Moana sing,” my four-year-old daughter begs as she widens her dark brown eyes. (My husband insists those are my eyes.) Apparently, the Disney toy was involved in an accident. A button on the wrist that makes the doll loudly blurt out “See the line where the sky meets the sea!” has become separated from her plastic body. Pink wires stick out instead of forearm bones. I’m a doctor. ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Sometimes our best decisions as physician anesthesiologists are when we decide to call off a surgery or procedure. The “best anesthetic I never gave” was for 18-year-old Hunter Jones and her case really demonstrates the importance of talking with patients before surgery. Hunter was an active, ...

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Everyone immersed in the culture of medicine knows that physicians sometimes defer the discussion about prognosis to patients who are battling a life-threatening illness.  Everyone, that is, except the patient.   We arrive on your doorstep believing that our presence indicates the obvious.  So, how are we to know that we have to ask for something as life altering and important as a prognosis?  Deferring to the patient for prognostic discussion ...

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I am always fascinated by my colleagues’ stories about why they became physicians and when they knew medicine was the path for them. Some describe a longing to heal, some a love of science, and others a desire for respect. For me, medicine was a calling that revealed itself in my sophomore year of undergraduate studies and was the perfect culmination ...

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I was recently invited to speak at a conference in what is likely the nicest hotel I have ever set foot in. Partially hidden by an array of palm trees and adjacent to a golf course, I could easily see why the conference rate was $350 per night. Before making my way to the conference room, I paused in the dining area to go over my slides one last time ...

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Spoiler alert: I am biased. I graduated from St. George’s University, a medical school in Grenada that graduates more physicians annually than any other medical school in the world. It is a school comprised of people who are so determined to become doctors that they are willing to move to a different country  —  some taking their families with them, some leaving everything behind  —  to study medicine. My peers ...

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Imagine while driving into work, you drive through a green light. When you look to the right, you see a car barreling through the intersection, and then everything goes black. You vaguely remember being taken into the emergency room of a prestigious hospital nearby. In the ED, you hear a doctor’s voice yelling at nurses to give you medications, and then everything goes black. You wake up in a hospital ...

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He was referred to me by a colleague with a large geriatric practice for evaluation and treatment for HIV. He was 76 years old and lived in an assisted living facility. He was, however, very independent and only required limited assistance. When asked what he expected from the visit he responded that he had been sent to me by his PCP. Review of his records suggested that in addition to ...

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President Trump campaigned on making health care better, cheaper and available to all Americans, regardless of ability to pay. Once Mr. Trump was safely in the White House, the Republican “thought leaders” in Congress were quick to supply him with their stale and superficial “plans” to repeal and replace Obamacare, which were written in protest to President Obama’s policies and were never meant to be implemented. When scrutinized by the ...

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This week is Physicians Week, and this is one in a series of interviews with members of the physician community that are bringing a variety of ideas and networks together in order to improve the relationships between physicians and between physicians and their patients. Dr. Hala Sabry is the founder of a physician social media group, that started with 20 people that has grown in two years to over 65,000 women ...

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Heroin abuse in the United States is reaching epidemic proportions.  According to SAMHSA, between 2007 and 2012, the number of Heroin users has doubled from an estimated 375,000 to over 665,000.  Additionally, in 2010, the number of deaths as a direct result of overdose surpassed auto accident deaths. It is impossible to avoid the facts about heroin.  We are bombarded daily by the national and local media and extensive online resources.  ...

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I’m entitled and lazy A whiny little baby I’m a disgraceful human in general Because I am a millennial And people say we are the worst Always putting ourselves first We should get a real job and settle down But our priorities are reversed Every old generation Thinks the new one is mistaken And so every new generation Is made fun of and hated This old adage has been true for ages so Just embrace it Because we dictate the future We are powerful ...

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As a first-year oral and maxillofacial (OMF) surgery intern, I was the first responder to any facial trauma at a hospital in Queens, NY. Therefore in the past 12 months, I was a primary care provider for numerous facial lacerations of women due to domestic violence. And was a 1st assistant in providing care to patients (both men and women) with orbital floor fractures and mandible fractures due to domestic ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. One of the things that I dread the most about January 1 is that it’s the start of “prior authorization (PA) season” for prescription medications. It is time consuming and frustrating, plus it often jeopardizes patient safety and quality of care. A recent Viewpoint in the ...

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Most of us have grown accustomed to Google and Facebook. When I had an Android phone, I quickly got over the initial creepiness factor of going into a restaurant, bar, or store and having a message from Google popping up with reviews, menus, or coupons. I liked that Google could recommend times to leave or asked if I went to a certain spot often. But Facebook and Google are basically ...

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From my wife's grandparents' Manhattan apartment, I could hear the noises of traffic and pedestrians in Central Park seven floors below. The sounds were a refreshing change from the beeping monitors, overhead pages and ringing phones that are the usual backdrop to my work as a physician in a large Philadelphia medical center. Here the only background conversations I heard were those of loved ones in the kitchen, not those ...

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This week is Physicians Week, and this is one in a series of interviews with members of the physician community that are bringing a variety of ideas and networks together in order to improve the relationships between physicians and between physicians and their patients. Dr. Colm Murphy is a cardiologist and the founder of a tech company that is about building a community of physicians in order for them to help ...

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Infants with a first-degree relative (parent or sibling) with celiac disease, and who carry an at-risk (DQ2 or DQ8) gene, have a higher risk of developing the autoimmune disorder triggered by gluten-containing foods. Many parents, especially those with a family history of celiac disease, are understandably nervous about introducing gluten into their child’s diet. They wonder whether there is an ideal time to introduce gluten, if they can prevent celiac ...

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Burnout syndrome is a state of emotional, mental and physical exhaustion caused by excessive and prolonged stress. I burned out early. Right out of fellowship, I no longer wanted to be a doctor. The grueling hours, my grumpy co-workers, and distant patient engagements left me totally exhausted. However, over the course of a year, I was able to rediscover my passion for medicine. Some tactics were deliberate, mindful behaviors, some occurred ...

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“I was surprised when the emergency doctor at Cityside Hospital said he was going to call you to discuss my case," Farmer Carr said when I saw him today. “I figured you’d be asleep at that hour.” I smiled as I recalled the cell phone call that had come in at 9:30 the night I had sent him back to the hospital for a reassessment. “No, I was sitting in my camping ...

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