medpagetodayFrom MedPage Today:

  1. Whooping Cough Epidemic Hit Vaccinated Kids Hard. The 2012 pertussis epidemic in Washington state affected a surprising number of adolescents who were vaccinated on schedule.
  2. 3-Year Curriculum: The Cure for Med-Ed's Ills?. In response to complaints that medical education costs too much, takes too long, teaches the wrong things, ...

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shutterstock_3101394 Do you know the difference between a surgeon and God? God doesn't think he's a surgeon. Everyone who goes into the study of surgery has ideas about what they're going to be. I would imagine that each individual has different expectations of what the future holds, though few find their future at all resembles those expectations. I recall when I started my surgery ...

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shutterstock_156842612 american society of anesthesiologistsA guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. As a physician, you never quite get used to being paged in the middle of the night. The shrill tones emitted via a radio frequency device that seems squarely stuck in the 1980s are almost always ...

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shutterstock_194789030 Dear drunk driver, Tonight, I am tired. Tired from lack of sleep, tired from the long hours, and tired from bearing witness to your destruction. Tonight, you caused an accident while under the influence of alcohol. And you are badly injured, requiring emergency surgery. Your liver is hard, cirrhotic, and unforgiving. Although I can get you through this first surgery, I know you will ...

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We don’t even have to ask, and you certainly don’t need to get out your credentials. It’s so obvious that you are a medical student. And it’s not just the short white coat and student identification badge half-hidden in your linen pocket that says it all. We’ve seen you at all hours around the hospital during your clinical rotations. You tend to appear a half-hour before everyone else, just in time to commandeer ...

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In this age of Internet-everything, online reviews have become the par for the course for business, and this includes medicine. Indeed, one recent survey found that 88 percent of consumers trust online reviews as much as personal recommendations. So online reviews count. And overall, this is a good thing. Data shows that more reviews translate into significantly more appointments, and this holds true even if ...

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I walk into the neonatal intensive care unit (NICU) each morning and see as many as 15 tiny patients. Some born just a few weeks premature, but others born so early they could fit into the palm of my hand, weighing as little as a pound. And I can’t help but think that there should be better communication about how to reduce the risk of preterm labor. Even if we ...

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shutterstock_115937422 “It must be nice.” Without a doubt, this is my least favorite colloquialism in the English language. Though not explicitly stated in the phrase, I have always felt that it implied luck and/or privilege rather than plain old hard work. I have a problem with that because very few things in this precious world are easily obtained, whether it is a fit ...

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medpagetodayFrom MedPage Today:

  1. Statins Linked to Improved Lung Cancer Survival. Sustained statin use was associated with modestly better survival in lung cancer, an observational study in Great Britain showed.
  2. MRI-Detected Bone Marrow Changes Linked to Low Back Pain. Vertebral subchondral bone marrow changes visible on magnetic resonance imaging (MRI), known as modic ...

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Going into my final few months of residency, I am somewhat puzzled knowing that so many of my colleagues are signing contracts with hospital-owned outpatient practices or are going into subspecialist fellowship training or have plans to work as a hospitalist. As someone who plans to go into solo private practice, I feel like an outlier. Yes, I know what you might be thinking. Who goes into solo practice these days ...

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shutterstock_99659051 Medicine is plagued by a form of prejudice called “specialism.” (Yes, I just made up that word, but it fits.) In medical school we were united; we were all in the same boat; we were a team making our way through the gauntlet together. And then it came time to choose a specialty. A satirical article by “Lord Lockwell” circulated on social ...

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shutterstock_210431020 Here are ten ways that Internet diagnosing interferes with your health care. 1. Dr. Google doesn’t know you. Can’t see you, can’t hear your story, can’t smell you, and can’t touch you. It doesn’t have intuition or gut feelings about you. 2. The Internet breeds cyberchondria in some and false reassurance in others. The more complex the problem, the more likely your self-diagnosis ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 30-year-old woman is evaluated for a 1-year history of fatigue, headaches, poor sleep, depression, intermittently blurred vision, and weakness when climbing stairs. She takes no medication. Following a physical exam and lab studies, what diagnostic tests should be performed next? On physical examination, vital signs are normal. Bilateral ptosis and diplopia are ...

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Medical student Benjamin Romney created this video for a senior project.  It highlights the diverse aspects of a career in family medicine.  An inspiration to anyone considering the field.  

The medical field, more so than many other professional arenas, is continuously struggling to balance the concepts of increasing quality metrics, decreasing overall expenditure, and riding the crest of the current technological and scientific expansion wave. Within the past half century, our profession has borne witness to an explosion of advancement, and with this has come a contemporaneous increase in both the need for sub-specialization and, bluntly, the associated cost of ...

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As Baltimore erupts in fiery protest following the death of Freddie Gray, the city joins scores of others who have recently challenged the role of police in community. With the disproportionate representation of black males in the correctional system and the videotaped deaths of those approached by police for seemingly petty infractions, the longstanding concern for a criminal justice system that differentially treats communities of color, is ...

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I see some odd things in my clinic. One recent diagnostic dilemma was a man in his late fifties with shortness of breath. He had been born with a ventricular septal defect and had undergone surgery for this in his infancy. During his lifetime, he had seldom gone to doctors and always thought he was in fairly good health, maybe just of a weak constitution. A smoker since age 13, he ...

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If you are a doctor, nurse, patient, or just someone interested in patient safety, you should read a five-part story called "The Overdose: Harm in a Wired Hospital" excerpted from a book The Digital Doctor by Dr. Robert Wachter. Dr. Wachter and the hospital are to be commended for publicizing this incident so others may learn from it. The hospital staff, the patient, and his mother, also deserve credit for allowing their ...

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A variety of factors contributes to the challenge. First, even in this era, in which autism is a household word, it is not unusual for me to give the diagnosis to parents who have not considered the possibility that their child has autism. Statistically speaking, the children we see at Albert Einstein College of Medicine’s Children’s Evaluation and Rehabilitation Center for these initial evaluations are very young -- on average, 24 months ...

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The riots in Baltimore are all over the news. As a parent, it would seem like the best thing to say to your kids is that riots are bad, that violence isn't the way to solve anything. But that would be missing the point -- and missing an opportunity. Don't get me wrong; I don't think that riots are good or that violence is the way to solve things. But what is ...

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