I was approaching 24 hours in the hospital and waiting for my partner to come into my operating room so we could do “hand-off." That's when I spend 15 minutes going over all of the events of the surgical case and explain my patient’s health history, his current status, my current treatment strategies, the heart ultrasound findings, and our plan for the rest of the case. As I was awaiting ...

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There has been a lot of talk lately about maternal mortality. A recent story published in ProPublica and NPR has been circulating social media, highlighting the problems with our labor and delivery system. The story is heartbreaking, describing a preventable postpartum death in a young, healthy mother. While the article makes many good points, I do believe it is misleading when it comes to ...

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Physician-comedian Brad Nieder, MD riffs on healthy eating in one of his stand-up concerts. See more at the Healthy Humorist.

I remember one sunny day in Chicago, in June 2011, when my husband and I packed up our two young children, aged 2 and 5 months.  Professional movers had collected our belongings and had driven off a day prior.  We were headed out of state, to my first job at an academic hospital.  It had been a rather hectic few months for me, having just had a baby 5 months ...

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Millennials are contributing a lot to the world, and we're not just talking about Instagram photos of coffee. Dr. Daniel Wozniczka talks on how millennials are the key to the future of a better world for medicine.

Every time I walk into a bookstore, I pass Paul Kalanithi’s When Breath Becomes Air and am reminded of a specific anecdote he shared. Kalanithi, MD, was a seventh-year neurosurgery resident and his lung cancer had metastasized – a process which was only being controlled by a new drug his oncologist had decided to try. But one day, Kalanithi had severe nausea and had to be hospitalized to stay hydrated. A ...

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In our recent paper criticizing how industrial quality improvement has been misapplied to primary care, we didn’t just complain, we made suggestions for a better way forward. This was under the assumption that regulators and payers will continue to insist on some kind of numeric reporting of outcomes by physicians or practices whether physicians like it or not, or whether it’s really useful and fair or ...

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Dear Dr. Wible, I lost my beautiful son Evan to suicide four weeks ago. He was a second year internal medicine resident -- a very smart, loving and funny man! He left a lengthy letter and in it he stated, “I do not want any attention drawn to this.” I have been crying all day reading your book and blog and I’ve seen ...

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Dr. Leon Pedell discusses how to transition from memorizing physical exam techniques to applying them with real patients to find real abnormalities. Many students have a misconception that they can forget much of what they learned in first and second year as, "low yield." This is not the case. More than anyone else on a care team, medical students have time to perform thorough physical exams and you ...

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A recent Medical Economics article asked “Is the DPC model at risk of failing?” The piece focuses on two large DPC-like organizations, Qliance Medical Management of Seattle, Washington and Turntable Health of Las Vegas, NV, working in partnership with Iora Health, which recently closed their doors. Qliance and Turntable were not actually DPC practices by strict definition; they were innovative large business operations providing health care services ...

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Here's a question that has been debated for several years: Should radiologists talk to patients about their imaging results? Citing several issues, I came down solidly on the "no" side in a 2014 blog post. Two major radiology organizations have committees looking into the concept, and New York Times article said, "they hope to make their case [for it] by demonstrating how some radiologists ...

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President Trump campaigned on repealing and replacing Obamacare. Congress, when campaigning for reelection every two years, promised the same. Yet Congress can’t seem to get the job done. First, they needed the House, then the Senate, finally the White House. All delivered to GOP control by the voters. With the reasonable expectation of repeal and replace. Yet nothing from Congress but a dial tone. The House passed an Obamacare-lite bill, tweaking ...

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Kalisha A. Hill, MD, FCAP is a mother, a runner and a pathologist. She believes that a healthy lifestyle can prevent many of the diseases she diagnoses every day. You’ll meet her, learn about her expertise and see why her clinical partners rely on her diagnoses to guide their treatment decisions. Healing begins with her and that’s what patients count on for their care. Created by the
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High-stakes standardized testing is an enduring facet of medical education, and the standardized test that is on every medical student’s mind is the USMLE Step 1. The paramount importance of this test for getting into residency creates a demand for high-quality test preparation materials. Established test prep names like Pathoma, Sketchy Medical, First Aid and UWorld fill that demand in a market consisting of more than 40,000 test takers worldwide ...

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I want to sincerely thank you from the depths of my heart. I don’t show it, and I certainly don’t say it, but you have always been my role model. You positively shape who I am as a man, and your staunch encouragement is invaluable to me. In a world of words, texts and tweets, you have let your actions speak. You have remained apolitical and areligious, choosing to focus your ...

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“We’ve had a number of calls about ‘inaccuracies’ in your letter to the editor,” a member of my hospital’s media relations team told me. “Because of that, we’ll have to review it.” I had written a letter to the editor of our city’s major newspaper regarding immunizations and the National Vaccine Injury Compensation Program’s vaccine court. I was responding to another letter alleging that the court’s mere existence meant vaccine ...

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Many people have skills they develop for work that they end up using outside of their job. Some of these skills may be mundane, some may be difficult to master and some may be only tangentially related to their job. Mechanics are probably asked by family and friends to help all the time with cars making strange noises. Lawyers are asked by to help fix speeding tickets. Accountants are asked if ...

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I take my 10-year-old son to school as many school days as possible. We recap events from the prior day, and I give him early morning pep talks. It is a rarity, however, that I pick him up from school. During one of those rare occasions, he got into the car, smiling as he handed me a project he completed in class. It was an assignment in which he was ...

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Whether you believe in science, God, neither or some combination of the two -- we can all agree that death is inevitable. Due to the finality of our lives, each of us should understand and prepare for that moment not only for ourselves but also for our loved ones. As medicine continues to advance and people live longer, we have a generation of baby boomers who are now entering their ...

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On the surface, the news from America about health care seems rather grim: cost and dissatisfaction keep rising, reforms are stalling, and, for some, even life expectancy may be declining.  If that wasn’t bad enough, President Trump issued a tweet on March 25 predicting that “Obamacare will explode.” For a small but growing number of doctors and patients, however, the future is surprisingly hopeful. The nascent direct care movement is made up ...

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