Victim: Female nurse, age 25 Time: circa 1980 Place: A hospital in a sleepy Southern town with fifty beds, six emergency department beds, one nurse, one doctor and one secretary. It was an unusually quiet Friday night in this small emergency department. We all knew Friday was "party day": pay day, play day, alcohol, pills, drugs, loud music and lots of really bad decisions. Not only did we cover the entire city, but we also ...

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Watch Dr. Vaughn Browne's emergency medicine journey. Courtesy of Black Men in White Coats.

Do you ever have that “aha!" moment? That moment when a revelation hits you with such a level of intensity that your physical being is jolted. Attention is obtained as if a Louisville slugger or defibrillator pad made contact at an opportune moment. That moment of revelation when a crimson string interwoven through the fabric of your life makes a connection, transcending childhood, college, young adulthood, professional and personal relationships. ...

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Here’s what you need to know about the upcoming solar eclipse and how to safely view the eclipse without losing vision from solar retinopathy. A solar eclipse occurs when the moon passes between the Sun and the Earth, and the Moon casts its shadow, known as the umbra, on Earth. Partial or total eclipses occur somewhere on Earth about every 18 months as ...

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A patient of mine recently came to see me in a follow-up appointment after an emergency department visit. He had been working out at the gym, on a hot day, after he had skipped breakfast, and after his usual routine he felt extremely lightheaded. Everyone told him he looked "white as a sheet", and a physician who was at the gym told him he must go to the emergency department. In ...

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My 74-year old obese, poorly controlled diabetic patient with high blood pressure, high cholesterol, coronary artery disease, asthma, obstructive sleep apnea has been difficult to motivate to improve his lifestyle and his health. He is bright, sweet and caring but just not very disciplined. At each office visit, we review his medications, review his dietary habits and go through the check list of check-ups for diabetic complications including regular ophthalmology exams ...

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I told you so.  I also told the POTUS in my open letter, but he did not read it. Who could honestly believe the nation would support dumping coverage for 22 million people?  As David Leonhard wrote recently op-ed in the New York Times: “They [Republicans and President Trump] had only one big weakness, in fact: They weren’t dealing in reality.”  When faced with reality, it is interesting what a few good ...

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My sister calls my name three times before I hear her. I am so distracted by the palm trees and the ocean view that I don’t feel her put the car in park. I look up at the “Physician Parking Only” sign straight ahead. “Hurry up and get out. We’re running late, and I don’t want to have to stay after my shift ends,” she says. “Don’t you always stay like two ...

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Even after all this time, the phone calls aren't always easy to make. “Hi, Mrs. Smith, this is Dr. Kass at camp, don’t worry, everything is OK.” I usually get that out in one breath, then immediately transition to concrete details. "It's a finger. It might be broken." It doesn't matter if I'm calling about a cough, a fever or a bite from the camp pet pig -- I know that ...

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Recently, I had an opportunity to drop in on two of the foremost researchers in physician burnout, Sara Poplau and Mark Linzer of Hennepin County Medical Center in Minneapolis. We chatted about various aspects of the current burnout crisis and exciting new initiatives on the horizon. Then we spent some time contemplating a frustrating truth: leaders in health care often fail to acknowledge a reality that leaders in other industries ...

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