In her new book In This Together: My Story, the former First Lady of Massachusetts, Ann Romney, describes receiving in her mid-40s a diagnosis of multiple sclerosis (MS). She offers vignettes of a “life upended”: her abandonment of therapeutic swimming because it made her hair “look bad” and the need to revise plans for her Park City home to include an elevator. In her case, MS is invisible, characterized by fatigue, ...

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Tackling: in so many ways, it's what football is all about. Now, of course running, passing and scoring (and strategy) are important parts of football too. But it's tackling that stops the opponent. Without tackling, you can't play football. Or can you? A policy statement just released by the American Academy of Pediatrics (AAP) suggests that we need to do some thinking about tackling and its impact -- literally -- on ...

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In May 2003, during my second year of pediatric residency, I had a right temporal lobectomy to remove a seizure focus in my right hippocampus.  Although the surgery proceeded without complications, I was unable to walk unsupported for several weeks after the operation.  My experiences taught me what makes an exceptional physician. An ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 67-year-old woman is evaluated for a 1-year history of increasing forgetfulness. She reports greater difficulty keeping track of upcoming appointments, recalling details of recent telephone conversations, and remembering names of new acquaintances. She has completed 16 years of formal education, currently works as a teacher's assistant, and has noticed no change ...

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Evan Murray was a 17-year-old high school senior, honor student, and three-sport athlete who died recently as a direct result of injuries sustained playing quarterback for his school football team.  On the last play of his life, he got drilled by a defender with a clean hit to the midsection.  He gathered himself, rose, and walked off the field on his own.  Shortly thereafter, however, he collapsed on the sideline ...

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shutterstock_172354895 Compassion.  Once upon a time, I had a lot of it. I guess I still do, or I wouldn't be at this desk. I think most medical students start out that way. We want to help the sick, heal the wounded, decrease suffering. All that stuff we once wrote in the "personal statement" section of the universal med school application. And believed. A friend ...

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Everyone, it seems, knows about the Ice Bucket Challenge, the viral phenomenon that raised record-breaking sums for the Amyotrophic Lateral Sclerosis (ALS) Association. This feel-good movement was critiqued by many, but no one can claim it was a bad thing: It raised lots of money, the overwhelming ...

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The vast majority of physicians enter medicine with an inborn sense of compassion. Junior residents, however, are the logistical workhorses of teaching hospitals — their north star is efficiency and they are measured largely on their capacity to “get things done.” The consequence is often a slide towards unwitting apathy. I, like all residents, have witnessed this reality first-hand. By reflecting on my experiences, I hope to discover insights we ...

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shutterstock_154181867 The most important factor in successful stroke treatment is time. When a stroke patient is encountered by EMS, or when they present to an emergency department, it is absolutely vital to determine the time "last known well" to make decisions about what treatments may be available and appropriate. A 97-year-old woman arrived in our emergency department after suddenly becoming unable to speak, and ...

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shutterstock_210047401 In 1735, Benjamin Franklin wrote, “An ounce of prevention is worth a pound of cure.” Now 280 years later, this basic concept of human health has been refined and applied throughout medicine. Recently, the emphasis on prevention has been amplified by the passage of the Affordable Care Act that prioritizes such services. Radiology remains uniquely poised for this change with its ...

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