Recently, another research study (in the prestigious British Medical Journal) linked antidepressant use during pregnancy to an increased risk of psychiatric disorders in the exposed children. Much controversy surrounds this topic — and a great deal of misinformation. Two issues, in particular, seem to be “missed” in the public discourse. The first misconception is the notion that depression during pregnancy should not be treated because treatment may ...

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An excerpt from Born to Be Wild: Why Teens Take Risks, and How We Can Help Keep Them Safe. According to the National Sleep Foundation’s Sleep in America Poll of 2014, 75 percent ...

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Inquisitive reader Amy asked me if I had any opinions about online screening for depression. The British Medical Journal recently published a debate on this issue. What an excellent question, Amy! I read the opposing arguments, and these are my thoughts: First, I see two different issues. The first is whether the 9-question Patient Health Questionnaire (PHQ-9) is an appropriate tool to use to screen for depression. The second is ...

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Saturday nights on my couch are usually late and peaceful. But my old friend, civil unrest, crept into my reprieve. Do I do one more "to-do task?" Or do I or continue my aimless net surfing? But it's not exactly aimless now. I'd just stumbled across an online article: "When You are the Friend of a Physician Suicide." The physician-author's narrative about his friend's death and the reader's posts, mostly from ...

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One way to fight burnout is to have a passion outside of medicine, or another passion within medicine.  The work I do with KevinMD is what is preventing me from becoming a burned out, physician statistic.

"The doctors who did this should be hanged." It's a statement the came at me with a bang. It stood out in its thread, in the accusatory way of old courtroom scenes of black and white movies, where the heroine dramatically screams out at the jury, seated wide-eyed in their box nearby. But it was merely a response to a Facebook post on the topic of the opioid epidemic, typed in nonchalantly, ...

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It’s 8:45 p.m. in rural Chiapas, Mexico. A cool blanket wraps around the previously warm day in the small farming town of Honduras. With a syringe of medicine in his front pocket pasante, Dr. Ivan Martinez does a steady jog up a steep hill to see about a patient’s chronic pain. Nestled in the Sierra Madre Mountains, there are few flat places. At the door, he’s immediately and warmly greeted by multiple ...

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My intern gazed blankly at her notes from the day. “You OK?” I asked. Her face was quivering with restrained tears as she turned to me, “I don’t think I helped anyone today.” This was not the first time, nor would it be the last time, that I had heard those words from a resident physician. Medical training is no joy ride. How could it be? First, there is the intellectual challenge of ...

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I was inspired a couple of weeks ago. Sitting at the WeWork facility in Northern Liberties, Philadelphia. I looked at the group of entrepreneurs, creatives and innovative thinkers sitting in front of me. What were we doing you might ask? Collaborating to help one another build our dreams. This is the epitome of the human experience. One of the topics that came up in conversation was the difference between a man ...

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“You’re a doctor; focus on being a doctor.” This piece of advice was recently given to me by my own father, in regards to my multiple ambitions outside of the medical field. He himself only recently retired from a long career as a surgeon, so his opinion is the result of years of experience. His advice got me thinking. What makes for career longevity in our field? Statistics show that more than half ...

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