An 8-month-old baby fell 3 feet and hit his head on a carpeted floor in a San Francisco hotel room. He was crying and the parents, who were from South Korea, called an ambulance. By the time the child arrived at the hospital he was obviously fine. After a bottle, a nap, and a few hours in the hospital, he was discharged. The hospital sent a bill two years later, which ...

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As of now, twenty-nine states have legalized medical marijuana use and eight have legalized recreational use. The debate rages on about legalization, but the actual effects of cannabis get much less attention. A huge issue is that cannabis can be both helpful and harmful for a wide range of symptoms and conditions, and currently, the research is incomplete. But the barriers to actually study this substance are ...

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Everyone knows that the process of applying and getting accepted into medical school is highly competitive. Last year, 51,680 people applied for seats in U.S. medical schools. Collectively, they submitted 816,153 applications -- a whopping 16 applications per person on average. Only 21,338 applicants matriculated to a U.S. school last fall, or 41 percent of applicants. So how do the admissions committees evaluating all these applicants make their ...

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STAT_LogoDear Doctor, Please help me understand why so few of you have chosen to treat people with opioid addictions. I’ve been following the topic of opioid addiction for years. It is one of the most common themes for First Opinion submissions. Authors routinely point to the importance of medication-assisted therapy, the standard of care for individuals ...

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Opioid use has reached epidemic proportions over the past decade, becoming one of America’s highest-priority public health issues. With opioid abuse spiraling out of control, lawmakers, regulators, and health professionals are scrambling to better understand key drivers of this issue and develop an effective action plan. Although the devastating impact of opioids on families and communities is well known, less focus has been given to how it affects the workplace ...

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Never touch your hair. It cannot be down, and it cannot look fancy. Optional styles include bun, ponytail, or braid. I might as well shave it off! I hear you thinking it – we’ve all thought it – but it’s wrong. The only thing worse than looking like a woman that’s too hot is looking like you’re not a woman at all. Woman? Sorry, I meant girl. Never touch your phone. ...

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I loved my endocrinology block in medical school. It was one of my favorite units. One hormone acts on another gland, which either induces a positive feedback releasing its successor hormone or a negative feedback blocking its predecessor. It was step-by-step. It was straightforward. I loved the material so much that I reached out to an endocrinologist to shadow her. I wanted to see the power of what we were learning ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 24-year-old woman with longstanding atopic dermatitis is evaluated for an acute worsening of her disease in the past week. She has had increased pruritus and now has multiple painful areas within the involved skin. She has been applying petrolatum jelly and triamcinolone ointment and washing with gentle cleansers without improvement. ...

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I recently listened to DDx, a new podcast from Figure1. In their third episode, a 37-year-old man presents to the emergency department in the middle of the night with persistent vomiting and retching. He is highly vocal and agitated. Upon questioning, he reveals that he experiences these episodes frequently and previous investigations have all been inconclusive. His skin is noted to be flushed and his father ...

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13 years ago a colleague of mine did a labiaplasty on my 18-year-old daughter for medical reasons. What was supposed to be routine has become a nightmare for her.  Not only did he remove all of her labia minora, but he also denervated her clitoris. When he saw her post-op, he told her she was fine, maybe a little “atrophied.”  Because of this obfuscation, years went by before she really understood ...

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In the wake of Pride Month, I have been reflecting on how our health care system impacts the lives of individuals with identities across the gender spectrum. Sometimes, when sending a prescription to a pharmacy for any given patient, we will get a phone call that the date of birth on file with insurance does not match the date of birth we have on file. Typically, this is a clerical ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Trust is the belief that another person or entity will act in your best interest, and it serves as the foundation upon which the doctor-patient relationship and our health care system are built. But we have a significant trust paradox in American medicine. As ...

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My (sometimes solicited, but often unsolicited) advice for graduating medical students, residents, and fellows: June is one of my favorite times of the year.  One, because it’s summer, but also because it’s graduation season.  I love seeing and hearing about everyone’s accomplishments, and seeing years of hard work come to fruition - although if I’m being honest, it’s bittersweet, because it’s also a reminder of how I’m getting older. This year, I’ve ...

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recent post by the White Coat Investor got me pretty fired up.  Dr. Dahle spoke about three of the main financial enemies that face physicians. The third one that he mentioned had something to do with medical culture.  The gist of it was that talking money in academic medical centers is considered taboo.  While I think WCI is right, it really made me angry.  As an academic attending ...

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Parents cheer, students rejoice, and teachers relax — it’s graduation season, one of my favorite times of the year. A few weeks ago, the Class of 2018 at Harvard Medical School (HMS) marched across campus to complete their final hoorah as medical students. I observed in awe and noticed something spectacular: most graduates who delivered a speech represented minority groups. This sighting was not happenstance. Energy is allocated to bolstering racial ...

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As I was reviewing his chart, I noticed under social history that “freelance artist/painter” was listed as his occupation. I've never met a patient of such talent and honestly, I was excited to meet him. When I arrived at the ER, I was introduced to an unassuming elderly man. He wore a pair of worn out jeans and a burnt orange T-shirt. Tufts of white hair emanated from under his ...

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I could see the excitement on my six-year-old daughter’s face as we pulled into the parking lot and unloaded her new bike from the car. She had been anxiously awaiting this moment for several weeks — she was going to learn to ride a bicycle. She watched with increasing interest as I unscrewed the training wheels, tightened her handlebars and handed her the bike. She got on her new bike ...

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An excerpt from 7 Ways to Stop Drama in Your Healthcare Practice. Although the ability to initiate difficult conversations is part of good leadership, I’ve never met a leader who enjoys it. Whether your conversation is about body odor, rude behavior, dress code, personal conduct or performance ...

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No news attracts attention like a physician who’s in trouble with DEA or their state medical board. So, how does it happen, what are the common issues and what can a physician do to safeguard themselves? First, let’s look at what the numbers and the research tell us. The Federation of State Medical Boards (FSMB) tells us that 4,091 physicians were disciplined during ...

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I have neck pain.  It’s been going on for years.  Usually, I get sore stiff muscles once a week and a headache.  This is the consequence of having a big bobblehead on a pencil thin, weak neck.  In the throes of pain, I have thought many a time about doing the right thing, and going to see a physical therapist.  But then I get a heating pad, take a Tylenol, ...

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