Breastfeeding provides ideal food for the healthy growth and development of infants; it is also an integral part of the reproductive process with important implications for the health of mothers. Breastfeeding has numerous health benefits for both the mother and infant. Breast milk contains all the nutrients infants need in the first six months of life. Breastfeeding protects against diarrhea and common childhood illnesses such as pneumonia and may also ...

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The millennial generation is known for its desire and ability to change the status quo. As this group continues to enter and dominate the workforce, particularly as our current residents and medical students, employers are adjusting their long-held practices to reinvent their culture and ensure long-term access to young, top talent. Can you give this generation the same dress code as you did the baby boomers and expect the same result? ...

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One of the great nuisances in medicine is diagnosis coding. According to Medicare and insurance companies across the U.S., each and every disease must have a unique number. Everything must be quantified and recorded. Why? To facilitate analysis, number-crunching, regulations, reimbursements and, of course, we sometimes joke, to perpetuate the jobs of the coders. They usually know the nuances better than the doctors. Is it truly possible to describe Mrs. Brown's ...

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The one thing doctors want to avoid like the plague is a lawsuit — a medical malpractice lawsuit. To be sued means the doctor loses precious time from work, endures emotional personal and family distress and is unable to fully invest oneself in providing the very best medical care possible. It is a dark cloud that hovers over the majority of physicians at least once in their lives. Some medical specialties, ...

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People often compare internship to drinking from a fire hose. Overwhelmed by new information and workflow, interns (especially international) usually do not have a clear direction about how to optimize their working/learning experience. Here are some tips for interns to smooth their transition from a newbie into a high-functioning intern in the setting of medicine inpatient wards. Success leaves clues Don't explore yourself, specifically ask your upper-level resident about the most productive ...

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Being a medical resident is really hard. This is not only due to the infamous number of hours you work, but you are truly responsible for patient care for the first time. That is a heavy responsibility, especially when you constantly feel inadequately prepared. You never feel like you have enough time to read, and you never stop feeling like you could be doing a better job. Despite the schedule and ...

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Indiana physicians! I'm excited to announce that two speakers from Physician Speaking by KevinMD, Drs. Lynette Charity and Nicole Swiner, will be conducting a day-long physician wellness workshop at the Indiana State Medical Association's 2019 Annual Convention. Entitled, Building Your Wellness Toolkit, this two-session workshop is led by two of the ...

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A 25-year-old woman is evaluated in the emergency department for chest pain after a belted motor vehicle accident. She is pregnant at approximately 23 weeks' gestation. She reports no additional symptoms and is otherwise well. Her only medication is a prenatal vitamin. On physical examination, the patient is afebrile, blood pressure is 102/62 mm Hg, and pulse rate is 80/min. Pain and bruising over the left chest wall are noted. Abdominal ...

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Jeffrey Epstein's apparent suicide while in custody at a Manhattan detention facility has focused intense media scrutiny into jail suicide prevention procedures. Suicide is the biggest cause of death in jails in the U.S. -- by far. Because of this, all jails (including the facility where Epstein was housed) have a suicide prevention policy. Since the process was an epic ...

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According to a recent Harvard report, physician burnout is “a public health crisis that urgently demands action.” Half of all doctors report troubling symptoms: depression, exhaustion, dissatisfaction, and a sense of failure. These physicians are twice as likely to commit a serious medical error, research finds. Experts predict that if left unaddressed, burnout will further erode the mental health of doctors and radically undermine patient care. At ...

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Every year, there's this rite of passage, the passing of the baton, as our graduating senior residents move on to fellowships, or into spots as hospitalists, or to practice jobs here in New York City or other cities, and a fresh new group of newly-minted physicians arrives ready to take up the gauntlet of training as Internal Medicine doctors under our ...

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I am a psychiatrist living in El Paso. My husband was the orthopedic traumatologist on call at the academic center last weekend when 22 El Pasoans were murdered and 26 wounded in a mass shooting at a busy Walmart in town. The rest of this week has been oddly surreal for me or maybe numb. Until this afternoon. Something happened while I was getting my hair done that made me ...

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As the fall approaches, medical schools across the country are preparing for the arrival of a new crop of medical students. The primary emphasis of medical school is to teach technical competencies so that students graduate with the medical knowledge and know-how to diagnose and treat disease.  Recognizing the health care is getting more and more complex, schools are also introducing new and evolving fields like health systems ...

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As a doctor that specifically deals with brain and spine surgeries, I have adopted a No Room for Error mentality in the operating room. I believe this same mentality can be helpful in making the best possible life decisions. What do I mean by No Room for Error? It is natural to visualize the successful achievement of a goal. For instance, prior to performing the most common surgery I perform, resection of ...

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The team stood around the older woman's bedside. As one of the medical students, I prepared to meet my assigned patient. While being assigned to me, Mrs. R yelled, I'm not letting that  n***** take care of me! As the only Black person in the room, her words meant for me hung in the air.  Frozen in place, my heart racing, I fantasized walking out of the room. Without a break ...

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Family physicians and others have for years complained about ridiculous quality measures such as the meaningless use program, HEDIS, MACRA, etc. To its credit, the Agency for Health Care Research and Quality was willing to take a step back and ask, “What does high quality look like?” Researchers led by Rebecca Etz, PhD were funded to go out and ask a variety of stakeholders their answers to this question. ...

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Veronica Kelley was working at an office building across the street from the Inland Regional Center in San Bernardino, Calif., in December 2015 when a county employee and his wife entered with semiautomatic rifles and opened fire, killing 14 and wounding 22. Most of the victims were co-workers of the gunman. The couple went on to wound two police officers later that day before being fatally shot by ...

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Hey there, Dr. Brown. Just wanted to send a little note to warn you that I’m coming to see you soon for my yearly “checkup.” You and I both know that this is my annual opportunity to spew all of my worries on you and for you to reassure me that I’m not dying. Have you blocked at least an hour for me? I’ve got a boatload of random symptoms that ...

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“It is high time for us to recognize that the physicians who spend so much of their lives caring for us are often suffering in silence, and effective interventions would be good medicine for all of us.” - Joan M. Anzia, MD On February 4, 2007, I attempted to take my own life. It was Super Bowl Sunday, and the Colts were playing the Bears. My wife Charlene and I were home, and ...

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Keeping tabs on the sheer volume of medical drugs and devices on the market is nearly impossible – the FDA approved a record 105 novel medical devices and 59 new drugs in 2018 alone. At the same, hospitals and physicians face ever-growing pressure to cut costs while improving quality. Many physicians make patient treatment decisions based on their own expertise and/or limited review of the readily accessible information, the processes ...

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