In medicine, we define shared-decision making between the patient and physician as our gold standard ideal. Leveraging separate ideals is our standard of behavior. So what must it feel like to a patient of faith when his/her physician tells him/her "believe the science?" Scientific evidence and religious texts can both be manipulated to support a group's point of view. Based on their own agendas, groups have used science to argue ...

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"I didn't understand what you said," said the waitress. "She very clearly said she wanted a quesadilla with a side of beans!" yelled an elderly gentleman at a different table. The nervousness that arose when ordering food at restaurants grew as months passed like the fetus of a diabetic mother. My thoughts would race around what words to pick and how to pronounce them. My cheeks flushed as I stuttered sounds that ...

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As authors, although we represent a multitude of Asian diasporic identities, we are not representative of all Asian identities. We acknowledge this and add nuance to unpack this whenever possible. The views expressed in this piece are our own. As we enter another month of America’s racial re-reckoning, anti-affirmative action sentiment has resurfaced like clockwork. Asian-American voices have once again spoken out against racial equity — as central pawns in legal ...

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Most health care providers are aware of the FIGS scrubs advertisement that depicted a female physician with a DO badge holding a Medical Terminology for Dummies book upside down.  In one fell swoop, FIGS enraged the entire medical community causing backlash towards their company.  This ad mocking female osteopathic physicians sparked outrage.  Many in health care have vowed not to purchase FIGS, prompting the #boycottFIGS response posted as a result ...

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"Setting: An impersonal, windowless conference room within a hospital Characters: A nurse in charge (NIC), a department chair (DC) and me (ME) NIC: Thank you for joining us to discuss the report you made of unprofessional behavior in the operating room. We’d like to start by letting you know that in this institution, we have a culture of informality. When I first got here, ...

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I wrote my undergraduate thesis on death and dying. I read journal articles trying to understand what death meant and how it affected people. I spent hours reading books, both fiction and nonfiction, trying to understand if you can ever die a good death. I engaged in meaningful conversations with compassionate and astute physicians, nurses, and professors who experienced the death of their patients, both adults and children, time and ...

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Do you remember what you dreamed of becoming as an adult? I do, and I recall my father telling me I could be anything I wanted to be. My dreams were shattered as soon as I stepped into a prison and I am still trying to pick up the pieces of my self-worth. “Wait, you’re a doctor?” “Nah, man he ain’t a doctor; he looks too much like us.” I am ...

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The flurry of recent articles on the adverse effects of climate change on health are almost as overwhelming as the climate crisis itself. Just this past year, over 300 medical students came together to found Medical Students for a Sustainable Future (MS4SF), an international coalition that recognizes climate change as the greatest health emergency of our century. Recent KevinMD articles, ...

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The following article is satire. According to several very old studies, interventional patient-centered bipedal locomotion (sometimes informally referred to as walking) might be an important part of good hospital care. Programs focusing on this treatment are reportedly under consideration by administrators at some facilities. “As we look to streamline interoperability and optimize outcomes metrics, we’re thinking about anything that we could attach a number to,” says Larry Perry, Chief Medical Information Strategy ...

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I’m not outspoken about much, but will not, can not, hold back my battle cry about masks. Would I feel so adamant if I didn’t possess a crisp death certificate with, “CORONAVIRUS 2019” in an envelope inside the file cabinet beside me? Maybe, maybe not. The envelope came sealed with a sticker embossed with the name of the funeral home that handled my mother’s funeral. I thought it was ...

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"Will the unfavorable regulatory environment permit telehealth to flourish? Perforce we’re beginning to see a relaxation of restrictions that have hitherto obstructed progress.  Recently, federal officials approved interstate licensing, thereby prompting greater telehealth conversion, utilization, and expansion. Medicare’s 1135 Waiver is also encouraging, and, in as much as it serves the same ends, the Drug Enforcement Administration’s leave to prescribe via ...

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This article is adapted from Called to Care: A Medical Provider's Guide for Humanizing Healthcare. Imagine getting a call that your child has injured himself during football practice. Although you are up against a work deadline, you have to find an available doctor, leave work early, pick ...

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For a bunch of folks striving to stomp out malignant processes in our patients, we sure tolerate a fair amount of destructive behavior among training programs.

I’ll be the first to say I’m not the most delicate flower in the garden. Before pursuing medicine, I was a college athlete. I’m no stranger to long hours, harsh coaches, or repeated failures.

Medical students get their first bitter taste of malignant ...

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During a typically busy Saturday evening shift in the emergency department (ED), I am summoned to the trauma room for a “tie-down,” an agitated patient needing restraints. I find the entrance choked with police officers and push my way through to see the patient.  Once there, I see a large, young appearing Black man lying on his back, his hands cuffed tightly together on his stomach, a netted hood over ...

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“Hope things go back to normal soon.” That was the text I received from a friend yesterday. It struck me in reading those words that I have stopped thinking or worrying about the end of the pandemic. In those first months, absolutely. Daily thoughts of getting back to normal life. Now, out of self-preservation and a renewed sense of life’s sacredness and fragileness, I have turned to making the most of each ...

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He was in his 30s, strikingly handsome with the short-cropped hair of a soldier. This was Ukraine, and it was at war with Russia. He was now part of that war, a war the rest of the world has forgotten or no longer cares about, even as its’ young men continued to fight and die in the horror that is the front-line. His unit’s chaplain asked me to see him ...

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"Suzy was a bright and hardworking student. However, even though she was conscientious and generally cheery, her grades began to fall during her senior year, and she started to feel depressed. She also constantly had an upset stomach, which she had just accepted as a way of life. She’d had an ADHD diagnosis since she was younger, but while Ritalin had ...

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In this age of the coronavirus pandemic, every moment of life takes on new meaning and importance. Decisions must be made based upon facts known, not assumed. Everything requires careful thought and planning, like a trip to the pharmacy for refills of prescriptions or a trip to the local grocery store to pick up needed food supplies. Even a trip to the local park for much-needed exercise requires thought of ...

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Children and teens with headaches and migraines have been affected in a variety of ways by these pandemic times. Thinking back, there has been a difference between last spring and this fall and the effect on my patients, particularly in the school environment.

In the early days last Spring, many of my patients who had been having a hard time getting to school every day due to ...

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The House in the Cerulean Sea by T. J. Klune is the kind of book that paints you into an entirely new, fantastical world, and you may find yourself wishing you never left. Our humble protagonist, Linus Baker, is an employee of DICOMY (Department in Charge of Magical Youth) who spends his days evaluating orphanages that house, teach, and often abuse magical children in a land where extreme prejudice against ...

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