"While there is a myriad of expert opinions on what long term effects this pandemic will have on our children and their physical and mental health, we must also remember the age-old idiom: this too shall pass. We must also be sensitive to not add to parents’ already full plates. Meditation ...

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“Those who cannot remember the past are condemned to repeat it” is a quote by George Santayana. It rings true in so many facets of life and medicine. In my career in psychiatry, I have held fast to this treatise. Psychiatry, as a practice, has changed over the years. We operate with the knowledge that we must always remember our past, especially since our past has been quite ...

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I rarely post more than pictures on Facebook. In fact, I rarely use Facebook for much of anything anymore. But I need you all to just listen for a second.

I'm scared. For you and for me.

I need you all to take a minute and think of the last time that you interacted in-person with someone who does not live in your home. Did you ...

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With the rapid growth of modern medicine and awareness in lifestyle and environmental influences, individuals can live longer and healthier lives. Approximately 15.2 percent of the U.S. population consists of individuals 65 years and older. To make the added years of life expectancy fulfilling, older adults need to stay socially connected and involved. One key method is through the development of meaningful ...

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As the mother of a child born with hypoplastic left heart syndrome, besides going through four open-heart surgeries and coding, my son has also had eight abdominal surgeries, including a Ladd’s procedure and resection of his colon.  William also functions without his appendix, spleen, and gall bladder. In addition to every kind of therapy imaginable, he has had to endure pamidronate infusions, daily shots, G-tube feedings, and TPN. Who knows ...

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"Customer #4, please step up to the counter. How may I help you today?"  As a patient, have you ever felt that it seemed you were waiting in line at the deli department, listening for your number to be called?  Sorry to say, the practice of medicine has evolved in this direction in the past couple of decades.  Gone are the days when one could enter the physician's office, and ...

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"Appreciation in the personal finance world has two different components to it:
  • Quantitative: increasing value of net worth and financial assets
  • Qualitative: feeling of gratitude for one’s finances, resources, and circumstance. This is not dependent on the dollar amount.
These are both important, but the qualitative is the best predictor of increasing ...

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This question resonates in my mind each day I pass through the prison gatehouse.  The gatehouse is a physical barrier and a mental one, separating the outside from the inside, seceding the lives of people who guard and care for inmates from the lives of those within. Each morning, the gatehouse is abuzz with activity as people file into work.  It’s like going through airport security.  Every single day.  If you ...

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Over the last decade, as health care solutions have become more specialized and fragmented, primary care physicians (PCPs) have frequently been cut out of the loop, particularly in coding initiatives. Retrospective and in-home risk assessment solutions work around PCPs. This dynamic further complicates PCPs’ ability to thrive in value-based care, which hinges on primary care being underscored. PCPs can take back control of care and accelerate their own transition to and ...

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The practice of anesthesiology is the practice of medicine. People who go to medical school and do a residency in anesthesiology are best equipped to deal with anesthetic delivery because they are qualified physicians before starting four years of specialty training in anesthesia. Many also have a fifth year of subspecialty training before entering their practice.  With all this training, why is it that we cannot figure out how to ...

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Lulu was a force of nature. She didn’t believe in expiration dates. Her version of attending church was driving her pumped-up (to manage ranch terrain) golf cart out to the pasture to watch the sunset. She always had dogs underfoot who often ate better than humans. She often would write her birthday card messages on a piece of paper inside the card and then ask me for the ...

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The Prussian pathologist, Rudolf Virchow, who gave us Virchow’s triad: hypercoagulability, endothelial injury, blood flow stasis also gave us the foundations of social medicine, claiming that “physicians are the natural attorneys of the poor” and should be equipped to solve the pressing social problems of their time. In addition, he argued that politics was indeed “medicine on a grand scale,” assertions that are all the more prescient during a global ...

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"While the rise in substance use disorders during COVID will become more apparent as the pandemic eventually ebbs, the silver lining is that this is not a novel problem. We understand substance use disorders far better than we understand COVID-19, and we also know that one of the largest obstacles to treatment is the shame associated with admitting that one has ...

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Doctors are often called “heroes” – a surprisingly uncomfortable label. Physicians are already tired of being held to a higher standard than the average person; raising the pedestal is problematic. While doctors are compassionate individuals who care about bettering lives and curing illnesses, we are also human. At the end of a standard workday, we would like to live normal lives. Unfortunately, the hours are longer, and we are never ...

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You may already be aware of what a tummy tuck is and who should get one. One thing, perhaps, you’re confused about is what kind of tummy tuck would work best for you. If that is correct, worry not. We’ve got you covered. There are several different types of tummy tucks, each designed to address particular areas of the ‘tummy’ in a specific manner. Considering each of us has a different ...

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The administrative burden of medicine significantly contributes to physician and clinician burnout, electronic health systems, or EHR system design and workflow as a lead culprit. As such, recent EHR technology innovation tactics have focused on automating components of data entry and documentation. These technology innovations could significantly reduce the amount of time we spend crafting our SOAP notes ...

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No matter which presidential candidate you voted for or which political party you belong to, we women should stand together unified and proud in knowing that for the first time, a woman is going to Washington, DC, to serve as the vice president of our great nation. It is truly a historic moment for all American women and makes the possibility of a woman as president of the United States one ...

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"We are social beings. Evolution has taught us that in order to survive, we must work together. Community trust (trusting your fellow citizen) is a very effective way to build community resilience when hardships strike. Studies have been done in the wake of natural disasters and have shown that social infrastructure and connections have equal, if not more, impact on the ...

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First of all, congratulations on making it this far in your journey towards becoming a physician. It truly is a privilege to be in the position of a third-year medical student because unlike the previous two years, we are now able to address the needs of actual patients, and in many cases, their family members and caregivers, whether they be emotional, mental, physical, or socioeconomic. I admit that it sounds trite ...

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I had planned to take care of my dad at the end of his life. In 2009, Dad retired at 75 because of Parkinson's disease. Over the next couple of years, he lived in his own home. My younger brother Mark, who lived nearby, faced the first difficult milestones brought on by Dad's declining health. Mark was the one to tell Dad that he could no longer drive. And after Dad ...

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