A recent New York Times article entitled, "When You're Told You're Too Fat to Get Pregnant" discussed a woman's journey to having a child, which involved being counseled against undergoing fertility treatment due to her high body weight. She ultimately underwent bariatric surgery, lost weight and was then able to conceive after an IUI (intrauterine insemination) cycle, a fertility treatment that involves placing the sperm at the ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 35-year-old man is evaluated during a follow-up appointment for persistent heartburn with chronic cough. He has a 1-year history of gastroesophageal reflux disease and takes pantoprazole twice daily. He reports no nausea, vomiting, or dysphagia. Upper endoscopy performed 1 year earlier showed no abnormal findings. His vital signs and ...

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When Colorado legalized marijuana, it became a pioneer in creating new policies to deal with the drug. Now the state’s surgeons, nurses, and anesthesiologists are becoming pioneers of a different sort in understanding what weed may do to patients who go under the knife. Their observations and initial research show that marijuana use may affect patients’ responses to anesthesia on the operating table — and, depending on the patient’s history of using ...

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In 1902, a smallpox outbreak infected thousands of people across the northeastern United States. That year, in Massachusetts alone, 2,314 people were infected, and 284 died. This was not unusual for early-twentieth-century Massachusetts: The smallpox vaccine had been invented more than a century earlier and had markedly reduced the incidence of the disease, but the diminished threat of illness motivated fewer people to opt for vaccination. City officials ...

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Amid the contentious dispute over immunization requirements for children, Kelley Watson Snyder stands out: She has been both a recalcitrant skeptic and an ardent proponent of childhood vaccines. Snyder, a Monterey, Calif., mother of two, was a so-called anti-vaxxer for many years, adding her voice to those that rejected mandatory vaccinations for school-age children. She later realized she was wrong and in 2014 founded a pro-vaccination Facebook group called “Crunchy Front Range ...

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Claire Elise Boucher, 31, known professionally as Grimes, is a Canadian singer, songwriter, record producer, and visual artist. Her music incorporates elements of varied styles, including dream pop, R&B, electronic music, and hip hop. Since 2018, Boucher has been in a relationship with technology entrepreneur Elon Musk. Grimes recently became the star of a new Adidas advertising campaign. In announcing this new ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. For years, research and common belief have supported the concept that patient education alters patient behavior and improves patient outcomes. For instance, lifestyle changes, implemented after improved physician-patient engagement and education, have demonstrated clinical benefits in a wide range of chronic illnesses, ...

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STAT_LogoWhen the Human Genome Project began in 1990, bioethicists feared that giving people the results of genetic tests would do them a lot more harm than good. Experts feared that individuals who received genetic information about their future health status would be overwhelmed by depression or anxiety. Or as genetic testing became more widely available, it would ...

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When we think about clinical reasoning, most talks focus on diagnostic errors and the reasons for those errors. The legacy of Kahneman and Tversky focuses on errors and the many named mistakes we make. We focus on avoiding errors, but their work and too often our teaching does not focus on the road to diagnostic excellence. Gary Klein, the pioneer of naturalistic decision making, has focused more on the road to ...

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I’m in the back of an ambulance rig driving 110 miles an hour down the highway with the lights and sirens blaring.   The knuckles of my right hand are crushed every four minutes as my patient has contractions.  She cries only a bit.  She’s sixteen and her last period was nine months ago, but she hasn’t seen any other physician before me. This last contraction was an intense one -- my ...

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