"What has become of medicine today? What has become of the sacred patient-physician relationship? What has become of medical offices- aren’t they supposed to be healing places? Who goes to a medical clinic (no matter how Big the Name) to be insulted and diminished and hurt? What has become of physicians as ...

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As a podiatrist, Dr. M usually focuses on feet. But years of military service and expertise in program implementation and measurement qualified him for another clinical job, setting up a COVID test site. Testing stations were available in the suburbs, but the heart of the epidemic, the urban center, needed a walk-up and drive-up option. The medical director tasked him with the job. “We can’t spare a nurse to assist ...

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Introduction Today, I had my second shot of the Pfizer vaccine and suffered an unexpected and unreported side effect. That’s the problem with a new medical treatment; you never know what might happen. Transformation Just a few seconds after the needle penetrated my arm, I felt a mild soreness, kind of like a flu shot. But as I sat for the required 15 minutes of observation time, a wave of something engulfed my ...

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As a young and optimistic business school graduate, I recall when the consulting firm I worked for was retained to evaluate “USA Hospital and Medical Clinics” (pseudonym). “USA” had grown quickly and was struggling to manage the recent expansion. We interviewed doctors, nurses, and medical assistants, and they told us about the problems they faced every day: They were pressured to get patients in and out quickly to keep average visit ...

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The abysmal attempt at mass vaccination against COVID-19 in the United States is uninspiring—a prophecy seemingly set in stone by the testing debacles' failures.

The Centers for Disease Control and Prevention reported on Tuesday, that of 17 million doses, only 4.8 million had been administered. That’s only 28.4 percent of distributed doses in over three weeks. Of the possible 528 million doses to achieve herd immunity (roughly 264 million ...

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A few weeks ago, a small rural hospital in Susquehanna, Pennsylvania, received its first shipment of Moderna COVID-19 vaccine and quickly began vaccinating the hospital’s health care workers and skilled nursing facility staff and residents. After the Barnes-Kasson County Hospital immunized all the Advisory Committee on Immunization Practices (ACIP) Class 1A workers and residents who requested the vaccine, it moved to the next level of eligibility and started immunizing ...

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"I plan to reach out to climate organizations and see what I can do to get involved. Whether that means writing more op-eds like this one or writing to legislators, I now recognize that as part of the medical field, especially in regard to mental health, I have a role to play. ...

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I write this now as both a time capsule and a vision of hope at the bitter end of 2020. At this point, a COVID-19 vaccine (the vision of hope) has been developed by several companies but has not yet received widespread distribution. Realistically, I know we are in for more quarantines, social distancing, and mask-wearing for at least another 9 to 12 months (sorry!). My clinical work in psychiatry has ...

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Even if you have a great health insurance plan, you may be faced with large unexpected medical bills that can significantly impact your finances and may lead to medical debt. High deductible plans, the rising cost of care, and high-cost treatments for conditions ranging from cancer to COVID-19 can put almost anyone at risk for medical bills that put strain on their budget. In fact, about a third of adults ...

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Pandemic. COVID-19. Quarantine. The words will forever be etched in our memories. While for all the pandemic has been a challenge, it has also meant more time with family, time to learn a new hobby, and the flexibility of working from home.  Its memory is one of loss of income, home, and loss of life for others. For me, the memory seared into my heart is that of me staring into a ...

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There are times when I feel that I am boxed-in by this unrelenting virus, COVID-19. This microscopic entity has put the majority of the world into lockdown, affecting all aspects of human life and social interaction.  The virus does not discriminate due to race, creed, or color. Be you rich or poor, a professional or laborer, you are fair game to be its next victim. It stealthily works its evil ...

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"We must continue to work to create gender equity as here is where we stand today: A significant gender pay gap still exists in medicine where women doctors earn up to 33% less than their male counterparts. Even though women make up 36% of practicing doctors in the country, only 15% of ...

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With 2020 behind us and the pandemic still raging, it is incumbent upon us to take a close look in the rear-view mirror. While the vaccines' approval gives us all hope, the vaccination initiative's slow rollout should worry us. Physicians, health care providers, nurses, and essential workers, and patients and family members have borne the brunt of the pandemic. On the last count, about 3,000 health care workers had lost ...

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Therapy is a treatment intended to heal a disorder. That’s the medical perspective anyway, and it’s not wrong, but it’s maybe only part of the picture. Therapy frequently begins by addressing a primary complaint or problem in a collaborative relationship that grows over time. And during that time, while the client is assessing trustworthiness, the clinician continues to work towards an effective therapeutic alliance. How this exactly occurs depends a ...

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When the pandemic hit the U.S. – we were caught off guard. We were uncertain about how COVID-19 spread or how it killed. But amidst the chaos, health care providers have learned how to better care for infected patients today. Since March, we’ve learned that surprisingly simple actions can make a significant difference in both containing COVID-19 and improving patient outcomes. For example, we now know mask-wearing, social distancing, and limiting ...

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“Oh, but don’t worry, they’re fresh!”  We were not talking about produce, and this was not reassuring.  The conference speaker was scheduled to teach a Botox training session the next day - using cadaver heads. When I had initially signed up for this physician seminar on facial cosmetic rejuvenation, there was no mention of cadavers. I left the session wondering exactly how “fresh” he meant and feeling a sense of ...

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"I recently represented a physician in a noteworthy peer review case at an academic medical center. The medical staff president initiated a complaint against a surgeon, who would later become my client. The complaint was that the surgeon inappropriately collected cash payment from an uninsured patient at the hospital’s point of ...

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The day before the United States border with Canada shut down to non-essential travelers, my mother left Chicago to take care of my grandparents who lived by themselves in Ottawa, Canada. With the COVID outbreaks at nursing homes, she took it upon herself to stay with them as long as they needed her. During the following months, my grandpa sustained another heart failure exacerbation, and my grandma was diagnosed with ...

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I am a Philadelphian. I was born in a hospital within a few blocks of Independence Hall, where the Constitution was written, and of Thomas Jefferson’s lodging, where the Declaration of Independence was drafted. Whether it was elementary school trips to Betsy Ross House, Ben Franklin’s Printing House or, yes, to see the crack in the Liberty Bell, then housed in the Hall itself, the tenets of our country’s revolutionary ...

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I just started laughing. It was early on Monday morning during our COVID surge. I couldn’t help myself. Phones were not on yet, but I already had triage COVID calls.  “Put on your roller skates” was all I was thinking. I questioned my laughter. The day and a life of a primary care physician during COVID. Not a fun one by any means. Certainly not one to laugh at. But, if ...

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