An excerpt from Medical Marijuana: A Clinical Handbook. Imagine two patients sitting in the waiting area of a clinic. The first is a man in his sunset years who has recently begun treatment for stage 2 lung cancer. His treatment involves the use of chemotherapy, which has ...

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The COVID-19 pandemic has resulted in at least 25 million cases worldwide with a continued spread in the United States, causing global disruption in every sector of society and forcing adaptation to a new normal relying increasingly on technology. Even in the medical field, where there is a pervasive and persistent traditionalist approach to technology adoption, many of the barriers have been overcome. When we reflect back on this life-changing ...

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A bird slams into the glass. A bird slams into the glass. A bird slams into the glass. Over and over again, head first, determined to defeat its own reflection. A headbutt of bravado. I watched it, time and time again. From the inside, I studied the dozens of oily streaks smeared across the window. After a few minutes, the bird would fly away – sore or distracted from its ...

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Like everything in life, applying for residency this year is going to be radically different. There won't be any long cross-country plane flights, no driving across state lines, no crashing at friend's places to save money on hotel nights. Residency interviews are going virtual. Medical students that need help with the residency applications virtually, can use this helpful tool to make better decisions. For some students, this ...

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"Advocate for the children in your community. Studies show that one of the most powerful buffering factors for kids experiencing toxic stress is having at least one supportive, caring adult in their lives. Who in your circles needs you to provide this role? Studies also show that a healthy foundation of sleep, nutrition, exercise, and coping strategies can also mitigate stress ...

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I read with fascination the opinion piece published New York Times:'" But I Saw It on Facebook': Hoaxes are Making Doctors' Jobs Harder" because it's a topic that's been on my mind lately.  Particularly after I engaged in a Facebook exchange with close friends who were forwarding misinformation from the less than reputable "American Frontline Doctors" about COVID-19.  The American Frontline Doctors group was more interested ...

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Depending on our unique perspective, we’ve each digested everything that’s happened this year our own way. My perspective is of a Black, female physician (the mighty 2 percent) – among other things. Those three descriptors have put me in the middle of the two main headlines of 2020: COVID and the Black Lives Matter movement. To most, these two are seemingly mutually exclusive issues our country is entangled in. I, ...

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A new year, a new beginning, and the start of the final year of an eventful decade began with rumblings about a possible disease that would later spread rapidly around the globe to cause catastrophic devastation, lifestyle changes, closure of borders, while at the same time, begging for a desperate need to find a solution. COVID-19 soon got categorized as a pandemic in March 2020. As an international medical graduate (IMG) ...

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An excerpt from Butchered by “Healthcare”: What to Do About Doctors, Big Pharma, and Corrupt Government Ruining Your Health and Medical Care. Doctors help patients, and they love us for it. We fix bones, replace joints, cure killer infections, and control diabetes with insulin. We use painless ...

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Last November, our medical school’s community faced a devastating loss, as second-year student R took her own life. As she was rushed to our hospital’s emergency room, some of R’s classmates, as well as her physician mentor, were on rotation and bared witness to her getting rolled in. Understandably, the loss of R cut deeply. While not often discussed, medical student suicide has been no stranger to medical schools both ...

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"The pharmacy department plays a vital role in hospitals. They prepare and dispense medications. Sometimes the pharmacist will receive an order from the doctor on a med whose written dosage he is not sure of. In some cases, the pharmacist will call the nurse in order to get clarification on this. The problem here is that ...

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I ring the doorbell, waiting patiently outside.  I hear a weak “coming” and some shuffling.  Who greets me is a mother in her robe, hunched over at the waist, supporting her protruding postpartum belly.  Her hair is disheveled.  Her mask is revealing exhausted eyes with attempted mascara to look a “little freshened up,” she confesses a little later.

“My husband is just getting the baby; please come in.”

I ...

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Times of great change can cause people to reflect on their career and work-life balance and evaluate what supports meaning and joy.  When the COVID-19 pandemic reaches a manageable state, I believe that health care providers and physicians, more specifically, will review their place in the health care ecosystem and explore what brings them meaning and purpose. We may experience an exodus of clinicians from health care, or at least ...

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Clinical trials have an ugly history with race, but have we gone from exploitation to exclusion? People of color have long been underrepresented in clinical trials of all kinds; however, as the coronavirus pandemic rages and global attention is fixed on vaccine trials, the low participation rates of people of color have been noticed by the lay media. Much of the medical community would say that ...

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acp new logo A guest column by the American College of Physicians, exclusive to KevinMD. Pandemics periodically alter the course of history, reshaping society as people struggle to deal with the consequences of a new and often devastating disease.  As with past pandemics, over just a few months we have witnessed the rapidly spreading novel coronavirus stretch our ...

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COVID-19 testing has been on the rise – with more and more tests being developed and more testing sites available. Many are drive-thru and walk-in test sites, and anyone is able to show up and get tested. There are so many different types of COVID-19 testing (PCR testing, antigen testing, and antibody testing) via different routes (nasal, nasopharyngeal, oral, saliva, venous blood sample, and fingerpricks), that patients often don’t know ...

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"Fraud in the health care industry is a fact of life.  In 2016 alone, the federal government estimated that improper payments by Medicare and Medicaid totaled about $95 billion.  And that’s only a single year’s amount for just two of the government’s many health care programs.  With an aging population, increased health care spending, the passage of the CARES Act, and ...

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A message appeared in the chatbox. “Always trust the parents. If they think the shunt has failed, more likely than not, they’re right.” It was one of the two fifth-year neurosurgery residents, both present on the video platform for virtual clinic to moderate medical students through patient cases. Prior to each virtual clinic session, the two residents would meet with me, fellow MS2 summer research students, and MS4 “visiting” interns, in ...

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Teachers in Ontario, Canada never imagined they would leave for March break and not return to finish the school year with their students. Many classrooms were frozen in time with Friday, March 12, 2020 still displayed on the walls.

Before COVID-19, the rotating strikes by Ontario teachers were the big news story in education in the province. Issues such as mandatory e-learning, securing funding to hire special ...

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The COVID-19 pandemic and the consequent drop in patient visits have led some observers to conclude that primary care physicians would be better off financially if they were capitated than if they were paid fee for service. If they received a fixed amount of money per health plan member per month, they’d have a guaranteed income stream regardless of how many patients came to their offices. However, a growing number ...

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