The tragedy on a New Jersey highway in May involving a school bus and a dump truck horrified the nation while also raising familiar questions about school bus safety. The impact ripped the body of the bus off its chassis, killing two people and injuring most of the 45 passengers on board. By one witness’s account, “A lot of people were screaming, and they were, like, ...

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An 8-month-old baby fell 3 feet and hit his head on a carpeted floor in a San Francisco hotel room. He was crying and the parents, who were from South Korea, called an ambulance. By the time the child arrived at the hospital he was obviously fine. After a bottle, a nap, and a few hours in the hospital, he was discharged. The hospital sent a bill two years later, which ...

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Never touch your hair. It cannot be down, and it cannot look fancy. Optional styles include bun, ponytail, or braid. I might as well shave it off! I hear you thinking it – we’ve all thought it – but it’s wrong. The only thing worse than looking like a woman that’s too hot is looking like you’re not a woman at all. Woman? Sorry, I meant girl. Never touch your phone. ...

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A speech to graduating residents. It’s an easy thing to count the number of seeds in an apple. In our residency class of 2018 we have nine seeds, and on your graduation, we scatter you across the country. You each carry amazing potential that we have hopefully helped nurture over your years here. You will be caring doctors kneeling by bedsides. You will be national leaders changing policies. You will be ...

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As I begin my overnight pediatric emergency department shift, there is one patient waiting to be seen: “Six-year-old male with autism, alleged sexual assault.” In year one of my pediatrics residency, I have not yet managed a sexual assault case, it is time to learn. I sign up to see the patient and move to find them in the sub-waiting room. As I come around the corner, I find a family ...

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Written by George Kamajian as told by Bob Fedor. I'm an old family doctor. I've seen much and forgot more. Life has taught me that we touch our patients’ lives for a moment, a season or a reason — and sometimes with unforeseen consequences. I grew up in Erie, Pennsylvania. In 1968, when I was 19, the Tet Offensive in Vietnam caught the American military off-guard, and the Pentagon began frantically drafting ...

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The initial doubts first surfaced mid-way through our flight bound for Montego Bay, Jamaica. In fact, we were not entirely sure that this trip was such a good idea after all. Our eldest son, 13 and in eighth grade, was already complaining about how much school he was missing and how much homework he had been assigned. Our daughter, a sixth-grader prone to procrastination, had her nose buried deep within ...

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I have met, in the emergency department, some fierce individuals. Sometimes they can be terrifying.  Their clothes, their manner, their demeanor, the way they pace, all suggest potential danger.  They seem clearly capable of violence.  They look at me with distrust, expecting to be disrespected, dismissed, treated harshly. Sometimes, they are covered in piercings; a thing alien to me.  Other times, the symbology on their clothes speaks volumes.  My colleagues in ...

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I know a bit about the opioid epidemic ravaging America. My wife and I grew up in West Virginia and follow the news from home. I practice emergency medicine in rural South Carolina, and have worked in Georgia, North Carolina, Kentucky, and Indiana. I have seen the enemy, and it is terrible to behold. The genesis of the epidemic has been covered over and over. It is a complex problem with ...

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Recently I posted a piece, describing research out of Johns Hopkins, showing that when patients come to ERs -- either with no insurance or insurance that is out-of-network -- they often face charges that are four, six, or even ten-fold greater than what Medicare would pay for the same services. After the post, I was inundated with angry tweets and emails, mainly from emergency medicine ...

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