From October 25 to October 29, 2019, more than 10,000 pediatricians from all over the world gathered in the city of New Orleans, Louisiana, to attend the American Academy of Pediatrics (AAP) National Conference and Exhibition. As the world's largest pediatric medical education event, the AAP National Conference draws pediatricians, like me, to network with mentors and colleagues, learn about the latest clinical guidelines and policies, and be inspired to renew ...

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As my husband passed the milestone birthday of 40, he thought it would be a good idea to get a physical exam as it had been several years since he saw a physician. Easy task, right? We soon came to find that the landscape of health care had been changing even faster than we thought. We had just moved and needed to establish care in a new area. Multiple phone calls ...

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In the United States, the health of African-Americans lags behind most other racial minority groups.  Compared to whites, black men and women face higher risks of chronic illness, infection, and injuries.  Taken altogether, the average life span for African Americans is six years less compared to whites.  If we can begin to acknowledge that health outcomes are often dependent on factors outside of the control of individual patients, their physicians, or their health ...

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An excerpt from Curing the Cancer in U. S. Healthcare: StatesCare and Market-Based Medicine. Clinical doctors can readily understand the continuing failure of the U.S. health care system. The attending physicians for Patient Healthcare–Washington, both legislative and executive branches–keep ...

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Climate change. Global warming. The greenhouse effect. Devastating wildfires, dangerous air quality. Catastrophic weather events and mass human migration. It all sounds like post-apocalyptic fiction except that it's real. Inside our air-conditioned offices and homes, it can still be possible to be optimistic. Maybe it's nothing out of the ordinary. Maybe it isn't our fault and would have happened without human activity. Maybe we don't know what will happen and ...

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The World War II veteran, now in his 90s and receiving hospice for end-of-life care, was playing military anthems on his harmonica for fellow veterans. But the next minute, reliving the horrors of combat, he grew agitated and started to cry.  “Oh, all those bodies!” he suddenly called out. “Terrible, terrible! Oh, the bodies.” He finally blurted out what he had kept to himself for decades. Two days later, he ...

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Next in a series. I have developed a framework, which I call the Healthcare Incentives Framework, that helps me understand health care systems. It outlines the jobs we expect a health care system to do for us and identifies which parties in the health care system have the primary incentive to fulfill each of those jobs. This is helpful because, if we are unsatisfied with how ...

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An excerpt from Technology and the Doctor-Patient Relationship. As disturbing as the structure of malpractice insurance is in America, a more significant problem is the defensive style of medical practice it induces. In a large-scale survey done by Jackson Healthcare in 2010, between 73-92% of physicians self-reported ordering unnecessary ...

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Between 2011 and 2015 there were over 21,000 children killed by guns. This recent study in Pediatrics, the journal of the American Academy of Pediatrics, further analyzes the question; it compares pediatric firearm fatality rates among the various states and then tests for correlation between children killed and the degree of strictness or not of the state’s gun laws. There are extensive data on whole populations showing that stricter ...

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I'm a healthy 48-year old, ASA physical class I anesthesiologist. At least I was healthy until an unintentional 20-pound weight loss over the summer, accompanied by an unquenchable thirst, insatiable appetite, blurry vision, and the bathroom frequency of an elderly prostatic. My lab workup would reveal a fasting blood sugar of 310 mg/dL, an A1C >14, positive urine ketones, low C-peptide, and glutamic acid decarboxylase antibody (GAD-65) level that was off ...

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