STAT_LogoNearly half a million individuals with opioid use disorders are hospitalized each year in the United States. While they are in the hospital, medical providers often treat complications of this disorder, such as bloodstream infections, but rarely directly address their addiction. That’s like pumping up a flat tire without ever looking for the nail that caused ...

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To my residency class: The clock is ticking, its hands spinning around its face faster and faster until I feel dizzy and disoriented. The remainder of the academic year can be measured in days, even hours for some. The carousel is slowing down to let some off, some on. Some, like me, will remain in the saddles of their brightly painted ponies. The cheerful calliope melody becomes distorted with the change ...

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A patient groans in agony lying atop a rigid spine board, carried by paramedics into the ER, his neck in a protective collar. The paramedics shout a summary of the accident. Monitors are attached to the man, flashing and beeping the cadence of vital signs. Nurses and physicians swarm. Gloved hands comb through brown hair for bumps or lacerations. They remove his clothes, feeling for pulses in the neck and ...

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It is honorable to fight a battle in the face of an inevitable ending while not knowing when that end may come. First day of third year — the year most medical students take a sigh of relief as they put their Step 1 book on the shelf and prepare to face the wards: I happened to draw the short straw by having my surgical rotation first, one that often brings an ...

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As President Donald Trump was fighting with Congress over the shutdown and funding for a border wall, his administration implemented a new rule that could be a game changer for health care. Now, hospitals must publicly reveal the contents of their master price lists — called “chargemasters” — online. These are the prices that most patients never notice because their insurers negotiate them down or they appear buried as line ...

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As I listened to my attending explain how during her residency training she was on call every third night, I realized how the definition of "call" had significantly changed since that time. For her, it meant her shift started at 6 a.m. and ended at 8 p.m. the next day, totaling the shift to upwards of 36 hours. My call, on the other hand, was a mere 6 a.m. to ...

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Halfway into my four-week hematology consults elective at the county hospital during my fourth year of medical school, I was surprised that one of my patients was a 25-year-old woman from Romania — exactly my age. This was highly unusual, as most of the patients I had seen on this service were not this young, especially with a malignancy. What was even more unique was that she had just arrived from ...

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In my third year of medical school, I started a rotation at the nearby VA hospital. Walking toward the polished glass doors that morning, I saw my reflection — clean white coat, assured expression to cover up how lost I felt. It was my second clinical rotation ever, and my first time at the VA. I found my team and soon met a patient I'd be seeing for the next month. ...

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Doctors are life long learners. The feedback to read more is often heard by medical students and residents in their quest to acquire the knowledge to understand health and disease processes and direct patient care. With so many demands on a resident and early career physician’s time, how do you make the most of the directive to read more? During residency training and throughout your medical career, the patient case mix ...

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Residency training is often considered to be one of the most daunting experiences in a physician’s career. Each day comes with its own package of highs and lows.  Every year is a new challenge, and a young physician has to adapt significantly as the journey unfolds. Having gone through this process over the past three years as an internal medicine resident, I thought it would be useful for me to ...

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