42,000. That’s the number of CDC reported overdose deaths in 2016 due to opioids. Ten percent. That’s the percentage of the estimated 2.1 million opioid substance abusers receiving treatment help and even fewer afforded medication-assisted treatment (MAT) for their struggles. Three percent or around 40,000. That’s the number of physicians out of a total of 1.3 million across the U.S. qualified by ...

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I agree wholeheartedly with a post by Annahieta Kalantari expressing the idea that finding a new physician job is like dating. A patient looking for a new MD can be just as uncertain, unnerving, intimidating and stressful. First, you hear the dreaded words from a receptionist, often sorrowfully saying, “I’m sorry, we’re not in your network this year.” Then, the nerves begin. Maybe a friend recommends a doctor ...

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It wasn’t long into my clinical training when I realized that most patients do not convey information the way templates are designed to record it. Instead, they tell stories -- which may weave from topic to topic, progress forward or backward in time or in patterns that may not be familiar or clear. But they are told as the patient sees fit to convey them. David, a forty-year-old man who recently presented ...

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I’m a family doctor in upstate New York. My patients include active NRA members and ardent pacifists. Most probably fall somewhere in the middle -- they own guns for hunting or encourage neighbors to hunt the deer that feed on their lush gardens. As a mother, I tried not to let my boys play with toy guns when they were little. In a young boy’s imagination, though, everything became a gun ...

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Where is everybody? It's a Wednesday morning, and after 8 o'clock grand rounds I headed back from the medical college auditorium to our practice, and as I walked back into the office our med-tech told me that my first two patients were already in their exam rooms. So I dove right in, starting with a husband and wife there for their annual physical exams, and I set about getting to my morning ...

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He looked tired and worn down, more so than many of the other patients I had seen that day. He didn’t speak English and I did not speak his language, but I could feel his anxiety as it filled the exam room. One of my employees translated, in fact, what his “boss” was telling us. The boss was worried that he was more tired than usual, and not getting his ...

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After a Harvard endocrinology course several years ago, I walked out into the weak afternoon spring sunshine and crossed the street to the Boston Public Garden. Among the multitude of faces of the other flaneurs I was certain I saw scores of people suffering from endocrine diseases -- probably undiagnosed, I thought to myself: I saw tall men with big jaws, typical of acromegaly; stout women with skinny extremities and ...

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The path to becoming a physician is a long and character-defining one. From the moment one first realizes that they want to become a doctor, applies to medical school, and then goes through the rigorous next few years of exam after exam and exhausting clinical rotations -- the road is certainly not for the faint-hearted. Everybody is aware of how much knowledge and hard work is required to become a ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 47-year-old man is evaluated during a follow-up examination. He is obese and has hypertension, type 2 diabetes mellitus, and obstructive sleep apnea. He reports that he has always has been overweight, and over the years, his weight has gradually increased to 123 kg (271 lb). During the past ...

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I log onto KevinMD every day to get my much-needed dose of physician commiseration. At least once a day, one of us writes an article about burnout. It typically leaves me feeling quite validated. I particularly enjoy reading the comments section, as many of you make me laugh with your physician reality-based humor. I am more burned out than I ever hoped to be. I work in primary care, have a ...

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