Why does she work? It’s a question that she must answer, for it begs itself every time she picks him up from daycare. She always finds him happy there. And yet that — selfishly? — is part of what tears at her. Shouldn’t she be the one making him happy at 11 months? It's more important to her than any other role that she plays – she wants to be everything that ...

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It is a little after 9 a.m. I am about to start the second of a long list of endoscopy cases when my phone rings. I glance briefly at the caller ID to confirm it isn’t my office or the hospital calling about another patient, and am quickly overcome with dread as I see the screen reads, “daycare.” Intuitively, I know why they are calling. My four-month-old must have a fever. ...

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It was 5:45 in the morning on a Monday after a full weekend of call. Thoroughly exhausted, I shuffled into the elevator and was met by the stench of stale clothing mixed with cigarette smoke. A painfully thin teenager exited, looking lost. I allowed him to wander out, grateful to be spared his odor. I was apathetic, overtaken by a weariness I vowed as a medical student never to have. Morning ...

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A new study found several senior academic surgeons had published papers in what used to be termed “predatory journals.” The newer, gentler term is “solicited publishing,” but it defines the same pay-to-play, low-quality publications. Surgeons from the University of California, San Diego examined 110 emails sent to the senior author from 29 publishers during a six-week period and early 2017. Nearly all were requesting manuscript submissions. The 29 publishers represented 113 ...

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Editor's note: Graphic image below. Envision a large, loafy muffin top. Not just a central bulge or even love handles. I’m speaking of an apron of skin and fat that hangs down over many an American’s lower torso and groin. Surely you’ve seen it -- you may even have one. Its medical name is the pannus. I had never heard of a pannus in medical school and I still never hear it ...

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I've thought long and hard about writing this, so here goes:  I am a female surgical subspecialist. I trained at a Harvard program back in the 1990s, and was one of a handful of women to have completed residency training at a stodgy 125-year-old program.  The eighth, to be exact.  During that time, I was treated as an inferior, sexually abused verbally, routinely given the bottom of the barrel when ...

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In the recent years, there is a growing trend in the health care industry whereby private practitioners and independent groups are being acquired by larger companies. This trend is a result of growing complexities of running a private practice and increased expectations of hospital administrators from hospital-based specialists such as anesthesiologists, radiologists and pathologists. I will concentrate on anesthesia as it is my area of specialization, and I have some relevant ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. The opioid epidemic has reached a tipping point. Overdose deaths involving prescription opioids have quadrupled since 1999, as safer pain management practices must be a national priority. Everyone in health care needs to be aware of the potential dangers and become part of ...

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In a 2012 blog post called “Things that puzzle me about surgical education,” I wrote the following:

There was the emphasis that still exists today on making sure every resident did research. At last, some are questioning the value of this for the average clinical surgeon. Contrary to the prevailing wisdom, there is no evidence that a resident who is dragged kicking and screaming through a clinical research project or ...

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Recently someone asked me how I started my blog, Brave Enough. The person, a physician, wondered how I made the jump from safe, traditional academia into the world of social media and blogging about women empowerment. “Did you have one moment? Did something happen? What was it?” The conversation made me reflect, as I have been, for several weeks. Like most things, my introspection ended up as words in my journal. Then, words in a ...

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