Recently, I attended a conference on social media. The conference was geared towards health care professionals who had a product they wanted to perfect and promote. In speaking with some of these participants, many of whom were physicians, I realized they had no clear marketing plan.  Although a clear and concise marketing plan would help sell their product, I understood that they were working full time and their product was ...

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I was in my surgical residency back in the days of "you can go home when the work is done." A few years before I arrived as an intern, one of my attending surgeons had decided he was going to jump on the trauma train. Trauma was in its infancy back then, and he was convinced (and rightly so) that patients could be greatly helped with this relatively new concept ...

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It was a twilight summer game, and I was parked as usual in right field among the weeds and snake holes. There was no outfield fence, so muffed balls could roll forever. Not gifted with athletic skills, I also had a secret problem. I was blind as an especially myopic mole rat and couldn't even see the second baseman. This would be discovered five years later. I knew one thing ...

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The common critique of surgeons from their medical colleagues is the scant amount of time spent with their patients. As the argument goes, surgery is more impersonal than other specialties and those who practice it see their patients in one dimension. In some sense, they aren’t wrong. For those who wield the scalpel, speed and efficiency are a priority. It's a philosophy perfectly illustrated during morning rounds, the daily tour of patients ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. If you have not yet heard about Assembly Bill (AB) 3087, a bill that was presented in the California State Assembly this spring, you should keep reading and be very concerned. This bill, introduced by Assemblymember Ash Kalra (D- San ...

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In February 2017, I saw my last patient and left clinical medicine. Most people would say I retired. I have chosen to say I have repurposed. I no longer see patients, but I still work. I am writing the Doctors Guide series of books, keeping up a blog and working with physicians who need help with a financial makeover, usually to eliminate their debt, set themselves up for retirement or ...

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In early April 2017, a cover of The New Yorker depicting four medical providers sparked a movement within surgery. Women surgeons claimed this illustration as a rallying cry; recreating it proudly with colleagues in the operating room and sharing their images on social media tagged with #NYerORCoverChallenge and #ILookLikeaSurgeon. We were in our fourth year of general surgery residency when we became the ...

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It is well known that smoking cigarettes negatively impacts health and leads to an increased risk of stroke, heart disease, lung cancer and death. No one debates this anymore. But it wasn’t always this way, and it didn’t come easily. In the 1940s, almost half of the population in the United States smoked, and the tobacco industry was subsequently incredibly powerful and politically active. It spent millions of ...

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“Don’t get tired! Don’t f*cking move! Don’t you f*cking move, or I’ll f*cking die!” That’s an excerpt from an OR in St. Louis on March 12th. This is just one of the outbursts that was reported from a single, multi-hour surgery — an attending’s toxic mandate to her resident, who was poised in a precarious situation under the drapes. The rest of the OR staff caught plenty of its own abusive ...

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She pushes her cleaning cart into the bright room. “Looks like the usual mess,” she mumbles to herself, pushing a loose piece of hair back into her blue cap. Methodically, she cleans the room beginning with the operating table, stripping off the bloody sheets. Then cleaning the floor of blood-stained shoe prints, amniotic fluid and bits of paper, needle caps and such, that managed to escape hands and land on ...

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