Just before the pandemic, I walked 96 miles (154.5 km) in seven days on the West Highland Way in Scotland, though I was hardly alone in this endeavor. About 250 people start the walk each day, including the amazing group of primary women that I walked with, indicative of both the attraction of the trail and the popularity of this form of physical activity.
All types of people were walking. There …
These last two years have been extremely challenging for most health care professionals. Watching society challenge essential health and science principles that we have known to be fact has been difficult to bear. Being villainized, health care workers went from being hailed “health care heroes” to being the target of hate, violence, and disregard.
These past few years have been a year of reckoning in many ways. The COVID-19 pandemic has …
There is no denying that we live and work in some extraordinarily trying times. Cast your eyes in the direction of any streaming news source, and another breaking story that describes the catastrophic dumpster fire of the current state of the U.S. health care industry will jump out at you.
The weight of this downward spiral, coupled with staggering workloads, makes it almost impossible for those struggling in the front lines …
Pneumonia is the deadliest of all hospital-acquired infections in the United States, costs 3 billion dollars per year and is the leading cause of new antibiotic initiation in hospitals. Hospital-acquired pneumonia is classified as either ventilator-associated pneumonia (VAP) or non-ventilator hospital-acquired pneumonia (NVHAP). For the past 15 years, VAP has dominated our attention, resulting in the wide implementation of evidence-based prevention strategies that have …
For practicing physicians, inclusivity proves critical.
Not because of HR mandates. Not because it’s a good thing to do.
Inclusivity improves your patients’ care. It enables you to be a better doctor.
Rising complexity, rapid change, and treating far-flung patients mean physicians need information from all angles of care.
Physicians need to know that everyone participating in your patients’ care can tell you vital information. They must feel safe and comfortable communicating with you …
This article is satire.
The DSM-5-TR came out in March with some shocking omissions. Here submitted are a few new conditions the next version might include:
Animaculism: the state of joy that comes from the care and companionship of nonverbal creatures, with subtypes for canine, feline, bovine, avian, piscine, exotic, and even serpentine.
Hyperfurrification: being covered in exogenous pet hair
Itchymaskanosis: an acquired hallucination, the sense of an invisible nose tickle as if from …
Over their lifetimes, adults in the United States have a 40% chance of developing type 2 diabetes. And the likelihood for Latino adults is 25% higher. Even worse, Latinos develop type 2 diabetes when younger, and experience more severe complications and higher hospitalizations.
The stark disparities of type 2 diabetes reveal how cultural and social factors affect disadvantaged populations. As a case in point, managing diabetes is more difficult for patients …
This is what the result of unresolved trauma looks like.
What we witnessed Will Smith do in assaulting Chris Rock during the Academy Award ceremony was a trauma response.
While I am in no way condoning violence, this is a very public and important opportunity for us to understand what a trauma response can look like.
A trauma response can take many forms and look like:
…
It’s not what you think. It’s not my actual mortality.
It’s that emotional death.
Of being a nurse.
If you’ve never been a nurse. Then you will never know.
It’s that’s giving of yourself: heart and soul.
Constantly and forever.
It’s not being with your family for Easter or Thanksgiving or Christmas.
It’s not being able to go to the bathroom or even take a 30-minute break in 12 to 13 hours.
It’s being surrounded by bully nurses …
I was truly gutted when watching the recent Saturday Night Live that joked about nut allergies. My son Joshua, who is 16 years old, has an anaphylactic peanut allergy. I found the segment to be insensitive to the millions of people globally who live each day with food allergies, an invisible but potentially fatal disease.
How do I explain to my son that it is OK to make …
Throughout history, ancient tribes practiced cannibalism with the intent of bolstering their own courage or energy by consuming their defeated enemies. They wanted to be what they ate: full of courage and vigor. They would even eat their enemies to vanquish their energetic spirits before they ascended to the afterlife.
Christian Communion also practices the consumption of the figurative blood and body of Christ. It serves as a remembrance …
An excerpt from The Empathy Academy.
It might be tempting to choose an easier path, Monty thought, but amid the stress, pain, and tragedy, there were also triumphs: A patient’s seizures stop. A CT scan is clear. He remembered resuscitating Mrs. Caldwell and feeling a wave of relief upon …
While the mental illness patient is afflicted by very real and painful feelings, these feelings are internal and not visible to others. The indications of the condition then, whether those of depression, anxiety, or even hallucinations, can be said to be invisible to observers — family, doctor, etc. — in fact, to everyone other than that individual sufferer of mental illness.
A constellation of signs and symptoms is often used to …
While everyone faces some risk of experiencing a delayed diagnosis or misdiagnosis, some studies have found that the problem is more common for women. Women are 50 percent more likely than men to receive an incorrect diagnosis when they’re having a heart attack and nearly 30 percent more likely to receive an incorrect diagnosis for stroke. They are also diagnosed with cancer more than two years later …
Until recently, I have remained relatively silent in the realm of eating disorder advocacy and silenced by the exhaustion of my own lived experience with an eating disorder. However, my silence further contributed to the pain. So now, I speak. And as I speak, I will reflect on the issues that led to my former silence and why we must use our voices.
The need for this work was validated during …
March is Colorectal Cancer Awareness Month. Share these gems with your family, friends, and patients. Take the time to reflect on your personal history and encourage yourself and others to get screened when appropriate.
1. The large intestine or the large bowel consists of the colon, rectum, and anus. The colon and rectum have a cumulative length of 150 cm or 4.9 feet.
2. Gastrointestinal contents are received from the small bowel …
We are nurses. We are in highly dangerous and volatile units at hospitals. We are not working in a prison. We work in behavioral health. The intensive management unit, the adolescent unit, the dual-diagnosis unit, and the behavioral health emergency department.
We are specially trained to protect ourselves and others with CPI — a mandatory nonviolent crisis intervention training. We have patients who are schizophrenic, bipolar, drug addicts, with assault charges, …
Over the past few decades, we have seen a huge swing in our patients’ perceived quality of health care. In the case of the COVID-19 pandemic, individualism in health care has been taken to an extreme. Because of misinformation from non-medical sources, autonomy, which was expected to lead to a more medically educated public, has instead resulted in widespread mistrust of the medical establishment. With that, many if not all …
The theme for the 2022 Black History Month was “Black Health and Wellness.” To improve Black health and wellness, the scientific community needs to take the first step by removing the category of race in clinical guidelines where it can do more harm than good by exacerbating inequities in care.
Though there exists such small biological variation in races, the biological basis for distinguishing race continues to exist …
Almost all of us know that October is breast cancer awareness month. Many of us also know that BRCA 1/2, the BReast CAncer genes, can increase a person’s chances of developing breast cancer. In fact, BRCA 1/2 is so well known that patients with a positive family history often seek genetic screening for it on their own accord. As a medical professional, I am awed by this level of …
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