Emergency Medicine
Improving equity and population health through social determinants of health
Social determinants of health (SDoH) have a strong potential to positively and negatively affect health outcomes, but providers have traditionally faced substantial roadblocks in identifying patients who need SDoH interventions.
The result of this gap is often missed opportunities to improve patient health at the individual and population levels.
SDoH factors are responsible for up to 80% of health outcomes, according to the Robert Wood Johnson Foundation, yet patients and providers …
From ER to wallet: Understanding medical expenses [PODCAST]
Mistakes make us better doctors [PODCAST]
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Join us for an insightful exploration of the complexities of managing mistakes in health care with our guest, Josh Schwarzbaum, an emergency physician. Together, we’ll discuss the importance of embracing errors as opportunities …
How compassion can fix the health care system [PODCAST]
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Join Drew Remignanti, an emergency physician, as we delve into the intersection of compassion, health care, and spirituality. Explore the vital role of compassion in medical care, the challenges of balancing health care …
Burned out doctors, compromised care: a doctor’s story
Physicians are often seen as pillars of strength, guiding patients through their most vulnerable moments. However, behind the white coats and the stethoscopes lies a troubling reality: an alarming rise in physician burnout.
In the U.S., data from the American Medical Association and the Mayo Clinic found that physician burnout has reached 54 percent, compared to the 45 percent reported in a similar study conducted in 2011; this translates to an …
TV medical school: where doctors don’t need nurses and bullets heal themselves
Clearly, four years of college, four years of medical school, and three years of pediatric residency weren’t a complete medical education. There are so many things I didn’t know until I started watching action-packed TV shows, especially the ones with SWAT teams, detectives, and lots of blood.
My training was clearly deficient in neck jabbing. You know, when the bad guys sneak up on the good guy, jab him randomly in …
911 call turned deadly: It’s time we invest in our community
“Shoot! Shoot in the heart,” local Miami resident Donald Armstrong screamed while waving around a screwdriver on his front porch during the peak of a mental health episode. Despite pleas from his mother not to kill her son, Armstrong was tased and shot over a dozen times. A 911 call tragically escalated into a perilous encounter with the very people tasked to help.
Our …
Boundaries in health care: Navigating personal and professional balance [PODCAST]
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Join emergency physician Shideh Shafie as we delve into the crucial topic of setting boundaries in the medical profession. Shafie shares her personal experiences navigating the delicate balance between personal and professional life, …
Workplace violence in health care [PODCAST]
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Join emergency physicians Resa E. Lewiss and Adaira Landry as they discuss workplace violence in health care settings. With their expertise and insights, they discuss strategies for cultivating psychological safety, intervening effectively in …
The compassion crisis in U.S. health care
No, I am not suggesting a new medical diagnosis, but I am merely pointing out a society-wide ailment in our U.S. culture. In support of my contention, I point to Compassionomics, the superb 2019 book by Drs. Stephen Trzeciak and Anthony Mazzarelli. In their compelling science-based presentation, the authors state, “Specifically, the hypothesis is that providing health care in a compassionate manner is more …
Biotechnology and biological warfare [PODCAST]
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We welcome Ketan Desai, a physician executive, as we’ll delve into the fascinating and concerning realm of biological warfare and bioterrorism. Join us as we explore historical instances of biological weapons, the implications …
Saving lives with naloxone: perspectives from the frontline
According to a recent report by the Stanford-Lancet Commission on the North American Opioid Crisis, “more than 600,000 people in the USA and Canada have died from opioid overdose since 1999, and a staggering 1.2 million more are estimated to die due to overdose by 2029.”
The opioid crisis has reinforced hard lessons learned in earlier health crises. Chief among those is that we need multiple strategies if we are going …
Talk to your patients about money
A non-compliant patient arrives at the ER for evaluation of high blood pressure. Why isn’t she taking her medication? It costs $300 per month, and she can’t afford it. Has she talked to her doctor about a less expensive alternative? No.
Unfortunately, this type of interaction occurs far too frequently. The doctor would be happy to prescribe a cheaper alternative if requested, and the patient would love a cheaper option but …
Microskills to be a team player: workplace violence
A patient, intoxicated with alcohol, comes into the emergency department complaining of chest pain. The nurse and the ECG tech need help as the patient is yelling, flailing his arms, and trying to stand up out of bed while stumbling. The nurse puts a blood pressure cuff on his arm and a pulse oximeter probe on his finger. With his other hand, he tries to grab her, pull her toward …
Lessons for a doctor on the Ski Patrol
Is the scene safe?
This is the first thing that you, as a member of the National Ski Patrol, need to ask and assess when coming upon a scene.
As a doctor, I can tell you: they do not teach you this in med school.
When becoming a doctor, you learn how the body works as best we currently understand it. You study how substances affect the body, from illegal drugs to those …
Health care surges: the role of virtual care partnerships [PODCAST]
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Join Lyle Berkowitz, a physician executive, as we explore the challenges faced by health systems during this time, from overcrowded emergency departments to increased demand for care. Lyle shares insights into traditional strategies …
Remembering Colgan Air Flight 3407: a medical responder’s story
Fifteen years later and I can still see it.
I wasn’t able to go to the scene that night, but several of my colleagues did. As morning broke, a new shift of my colleagues went to the scene. And on the next morning, I did. We were there to provide medical support to the hundreds of investigators, evidence collectors, workers, and firemen who were helping with the scene. We were working …
From overdose to ICU: a doctor’s battle for a young woman’s life
An excerpt from Adventures of an American Medical Student.
I can still remember Ms. Osborne’s long, messy, brown hair and pale, attractive face like it was yesterday. She was young, and she presented to the Brighton Medical Center Emergency Department (ED) unconscious after an OxyContin overdose. I saw her as soon as she arrived with Brent Johnson, a young, trim, handsome MD who was wearing hunter green scrubs embroidered with …
A surgeon said no: the catalyst for my evolution
“When are you expecting?” Eighteen months after my third child was born, I was tired of hearing this question. In addition to the embarrassment I felt, I became increasingly worried that something was wrong with me as my body stubbornly held its postpartum shape.
Within a year of delivering each of my first two children, I was able to lose most of the weight I had gained and maintain a normal …
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Past Week
-
Finding peace after years of abuse: a journey through grief
-
Healing in a new land: the power of community and kindness
-
Revitalizing rural health care with technology and policy
-
Why are transitions so difficult for women physicians?
-
Palliative care is plagued by misunderstanding
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How physician-led innovation drives change [PODCAST]
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Past 6 Months
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President Biden’s debate performance: episode or condition?
-
The risks of digital health companies to psychiatric patients
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Where did the physician to physician courtesy go?
-
The misrepresentation of the EDUCATE Act and the future of our health care system
-
Concierge medicine: exclusive access or equity dilemma?
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The ethical dilemma of accessible parking permits
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Recent Posts
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Palliative care is plagued by misunderstanding
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Transforming patient care with cultural values in direct primary care [PODCAST]
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It’s time to pass federally mandated paid parental leave
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Revitalizing rural health care with technology and policy
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Time to educate the psychiatric patient
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How international medical graduates shape U.S. health care [PODCAST]
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