Bridging the COVID-19 health recommendations divide [PODCAST]

“Misinformation about COVID-19, if propagated, can be deadly. The stakes are high. Physicians need to have a voice in this discussion and work towards impacting policy in a positive way. Physician-led groups such as IMPACT aim to advocate for evidence-based solutions for the protection of communities and serve an advisory role to those in charge…

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Designing your life and career in medicine

The best part of my job is interviewing residents and watching as gears begin to turn in their minds when I ask: What made you decide that you wanted to be a doctor? What is your purpose in life? What legacy are you creating? Which position in your field will truly fulfill you? What type…

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If you don’t want to wear a mask, come to work with me

I am an emergency medicine physician in an inner-city emergency department, and I would like to start by stating a simple truth: coronavirus is not going away any time soon.  Cases are climbing in practically every state and show no signs of slowing down. From my personal perspective, things are getting worse. Every day I…

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This is what a successful health care system looks like

If a core goal of our nation is to have the healthiest population possible, then we need to rethink, regroup, and restore our commitment to health practices and processes that are aligned with this mission. We are currently investing our precious social and economic capital into a health care system that is wildly inefficient, too…

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A welcome to new residents

Twenty-five years have passed since I finished my residency, and a lot has changed. Back then, we hand wrote all our notes, and the only time we looked at a computer screen was to obtain laboratory results. Now, residents spend more time in front of a computer screen than at the bedside. I contend that…

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An EMR frustration that is still torturing us

I have written, or more accurately ranted, about electronic medical records (EMR) systems throughout this blog. While the systems have clearly improved since their mandatory introduction into the medical universe, they have still not delivered on many of their promises. Of course, EMR has brought tremendous advantages to the medical profession, and we are all…

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Shorter dream-stage sleep may be related to earlier death

Time and time again, adequate sleep has been shown to be critical to daily functioning and long-term health. Sleep serves numerous roles: recovering energy for the brain, clearing waste products, and forming memories. Prior studies have clearly linked shortened sleep times to heart disease, obesity, reduced cognitive performance, worsened mood, and even a shorter life.…

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Care is no longer personal. Care is political.

Care. I do not believe we have ever heard more about care at a presidential nominating convention than in this year’s Democrat convention. “Patriotism,” “justice,” “bravery,” “strength”?  For sure.  But “care”? Scarcely a word. Yet we now hear that the role of the president is to “care about and for the people” he governs. Socrates…

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