Reflecting on the challenges of patient advocacy

The third week of September is Mitochondrial Disease Awareness Week: a time to fundraise, light up buildings in green, and hold events that highlight mitochondrial disease research and awareness. My family has never heard of mitochondrial disease until 2017, when our newborn daughter, Miriam, tragically died from it at seven weeks old. Our family felt…

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A CEO with the keys to the kingdom. And the pharmacy.

1986. I graduated from LPN to RN. And I was immediately offered a new job. Manager of a six-bed ER. This hospital had three surgical suites — 50 inpatient beds and 2 L&D suites. This was a private Catholic hospital run by the nuns. The computer system was new and a foreign object. Sister Ursula*…

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Proposed guidelines likely to identify more early lung cancers

Lung cancer is the second most prevalent cancer in the US, and the deadliest cancer killer. In 2020, an estimated 135,720 people will die from the disease — more than breast, colon, and prostate cancers combined. I’ll never forget meeting new, advanced-stage lung cancer patients who ask if their diagnosis could have somehow been made…

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How do you know which doctors are essential?

This is a time of change and uncertainty in medicine. Being a resident right now during the pandemic of 2020 is even more unpredictable, especially in a field that is not necessarily directly on the frontlines, so to speak. Two years ago, I was choosing between psychiatry and emergency medicine after a long-standing interest in…

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Are virtual doctors actually useful?

“A lot of times, people don’t know what they want until you show it to them.” – Steve Jobs I was rusty. I felt rusty, at least. It had been forever, seemingly, since I attended patients as an emergency physician. A couple of years earlier, I’d been sailing along happily in my clinical career when…

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The most common misconception about spine surgery

The most persistent problem I encounter is not nerve pain or slipped discs. It’s the tenacious misconception that someone can be “too old” for spine surgery when it’s truly needed. Many years ago, it was true that age played a significant factor in a person’s ability to tolerate and recover from surgery. Surgeries were once…

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Call a consult: depression vs. burnout

CC: “I feel like crap.” HPI: 29-year old female internal medicine resident. Hasn’t seen sunlight in over three months due to 100 hour work weeks.  Crying at work. Always exhausted and irritable.  Isolated from friends and family.  Feels guilty that she is not effective at work and home.  States recent labs were normal. ROS: Gen:…

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