Medical

  “With COVID-19, we have both the unique opportunity and need to deregulate buprenorphine prescriptions. The Substance Abuse and Mental Health Services Administration (SAHMSA) recently updated guidelines for buprenorphine prescriptions. There are new provisions for telephonic initiation of buprenorphine and scripts up to 28 days for stable patients. Unfortunately, this does not circumvent the major…

Have you ever been faced with an upcoming shift at work and felt an impending sense of doom? This type of anticipation can be a real killjoy. However, taking calls, working nights, weekends, and holidays is all part of the job, right? Worst. Call. Ever. I was just drifting off, entering the first phase of…

It started mid-March with the sensation that I had cut one of my knuckles. Within two weeks, several fingers were swollen like sausages, and my fingertips had developed painful, burning spots. Soon thereafter, my husband noted one red, swollen toe. We are both emergency physicians, but we could not understand what was causing the symptoms,…

In May 2018, I stood in disbelief as I learned that two of my colleagues took their own lives in a single week. I had only recently come to accept my own struggle with mental illness, and I understood how isolating the battle could be. I grieved for them, for their families. But I also…

After being kept up all night responding to pages, I was still half-asleep walking into Mr. Jenkins’ room for what I thought would be a routine early morning admission for new-onset seizures. From scanning through the electronic medical record, I was not expecting to encounter the unfortunate and complex array of social factors underlying his…

Physician reimbursement increasingly depends upon measures of health care quality. Physicians who fall short on quality measures now face financial penalties. But it might be quality measures, themselves, that are falling short, according to a study conducted by the American College of Physicians. The study involved a panel of people with expertise in evidence-based medicine.…

“Children are being encouraged to take on the superhero persona and help protect others.  They do this in true average-person-as-the-superhero style by wearing a facemask alone, without any superhero powers or words.  Just as wearing a facemask in public has been the norm for years in many Asian countries, it may become the norm worldwide. …

I hit the submit button and thought, “Oh no, what have I done?” I stared at the computer screen, completely frozen, and told myself maybe there was a system error and the order didn’t complete. Then I heard the familiar chime and watched in horror as the banner notification slid across monitor. “Introduction to Improv…