Medical
Health care and sick care are interchangeable
Does anyone really want health care for all? I promise this is not a political rant. Americans, of any political persuasion, should not be misled by the implications of health care for all: It does not mean medical care for all. Providing a card stating you have health insurance is only a nominal solution, provided…
Read MoreMedical error disclosure programs: Old habits die hard
A radical change is emerging from within our health care system: Rather than deny or defend medical errors, some hospitals are acknowledging them upfront. This enlightened response has been gaining ground since 2001 when the University of Michigan Hospital introduced one of the first medical error disclosure programs: the Michigan Model. Hospitals that adopt the…
Read MoreStart a hospitalist program with these 6 steps
Just to give you my background, I manage a large hospitalist program for a busy downtown community hospital that is part of a large health system consisting of a total of 29 acute care hospitals in the same geographical area. One of the reasons why our team was hired recently to manage this hospitalist program…
Read MoreCan a rehabilitated sex-offender make positive change?
Ed is not from Kentucky. I believe he told me he is from West Virginia and from a very low-income family. At about 15, he was hit by a car and paralyzed from the waist down. He’s now about 30. But for a guy in a wheelchair, he is nothing short of remarkable for what…
Read MoreGun violence requires medical intervention
109. This is the number of people who died each day from firearms in the U.S. in 2017, the most recent year for which the CDC has published data. It is a staggering number, one that deeply damages the fabric of communities and tears families apart. What’s perhaps most disconcerting is that this number –…
Read MoreWhat’s the future of the physician assistant?
Currently, in America, there are only three legal groups of prescribers, the physicians (which include MDs, DOs, DPMs), the nurse practitioner (NPs), and the physician assistant (PAs). The first class of physician assistants, in 1965, was also the year of the first class of nurse practitioners. Today there are nearly 300,000 NPS In America and…
Read MoreMKSAP: 36-year-old man with abdominal cramping, diarrhea, malaise, and nausea
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 36-year-old man is evaluated for a 10-day history of abdominal cramping, diarrhea, malaise, and nausea. Diarrhea is watery without mucus or blood. He returned 2 weeks ago from a 7-day trip to Lima, Peru. On physical examination, temperature is 37.7…
Read MoreA dam about the burst: The job of “doctor” places too much stress on one person
“I wish this were not the case, but I am concerned that your disease is getting worse, and your time may be very short.” “I know you are angry and upset at how you were treated — I will do my best to make sure that does not happen again.” “I am sorry, but I…
Read MoreIs the conference cancelled? How coronavirus is upending the conference industry.
Nearly 100,000 pop culture fans flocked to Emerald City Comic Con in Seattle last year, including many dressed as superheroes, aliens, and robots. But something scarier than a comic book villain is roiling the conference this year — the spread of the coronavirus. Ten people have died from novel coronavirus in King County, Washington, where…
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