Medical
Maybe life is happening: the power of language in patient hand-offs
“But if thought corrupts language, language can also corrupt thought.” – George Orwell The “difficult” family At 2 a.m., on my first night shift as a pediatric resident, a patient, Casey, transferred from another hospital. She had a rare, progressive chronic illness, was medically complex, and was currently receiving treatment for an acute systemic infection.…
Read MoreNewborn jaundice: What parents need to know
Most newborn babies turn at least a little bit yellow. Known as jaundice, this condition is a very common and usually normal part of the newborn period. But in some very rare cases it can lead to (or be a sign of) a more serious problem. That’s why parents need to know about it. What…
Read MoreHow could a patient die from anesthesia for a colonoscopy?
Every death related to anesthesia is a tragedy; even more so when a minor procedure such as a colonoscopy leads to a completely unexpected death. Everyone knows that open heart surgery carries a mortality risk, but few of us walk into the hospital for a colonoscopy thinking that death is a plausible outcome. We know…
Read MoreChanges to radiation oncology offer hope when there was none
Radiation oncology has been around for a century, and, at first, advancements in the field came rapidly. The evolution of X-rays and CT scans to inform treatment. Intraoperative radiation therapy. Technology that allows for tailored dose distribution. But for the past 20 years, the pace of innovations seemed to slow. We remained stymied, for instance,…
Read MorePrison medicine during the pandemic [PODCAST]
“Rumor has it that the SARS-CoV 2 virus was brought into prison via inmates who were on a work-release program. Allegedly, they boarded a city bus with a driver who was ill. From there, it crept beyond the work-release camp and wafted over to the general prison population. The pandemic had reached this impenetrable fortress;…
Read MoreCaregiving for COVID at home: a physician story
The day after Christmas, my husband Paul developed a fever, chills, and cough. On Sunday, he tested positive. He probably got sick helping a family member, but we’ll never be certain how the virus invaded our home, rendering us hostage for weeks. Since I wasn’t sick, I tried working from home. In between patients, I’d…
Read MoreThe destructive health consequences of political polarization
A guest column by the American College of Physicians, exclusive to KevinMD. Political divisiveness has always been part of the fabric of America. Even as our Founders laid the groundwork for the United States, they understood the challenges of seeking to assemble a unified and functional country from such a wide geographic and culturally diverse…
Read MoreWhat’s behind racial disparities in kidney disease?
My first exposure to kidney disease and its impact on communities of color occurred when I was in high school. An elderly neighbor, who was like a grandfather to me, had been diagnosed with kidney failure. At about the same time, my older first cousin, who had children about my age, was starting dialysis due…
Read MoreImproving PET scans are good news for doctors and patients alike
A recent blog post discussed a newly approved imaging agent with an unwieldy name: gallium-68 PMA-11. Delivered in small amounts by injection, this minimally radioactive tracer sticks to prostate cancer cells, which subsequently glow and reveal themselves on a positron emission tomography (PET) scan. Offered to men with rising PSA levels after initial prostate cancer…
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