Medical
Why some patients refuse care
Vince Hamilton has no legs. For that matter, he has lost the tips to most of his fingers as well. It made opening soda cans almost impossible. So when I saw him for the first time, my immediate reaction was one of sympathy. He had been admitted from a nursing home with a swollen red…
Read MoreUpholding the principles of informed consent in the fight against vaccine hesitancy
Experts have taken to social media to quell misinformation and address common concerns about Pfizer’s messenger RNA (mRNA) COVID-19 vaccine, performing an important public service in support of robust vaccine uptake. However, some scientific information is being oversimplified to the point that it is misleading. The public’s decision to take a vaccine whose long-term risks…
Read MoreA crisis of physician intra-professional respect [PODCAST]
“What has become of medicine today? What has become of the sacred patient-physician relationship? What has become of medical offices- aren’t they supposed to be healing places? Who goes to a medical clinic (no matter how Big the Name) to be insulted and diminished and hurt? What has become of physicians as stewards of healing?…
Read MoreUnder the COVID testing tent
As a podiatrist, Dr. M usually focuses on feet. But years of military service and expertise in program implementation and measurement qualified him for another clinical job, setting up a COVID test site. Testing stations were available in the suburbs, but the heart of the epidemic, the urban center, needed a walk-up and drive-up option.…
Read MoreAn unexpected COVID-19 vaccine side effect
Introduction Today, I had my second shot of the Pfizer vaccine and suffered an unexpected and unreported side effect. That’s the problem with a new medical treatment; you never know what might happen. Transformation Just a few seconds after the needle penetrated my arm, I felt a mild soreness, kind of like a flu shot.…
Read MoreThis looks a lot different from the trenches: from consulting to the COVID ward
As a young and optimistic business school graduate, I recall when the consulting firm I worked for was retained to evaluate “USA Hospital and Medical Clinics” (pseudonym). “USA” had grown quickly and was struggling to manage the recent expansion. We interviewed doctors, nurses, and medical assistants, and they told us about the problems they faced…
Read MoreCan I take something to prevent colorectal cancer?
Colorectal cancer (CRC) is the second leading cause of cancer death in the United States. There is compelling evidence that screening to detect CRC early to find and remove precancerous polyps can reduce CRC mortality. However, screening has associated harms, including procedural complications, and inherent limitations. For example, colonoscopy, the most common screening tool in…
Read MoreIt’s time to treat the COVID-19 vaccine campaign as if we are at war
The abysmal attempt at mass vaccination against COVID-19 in the United States is uninspiring—a prophecy seemingly set in stone by the testing debacles’ failures. The Centers for Disease Control and Prevention reported on Tuesday, that of 17 million doses, only 4.8 million had been administered. That’s only 28.4 percent of distributed doses in over three…
Read MoreThe COVID-19 vaccine: We got it. Let’s get it.
A few weeks ago, a small rural hospital in Susquehanna, Pennsylvania, received its first shipment of Moderna COVID-19 vaccine and quickly began vaccinating the hospital’s health care workers and skilled nursing facility staff and residents. After the Barnes-Kasson County Hospital immunized all the Advisory Committee on Immunization Practices (ACIP) Class 1A workers and residents who…
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