"An email arrived inviting med students to join the State of Georgia’s Medical Reserve Corps (MRC). The MRC is an organization of doctors, nurses, PAs, EMTs, and med students who are the first medical boots on the ground for disasters in Georgia. They establish mobile hospitals and provide medical care. With extra time in isolation, I signed up and shortly received a notice for locations at food banks available to students. I requested an assignment, received my orders, and deployed the next day...
Oct 15, 2020•12 min
"History cannot be changed and should not be erased. The First Amendment was placed first for a reason. It is the bedrock of our nation’s ability to overcome despots like Hitler and to abolish slavery. However, it comes at a price. You may hear things you don’t like or make you uncomfortable. You may see statues or places like the Old Slave Market that offend you because of what they represent. But you also see works of art like the Declaration of Independence. You cannot have one without the ot...
Oct 14, 2020•21 min
"The disparity of women physicians in research is a systemic issue that should be mitigated appropriately. Women, especially minorities and immigrants, need institutional support to succeed as clinician-investigators. Medical institutions should actively participate in increasing funding mechanisms available solely for the development and promotion of female clinician investigators. Funding for research projects, in terms of time effort and supplies such as data management tools, is vitally impo...
Oct 13, 2020•14 min
"We dealt with the death, uncertainty, and fear of COVID-19 with a stiff upper lip. But our hearts broke when George Floyd was murdered by the police on May 25. George is a symbol of an immense problem. A study reported that one in every thousand Black men can expect to be killed by the police. One in every thousand! Racially directed violence by the police is a public health problem. Clinicians cannot be silent. Clinicians will not be silent." Karim Khan is an infectious disease fellow. He shar...
Oct 12, 2020•24 min
"Government officials, regardless of political affiliation, should seek sound medical advice before communicating with their constituents. Appropriate public health information should be shared so that constituents are not harmed by following misinformed medical information. Government officials, news media, and social media platforms should account for the health information they spread. We must combat misinformation during the COVID-19 pandemic so that we are better prepared to handle a potent...
Oct 11, 2020•12 min
"Almost overnight, the COVID-19 pandemic has completely disrupted how we deliver primary care to patients. Before the pandemic, telehealth seemed to be a way to deliver urgent care for acute issues to a select group of tech-savvy patients. Now, at least in my practice, the majority of primary care (acute care, chronic disease management, and preventive care) is being delivered through “telehealth,” meaning that we conduct visits virtually via video or telephone. While, of course, this is current...
Oct 10, 2020•12 min
"There is no single culprit responsible for this shift in medical education. However, two, in particular, should be noted. The first is the culture of defensive medicine, or more bluntly, CYA (cover-your-ass) medicine. This culture has been insidiously infusing itself within the modern health care system for decades. The fear of being sued for malpractice is ever-present. Undoubtedly, this has led to hesitations in allowing medical students to be involved in patient care. Another important consi...
Oct 09, 2020•15 min
"Telehealth has come into focus during the COVID-19 pandemic as physicians face an immediate need to reduce exposure by providing care—or at least triage—remotely when appropriate. Under usual circumstances, telemedicine is comparatively low risk. That said, telemedicine does bring specific risks to patient safety and physician/practice liability. Minimizing those risks calls for adapting daily practice routines around informed consent, documentation, and other standard components of a patient e...
Oct 08, 2020•14 min
"As a physician working with human trafficking survivors, I have become accustomed to those with a history of surviving violence. But the patient in question is in my general primary care practice. This should highlight to care providers that there may be many more patients out there who have been exposed to trauma in their past, and we need to take this into account. One way to be inclusive is to incorporate the substance abuse and mental health services administration principles of trauma-info...
Oct 07, 2020•14 min
"As I read about Dr. Breen, saddened by the fact that we have been robbed of yet another young, promising, motivated physician, I am reminded that as bad as this pandemic is — and truly believe it is awful — when it gets better (and I have to believe that it will), we can’t forget. Because all the other things that have always been there but got shoved to the back burner by COVID will be there again. And no matter what kind of medicine you practice, there will be unique (and some not-so-unique) ...
Oct 06, 2020•15 min
"In the best of times (and these are certainly not), all patients need advocates all the time; now more than ever, vulnerable patients need them more but don’t have access to them. Vulnerable populations have more at stake when visitors are limited or prohibited. What’s more, vulnerability may be exacerbated due to youth, advanced age, disability, cognitive impairment, illness acuity, language – or, as we have come to realize of late – implicit bias. Advocacy can take many forms. For the patient...
Oct 05, 2020•18 min
"As a medical student, you find potential patients everywhere. Whether you’re on an airplane or on a romantic dinner date, we’ve all heard those famous words, 'Is there a doctor in the house?!' Here are some of my favorite 'patient' encounters. The best friend curbside. I was playing ball with my boys – that’s right FIFA on the PlayStation – when my buddy drops the question, 'So listen man, you’re a doctor, right? I need some advice about my knee; it’s been killing me! I landed weird after jumpi...
Oct 04, 2020•16 min
"One of the calls you dread making as a doctor is telling a family member their loved one is dying. That was the call I received when my grandfather decompensated. We grow accustomed to making the call as clinicians, but we never expect to get it ourselves. I felt for his pulse. Slow but faint. As a doctor, you become desensitized over time. You frantically think of the next steps that will save this body’s life, until you realize that body is someone you know. Death here during this time has no...
Oct 03, 2020•13 min
"Living the surreal experience of the COVID-19 pandemic challenges us on multiple levels. As a physician, I feel the responsibility to understand the magnitude of the situation and implement the best measures to protect my patients, trainees, my family, and myself. I experience the fear of getting sick or losing a loved one and the sadness and frustration of seeing millions of lives affected by illness, desperation, isolation, and death. COVID-19 has challenged me even more in my role as a mothe...
Oct 02, 2020•11 min
Explore why this general surgeon wrote a novel, and how writing helps with the stresses that accompany a surgery career. What is his #1 tip for those interested in surgery? What are the challenges facing the profession today? How can surgeons find that elusive work-play balance? And why should aspiring doctors start a journal? Arthur Williams is a surgeon. He shares his story and discusses his book, The Surgeon’s Obol . ( https://amzn.to/2FIdDmz )...
Oct 01, 2020•12 min
"To the people who say that wearing a mask perpetuates the conspiracy: Tell that to the health care workers who have put their lives at risk to face firsthand an unknown disease. Tell that to the families of frontline workers who have contracted and succumbed to COVID-19 while their loved ones save everyone else. To the people who say that COVID-19 does not exist; that COVID-19 is just another cold or flu: Tell that to the families who did not have the opportunity to hold the hands of their love...
Sep 30, 2020•13 min
What is caregiver burnout? How can you recognize the symptoms? What are tips for new caregivers? What can caregivers teach clinicians? R. Lynn Barnett is the author of What Patients Want: Anecdotes and Advice and My Mother has Alzheimer’s and My Dog Has Tapeworms: A Caregiver’s Tale . She can be reached on Twitter @rlynnbarnett1 . She shares her story and discusses her book, My Mother has Alzheimer’s and My Dog Has Tapeworms: A Caregiver’s Tale. ( https://amzn.to/2ZXHq1u )...
Sep 29, 2020•18 min
"Grandma Lilly is 87-years-old and in the ICU. She’s on a ventilator with her wrists restrained to the side of the bed. Grandma can barely see because her eyes are puffy: scleral edema. And her heart races: 140 beats per minute. Her blood pressure is low and Levophed and vasopressin drips are ordered. Her family can’t talk to her as she phases in and out of existence. For her, end-stage renal disease means dialysis. And respiratory failure equals ventilator. She’s a brittle diabetic with uncontr...
Sep 28, 2020•17 min
"Lifestyle medicine equips practitioners with the tools to affect change. One of the biggest job satisfiers for physicians is positively impacting the trajectory of their patients’ lives. Having a parent tell you that their child is 'a different person' because of the time you spent with them is priceless. This is why I believe if more physicians studied and applied the principles of lifestyle medicine to their lives and their practices, we could put a dent into the burnout many of us face. We c...
Sep 27, 2020•14 min
"As an oncologist, perhaps the hardest part I play is as witness. I am there to give a diagnosis that, more often than not, will alter someone’s life forever. For some, I see resignation—a sense that they’ve known something was wrong and that it’s what they thought they had. For others, I see an almost immediate acceptance and, with it, perseverance; they are prepared to fight, to win. But for those where cancer comes without much warning, I see terror. Cancer is a threat to who they are, how th...
Sep 26, 2020•17 min
"Grocery shopping is not optional; it’s necessary. But if you go every day and to multiple stores, you are increasing the chance you will be exposed. From my informal survey, this practice is extremely common. Yet, experts advise to consolidate shopping. In fact, in my experience, there is always at least one person (shoppers AND workers) in every store I have visited who is either not masked or masked incorrectly. Many people report that they are going stir-crazy without seeing friends and fami...
Sep 25, 2020•13 min
"Advocacy by moms is not new, but advocacy by physicians has been less common. Moms have been fierce advocates on a variety of causes ranging from Mothers Against Drunk Driving to Moms Demand Action, the anti-gun violence mom activist group led by Shannon Watts that has now helped launch moms into public office. As physician moms navigating a global pandemic, we are invested in ensuring that our patients, communities, and our children are safe. So, when misinformation threatens basic and effecti...
Sep 24, 2020•15 min
Why should we reform the health care system to a physician-led approach? How will that look like? Would a Medicare for all system cure what ails the system? What are some obstacles to implementation? Ken Terry is a journalist. He shares his story and discusses his book, Physician-Led Health Care Reform: A New Approach to Medicare for All . ( https://amzn.to/2ZxhqtE )...
Sep 23, 2020•15 min
"There are two battles waging from the COVID-19 virus this year: the obvious fight for human life but also the attack on science. During philosophical and political debates, one steadfast weapon has been the scientific method. Opinion doesn’t matter. State the facts. The thing about facts are, though, that one has to be willing to change previously held points of view with new information. One of the most devastating things observed during this pandemic with regard to human behavior is an absent...
Sep 22, 2020•15 min
"For the past six months, I’ve spent my free time becoming a certified life coach. I’m a hospitalist, but a little more than a year ago, I was introduced to life coaching. I love the changes it has produced in my life – particularly how it’s changed me as a mother. Coaching helps me to be more present for my family and more emotionally available for my kids. It’s changed the way I approach life, and it’s changed what I teach my children." Trina E. Dorrah is an internal medicine physician and the...
Sep 21, 2020•11 min
"Both clinical and direct-to-consumer genetic testing have become significantly less costly and more common, providing people with access to a wealth of information about everything from their ethnicity and family lineage to their risk for certain diseases and how they will respond to medications such as blood thinners and antidepressants. But before you decide to take the plunge into your gene pool, there are a number of issues you should carefully consider. Genetic testing can have unintended ...
Sep 20, 2020•14 min
"Locum tenens means 'to hold the place of, to substitute for' and locum tenens contracts are a common form of agreement for physicians who provide temporary medical services in place of full-time physicians. Now, during the COVID-19 pandemic, increased demand puts physicians in a better position to negotiate their locum tenens contracts. However, too many practitioners sign them without fully understanding their implications. This is a mistake. A well-drafted locum tenens contract (a) protects t...
Sep 19, 2020•12 min
"Misinformation about COVID-19, if propagated, can be deadly. The stakes are high. Physicians need to have a voice in this discussion and work towards impacting policy in a positive way. Physician-led groups such as IMPACT aim to advocate for evidence-based solutions for the protection of communities and serve an advisory role to those in charge of public policies. As physicians, our primary purpose is the well-being of our patients. We owe it to them to share not only information about sinus in...
Sep 18, 2020•13 min
"When doctors ignore the evidence showing that a support system doesn’t have to be traditional in order to be effective, that’s not a medical judgment. It’s a personal prejudice that puts singles at serious risk. Classifying patients as married or unmarried when studying the effects of social support undoubtedly makes research easier, with groups determined by a simplistic either-or. But since social support is not, in fact, limited to marriage, the results of such studies are bound to be flawed...
Sep 17, 2020•14 min
"Single payer is the solution. And the time for it is now. A single-payer system would guarantee health care coverage immediately to every American. So whether a loved one gets sick from COVID, has a heart attack, or gets in a car accident, she will receive the care she needs without it causing financial hardship. A single-payer system will eliminate employer health insurance contributions. This will provide huge relief to hundreds of thousands of struggling small businesses across the country. ...
Sep 16, 2020•17 min
