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Can medical students lean in to psychiatry?

I recently read an interesting article in Glamour about why Zosia Mamet, an actress on HBO’s Girls, refuses to “lean in.”  While the column focuses on the influence of modern-day feminism on notions of professional success, her words resonated with me as a medical student and an aspiring psychiatrist. “I have been incredibly blessed with success in my […]

Effect of a transitions program on readmission

From AJHSP: Results Over the 2-year study period, 19,659 unique patients had 26,781 qualifying index admissions, 2,523 of which resulted in a readmission within 30 days of discharge. After adjusting for various demographic and clinical...Show More Summary

Uric acid as a risk factor for erectile dysfunction

In this study there was a two fold increase in risk of ED for every 1?mg/dL increase in uric acid.HT to Clinical Cases and Images.

Doctors still work while on vacation

Last week, I took a 6-day vacation.  Two days before and two days after, I put in a total of 32 unpaid hours of work which was cut short by a call from my daughter asking me why I am working during my time off.  While away with my family, I ran into people of […]

Informed consent and the ethics of the Facebook news feed study

I’m simultaneously a behavioral researcher, an ethicist, and a hopeless Facebook addict, so I’ve been thinking a lot about a recent controversial study in which researchers manipulated the emotional content of 689,003 Facebook users’ news feeds. Show More Summary

MKSAP: 68-year-old woman with exertional leg discomfort

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 68-year-old woman is assessed for a 6-month history of progressive exertional leg discomfort, described as a “heaviness” involving both calves. The symptoms are relieved within 5 to 10 minutes of rest. She has noted the same limiting heaviness with bicycling. […]

Broken

http://www.bmj.com/content/bmj/347/bmj.f6980.full.pdf

Weekly Overseas Health IT Links - 26th July, 2014.

Here are a few I have come across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration...Show More Summary

Border Crisis: Fictions v. Facts (Part 2 of “Children from Central America”)

Despite extensive media coverage, there is probably much that you don’t know about the history of the border crisis—and what we can or should do in response. Too often the headlines are designed to stir passions, rather than inform. At … Continue reading ?

America’s need for a diverse generation of family physicians

Since joining my current practice two years ago, I’ve noticed that I care for a disproportionate number of immigrants of Chinese and other Asian descent compared to my colleagues. Although both of my parents were born in Taiwan, I don’t speak Mandarin or have special expertise on medical conditions common in Asian Americans. Nonetheless, Asian […]

Our health system does little to encourage good doctoring

Sandeep Jauhar has this wonderful sentence in his New York Times op-ed, “Busy Doctors, Wasteful Spending“: “There is no more wasteful entity in medicine than a rushed doctor.” And yet physicians are rushed. Dr. Jauhar writes about the payment system driving shorter visits. That problem represents an important component of undesirably short visits, but it is […]

Weekly Roundup 7.25.14

We sit on the cusp of August – the month when America goes on vacation.  Everything will slow down, rush hour will be less rushed, lawns will need less cutting and in our sights is Labor Day which brings the … Continue reading ?

The secret lives of doctors

Recently, when my parents came for a visit, our conversations led me to realize something important: I have been a doctor for more than 20 years, and yet my parents have no idea what my daily life is like. It then occurred to me that if they have no idea, then surely my patients have […]

Dear patient: Your 5-minute appointment is awaiting you.

Dear patient: I am writing to inform you of some recent changes to my practice. These changes have been implemented to improve the quality of your care. Continue reading... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.

The Antibiotic Gap: It's All of the Above

Here's a business-section column at the New York Times on the problem of antibiotic drug discovery. To those of us following the industry, the problems of antibiotic drug discovery are big pieces of furniture that we've lived with all our lives; we hardly even notice if we bump into them again. Show More Summary

Do patients choose Medicare Advantage for convenience?

Having just retired on July 1st, my medical group’s commercial health insurance policy is no longer available to me. However, being past 65, I started a year ago applying for Medicare benefits. Despite my knowledge in this field, I had assumed this would be a snap. Continue reading... Your patients are rating you online: […]

MAC Transparency Legislation Gains Momentum

Today’s guest post comes from Todd Grover, President & CEO of ChainDrugStore.net and Co-Founder of Glass Box Analytics. Todd reviews the new Center for Medicare & Medicaid Services (CMS) final rule regarding the disclosure and updating of Maximum Allowable Cost (MAC) reimbursement limits. Show More Summary

Incorporate empathy in patient interactions

A popular television commercial shows a group of older women playing cards. One woman talks about her friend who is struggling financially since her husband died (the husband only had a small life insurance policy). Another lady said that she doesn’t have to worry about that happening since her husband has an XYZ insurance policy. […]

Top stories in health and medicine, July 25, 2014

From MedPage Today: Vitamin D Megadoses Safe in Frail Elderly. Giving a very high dose of vitamin D — 20,000 IU per week — to older patients in nursing homes keeps them sufficient in the vitamin and appears to be safe. Medicare Tests Exceptions to 3-Day Rule. Medicare officials have allowed patients at dozens of hospitals […]

Dr. Frances Oldham Kelsey is 100

Happy 100th birthday to Dr. Frances Oldham Kelsey, the pharmacologist whose bold stance against inadequate drug testing saved countless newborns from the perils of thalidomide, a drug which caused severe birth defects in over 10,000 infants. Show More Summary

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