The disaster at Hahnemann University Hospital

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The venerable Hahnemann University Hospital, the main teaching hospital for Drexel University College of Medicine in Philadelphia, is bankrupt and will soon close its doors after more than 170 years […] [Scope of practice expansion: Patient safety is sacrificed for greater access]( When a patient seeks the care of a professional, they expect that person to be well trained, experienced, and constantly continuing their education. As an ophthalmologist, I completed a 4-year undergraduate program at Virginia Commonwealth University, 4 years of medical school training at The University of North Texas Health Science Center, a year of a […] [A physician’s role in enlisting help to prevent suicide]( A young man’s life is over too soon. He had been seen more than four times by more than ten different physicians and in four different clinical settings in the two weeks leading up to his death. Each time he was accompanied by a concerned loved one. Each time his depression was discussed in detail. […] [How trauma-informed care promotes healing]( As physicians, we face the formidable task of working with patients who appear angry, never content with care or “made better” by anything we do. They may be known as “difficult,” unpleasant, or demanding. These patients are the most challenging and often the least rewarding to care for. But does it have to be that […] [Understanding the backlash to gaming disorder]( The World Health Organization (WHO) recently announced the 11th revision of the International Classification of Diseases will have a new code: gaming disorder. For those who eagerly await play-by-play updates to ICD codes, this may be old information. Others may have noticed the brief, but sensational media blip created in June after a few news […] --------------------------------------------------------------- [Thousands of physicians are browsing this job board](. They love its selection of over 12,000 openings across the U.S.. [Physicians are finding opportunities they almost missed](. --------------------------------------------------------------- [The benefits of passive over active investing for busy professionals]( Each of us has limited time, resources, knowledge, and experience. As physicians, the majority of our time, along with our resources, has been devoted to our medical education and clinical practice. Real estate syndications can be an attractive investment vehicle for busy professionals who do not have the time or experience to actively manage real […] [The suffocation of social isolation]( Literature surrounding the effects of social isolation and loneliness for older adults is no longer lacking. Studies and articles outlining the dreadful consequences of these epidemics have even pierced large media outlets like Time magazine, where they emphasize how one in three older adults are lonely. While any attention brought to the fact that the […] [Show your staff you care. Here’s how.]( Have you heard of the book The 5 Love Languages? My wife will tell you my love language is “words of affirmation,” and I agree. I feel most appreciated when I’m told that I’ve done something well or when my hard work and efforts are recognized, as is the case with most of us. Gary […] [5 things I learned from being a “high-maintenance” patient]( Physicians and health care providers across the world are trained to treat disease processes and disease states. Often, this approach becomes technical. And while directed towards the patient, it paradoxically distances itself from the patient. The distance created between the patient and the physician through diagnostic and therapeutic approaches is related to the patient’s dissatisfaction […] [Think beyond benzodiazepines for anxiety]( An excerpt from Understanding Medicines for Anxiety. Although the SSRIs (selective serotonin reuptake inhibitors) are among the most widely prescribed medicines for depression, they also have a useful role to play in treating anxiety disorders. In this article, we will look at their benefits and limitations when used in this manner. Since their introduction into the […] [When a physician becomes the control subject in a study]( When I was on staff at a large medical center, the CEO established four core values for the institution which he arranged in a diamond pattern: safety at the apex — think of yourself as a patient expectedly at the bottom. While it seems hard to assess how seriously this widely displayed mission statement was […] [A physician’s reflection on Roberto Clemente and his leadership legacy]( I am a physician who was born and raised in Puerto Rico. I confess that since I was a child, I have always wanted to visit Roberto Clemente’s statue in Pittsburgh, Pennsylvania. Recently, my dream came true when a meeting I attended in the city allowed me to see it for the first time. I […] [What health care can learn from the Boeing 737 Max tragedies]( The recent Boeing 737 airline crashes have left a scar on the American (and worldwide) psyche regarding air travel. Boeing, an iconic brand, prestigious in history and talent, neglected to update and formally educate pilots regarding an essential software update which ultimately contributed to two fatal crashes, killing 346 people in total. Recent audio between […] [A physician’s call to action from Sudan]( As he stuck his ungloved finger on the parched tongue bearing the color of pale salmon, he called out for the visiting medical student. It was my first official medical rounds in a university hospital in Khartoum as a Sudanese-American medical student, visiting my “native” country, an experience afforded through a global health project spawned […] [The experiences in medicine shape your future]( Hitting a roadblock in your life and career? Don’t get frustrated. Use the resources that are readily available to you. Not sure what they are? Think about it. You have had access to them all the time. The moment you decided to become a doctor, you became unstoppable. You may have followed the traditional path and went […] [When the standard of care is bad medicine]( For the last three decades, the numeric pain score has been the go-to assessment for acute pain in the hospital setting. Since this methodology was developed for research purposes to see if drug “A” had an effect on patient “A,” its clinical utility is not just worthless but dangerous. Let’s look at a simple example […] [What this clinician learned from a whale watching tour]( Between leaving an emergency department where I had been working for nine years and starting in a new one, I had the luxury of having two months off, from May to July. This meant that I would get to really enjoy an extended summer break and recharge my batteries. It is fair to say that […] [MKSAP: 45-year-old woman with type 2 diabetes mellitus]( Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 45-year-old woman is evaluated for management of type 2 diabetes mellitus diagnosed 3 months ago. She was asymptomatic at diagnosis with an initial HbA1c value of 9.7%. Her initial interventions included lifestyle modifications with weight loss and metformin. She is […] [Think you have health insurance? Think again.]( You think you are medically insured. A few days later, you receive a hospital bill worth thousands of dollars in your mailbox. Your insurer denied coverage, claiming you sought an “inappropriate” or “unnecessarily” emergency care. The question here is, “Who has the exclusive opinion in America to deem signs and symptoms necessary for an ER […] [Consumers are losing the war against meat antibiotics]( Antibiotics serve two purposes for large-scale meat farmers. They allow them to raise animals in unsanitary, confined conditions that would otherwise kill or sicken them and they allow factory farmers to use less feed. How much less feed? Without antibiotics, 175,550 more tons of feed would be needed to grow U.S turkeys, lamented Michael Rybolt […] [The re-education of a physician into the school of pain]( Since childhood, I have suffered from severe stabbing headaches. Then in my first year of medical school in anatomy, as we peeled back the scalp of our cadaver, I saw a nerve poking out of a muscle on the back of the skull. With a flash, I knew that I was seeing the source of […] --------------------------------------------------------------- If a friend sent you this email and you want to subscribe, go to [KevinMD](. --------------------------------------------------------------- 345 Hudson Street New York NY 10014 USA [Unsubscribe]( | [Change Subscriber Options](