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Here are the stories you missed on KevinMD. Thank you for your continuing readership.
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KevinMD Plus: Aug 29, 2019
[Iâm a residency program coordinator. My role has changed over the years.](
I was a 22-year-old intern, just about to finish my public health internship. I had an ambitious career ahead of me. I was trained as a public health educator. I was doing wellness fairs, writing newsletters, and excited to get to the next stage of my life. I wasnât yet certified, however, so when all [â¦]
[So, howâs medical school?](
Since starting medical school, I have struggled to answer this question. Because medical school is everything. Itâs amazing, challenging, soul-sucking, life-giving, exhausting, dream-fulfilling, anxiety-provoking, interesting, and, dare I say, fun? How can I explain to someone that while Iâm pursuing this dream, a dream that so few get the opportunity to pursue, that I have [â¦]
[A nurse comes face to face with her sonâs serious illness](
Prior to my 10-year-old son being diagnosed with leukemia, I worked as a diabetes nurse educator at a local hospital. I had been an RN for over 15 years and was able to balance home life with work; I loved educating patients on how to deal with their diabetes and collaborating with colleagues. All that [â¦]
[Simple suggestions can make such a positive impact](
Recently I visited a lady at her home who was a palliative care patient. She was seated on the couch in the living room with a turban on her head and a look of anxiety and depression. Her husband was quiet during the entire visit. He was seated in a chair next to the couch [â¦]
[A patientâs family bridges two worlds](
Toward the end of my clinical rotations, I met Salma, a 34-year-old woman who came from Egypt with her family to the U.S. two years ago. Wearing a latte-colored hijab, she was here at the hospital to care for her father, who had a case of congestive heart failure exacerbation with pleural effusions. When deoxygenated [â¦]
[Havenât thought about investing in group homes? You should.](
Back in 2006, I settled into my career as an emergency room physician. It was then when I started working in multiple hospital groups in several cities in Arizona and Texas to maximize my earning potential. The strategy worked. I was able to make enough money to service my medical school debt as well as [â¦]
[Hereâs why your patients disregard prescriptions](
Take one-half tablet three times per day with meals, increasing by half each week until reaching a maximum of three tablets three times per day. Did you get a new prescription from your doctor? If so, there is a 50 percent chance you will not adhere to label directions. Either the instructions are too complicated, [â¦]
[Should physician yearn for the nostalgic ideals of their predecessors?](
What has the medical community, once thought of as the âultimate team,â finally come down to in 2019? The âback in my dayâ sigh I often hear from more senior physicians has inspired me to read several books about the history of medicine. As I devoured them from cover to cover, the excitement of medical [â¦]
[How closing rural hospitals cost patient lives](
For more than 30 minutes, Robert Findley lay unconscious in the back of an ambulance next to Mercy Hospital Fort Scott on a frigid February morning with paramedics hand-pumping oxygen into his lungs. A helipad sat just across the icy parking lot from the hospitalâs emergency department, which had recently shuttered its doors, like hundreds [â¦]
[Considering CBD oil? This psychiatrist suggests these questions to ask first.](
One question I get asked a lot lately is this: âIs it OK for me to use CBD oil?â First of all, CBD oil and associated preparations are types of alternative medications, medicines that might not be mainstream or readily prescribed by doctors, but are nevertheless used by many people on their own. Alcohol and [â¦]
[What role does the science of complexity play in medicine?](
The science of complexity lays a conceptual foundation for understanding âcomplex adaptive systems.â What all complex adaptive systems have in common is that they are all bound by the same set of physical laws. Their âbehavior,â i.e., growth, maintenance, and death, can all be described using the same set of mathematical relationships. These systems (animals, [â¦]
[The decision to undergo robotic surgery is a more than just about the length of the scar](
Over the last three decades, surgery has slowly but steadily evolved towards a minimally invasive technique. The standard of care for appendicitis now involves creating three half-inch incisions and using a laparoscopic technique to remove the appendix. This technique uses a camera to see inside the body via a large screen. Instruments that are over [â¦]
[Improving health outcomes for children requires us to look at the big picture](
It was a simple chief complaint: sore throat and fever. As expected, the little girlâs rapid Strep was positive. Instructions given. Antibiotics sent. This was Peds 101. But for some reason, before mom walked out the door, she made mention of their stay at the shelter. Although I had seen this child many times before, [â¦]
[5 things I wish I had known earlier about chronic pain](
Iâve been living with chronic pain for more than a decade. It began in 2009 with nerve damage after emergency groin surgery. Four years later, I fell and hit my head. That fall led to a constant headache, a whistling sound in my ear, back and hip pain, tingling and numbness in my hands and [â¦]
[No, phones donât cause horns to grow on skulls](
The Washington Post ran this headline: ââHornsâ are growing on young peopleâs skulls. Phone use is to blame, research suggests.â The headline is entirely correct except for a few minor points: Theyâre not horns, which point up from the forehead. Theyâre more like little 1/2 inch nubs protruding downwards from the back of the skull. Theyâre not [â¦]
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