The pediatricians are not alright

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[Sabiston Textbook of Surgery]( - definitive guidance on every aspect of general surgery. Shop all newly published Medical Books at [Elsevier Health](. --------------------------------------------------------------- KevinMD Plus: Oct 14, 2021 [The pediatricians are not alright]( In the past week alone, I have heard the following comments from pediatricians on the front lines: “I’ve been practicing for 21 years, and I’ve never seen things this bad”; “I have been called uncaring because my patient had to wait an hour. But I couldn’t tell my patient that I was running behind because [...] [Ode to a little bile bag]( Surgery to remove the gallbladder is a relatively late intervention. The first laparotomy was performed in 1807 in Danville, Kentucky, and surgeons like Billroth and Kocher, were removing thyroids and even parts of the esophagus as early as the 1870s; the pricklish gallbladder was not completely excised until 1882. For years previously, the medical and [...] [Can medicine transcend beyond the clinic walls? I’d like to see us try.]( Nothing like a tragic global pandemic to make everyone rethink their careers. This past year and a half have brought a lot of changes to the workplace. Many of us don’t want to go back to the way things were. According to a Pew Research Center survey from late 2020, of the 71 percent of [...] [Is COVID a turning point for sustainability in hospital supply chains? [PODCAST]]( “Scarcity has, in many ways, defined the COVID-19 experience in the U.S., from shortages in personal protective equipment to ICU ventilators and hospital capacity, to COVID test kits, to drugs like Remdesivir in hard-hit states. These shortages have added impetus and new dimensions to existing conversations around health care supply chains, some of which had [...] [What my father taught me about language]( Here — outside with nature — this was where I needed to be. It was raining cats and dogs, unlike the light drizzle earlier in the day. Earlier in the day. Earlier in the day, I could still see the casket go into the ground, adding finality to the affair as if death was not [...] [Domestic violence: May the circle be broken]( My youngest daughter just got married to a fine young man. She was beautiful and radiant. As I gave my daughter away when the minister told me to, I sat down next to a picture of my deceased husband. He passed away four years ago. Lisa was our last child. Most likely, she saw the [...] [HIV/AIDS vaccine underscores need for better health access]( “HIV has been a blessing in my life.” Lola was a 48-year-old woman living in Denver when I interviewed her in 2002 about her HIV-positive diagnosis. She said the diagnosis improved her life in important ways; she had received income and housing support, nutritional assistance, health insurance, medication assistance and primary and infectious disease health [...] [How to recover from a bad electronic health records implementation [PODCAST]]( “Is your health care organization reeling from a bad EHR implementation? There have been rumblings from hospital leadership and congressional committees about the Veterans Administration (VA) Hospitals’ implementation of the Cerner Corporation electronic health record (EHR) replacing the VistA EHR. The $10 million EHR overhaul has been controversial since the staggered rollout started in Spokane, [...] [A COVID long-hauler shares her story]( According to the WHO, 10 to 20 percent of COVID-19 patients experience lingering symptoms for several months following infection. What we know as long COVID is now termed post-COVID condition as of October 6. Post COVID-19 condition occurs in individuals with a history of probable or confirmed SARS-CoV-2 infection, usually three months from the onset [...] [“Call the family. Let them know she passed away.”]( She was an ICU downgrade. Hospice care is what they told me. We added her name to our list, and my senior resident told me she was now my patient. I did not have a clear story. Sepsis? Complications? The ICU note was lengthy. Rounds were coming up, and I needed to see all my [...] [Patients should never underestimate the self-flagellation of the physician]( Patients die. This is a tragic truism in the world of medicine. Usually, the patients who die are elderly. Patients die from diabetes and kidney disease, or from alcohol abuse and liver failure, or from heavy smoking and lung disease. Or patients die from cancer. As a physician, I take these deaths in stride. I [...] [When clinicians are bullied at a school board meeting [PODCAST]]( “The first amendment protects your right to free speech. But it does not make you more right, more ethical, or more kind. And nor does it give one license to rewrite history as has been occurring since July 27th, adding insult to our experience. Let me break this down. On one hand, three pediatric medical [...] --------------------------------------------------------------- [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](. --------------------------------------------------------------- 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](