Here are the stories you missed on KevinMD. Thank you for your continuing readership.
--------------------------------------------------------------- Here are the stories you missed on [KevinMD](. Thank you for your continuing readership.
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--------------------------------------------------------------- KevinMD Plus: Jul 11, 2022 [Not a cancer survivor, not a cancer previvor: Am I a cancer preventer?]( I recently had a prophylactic bilateral mastectomy with an esthetic flat closure (no reconstruction). My decision took months of questions, discussion and reflection. My journey began during the final four weeks of 2021. It included: four mammograms, four ultrasounds, three MRIs, two needle biopsies, two radioactive seed placements, two excisional biopsies (aka lumpectomies), two surgeon [...]
[Know your worth: Negotiating employment contracts from a place of strength]( You always have a choice as to what to negotiate in a contract. You could redline the entire agreement, infuriating your future employer or potential partner in a joint venture, nitpicking things that donât matter, or you can hone in on the areas that will really hurt you. In this article, we are going to [...] [Allow yourself a moment to focus on yourself, not the next patient]( No, hearing that child screaming in the patient care room is not ânormal.â My best friendâs son was throwing a tantrum the other night while we were having dinner. He did not want the Chinese food I had picked up, even though I got him the good stuff (sweet and sour chicken). He cried for [...] [Treating mental illness will not stop mass shootings]( Since the mass shooting in Uvalde, TX, rapidly after that in Buffalo, NY, I have read and heard several simplistic public media pieces suggesting easy means of preventing these acts. They unanimously indicated that mass shooters (MS), especially those who are younger, can be detected before their fatal actions by their statements or writings online [...] [Be skeptical of certificate of need laws [PODCAST]]( âCertificate of need (CON) laws purport to lower health care costs, increase patient access and ensure quality by managing the distribution of private resources, but none of these gains has materialized. A joint report from two federal agenciesâthe Federal Trade Commission and the Antitrust Division of the Justice Departmentâfinds [...] [6 changes that could lower the risk of developing prostate cancer]( After skin cancer, prostate cancer is the most common type of cancer diagnosed in people with a prostate. Some risk factors associated with prostate cancer canât be mitigated. Those factors include older age, a family history of prostate cancer, and race (Black men have double the risk of developing prostate cancer compared to white men). [...] [Novavax may be able to provide equitable access to another vaccine alternative]( On June 7th, 2022, the Novavax COVID-19 vaccine was approved for use in adults by the Vaccine Advisory Committee of the United States Food and Drug Administration. The vaccine has already been authorized in many other nations, including Indonesia, the United Kingdom, Canada, Australia, and more, making the U.S. one of the last major nations [...] [If itâs not clinically pertinent, then stay out of my uterus]( âStay out of my uterusâ is a rallying cry for women defending reproductive rights. But itâs more than just that. Patient 1: Female went to urgent care for back pain, had a negative pregnancy test, and saw a physician who prescribed a muscle relaxer. In the end, he asked her when she would have a [...] [Regulate your nervous system to improve your physical and emotional well-being [PODCAST]]( âIt makes sense that the bodyâs reaction to the onslaught of perceived threats would have a detrimental effect on physical and mental well-being. Perceived threats trigger the exact same physiological response as actual threats, activating a fight, flight or freeze reaction. Itâs the constant stimulating of these stress responses [...] [2 questions you should ask when choosing a surgeon]( If you or a loved one needs surgery, youâre very likely terrified. You also may be shopping around to find a surgeon. Of course, youâll want the best. (Iâve never heard someone say, âIâd like the most average surgeon I can find.â) There are lots of factors to take into account. But here are two [...] [Military physicians leaving the military]( Military physicians leaving the military have several issues that should be carefully evaluated before executing a contract with a civilian employer. First of all, the income is definitely going to be higher than the military physician salary. Much like a physician coming out of training, military physicians should ask whether the salary is fair, not [...] [A doctor for LGBTQ+ health needs]( As a queer, nonbinary, poly, and kinky person, medicine has been a challenging field to fit into, both as a patient and a physician. While a first-year med student, I was misdiagnosed and inaccurately treated for an STI due to my physicianâs biased and discriminatory views. A week after my painful injection, I had to [...] [A shortage of geriatric doctors [PODCAST]]( âPolicymakers and educators can introduce incentives and new educational programs to recruit more physicians to fill the care gaps for elderly patients. Perhaps one solution is raising Medicare reimbursements to doctors at the same rate that private insurance pays. Another avenue might be recruiting doctors that are licensed in [...] [Itâs time to prevent the exploitation of sick people for profit]( As a former emergency medicine doctor with ABEM certification, I anticipate questions about why I sought medical care. At this point, my problems are complex, and I need someone with a clear head to weigh in. At every encounter (and there have been nine or ten in three weeks), I have been both shocked and [...] [NLP and AI technologies streamline tedious health care processes to enable faster care]( Two years after the global pandemic totally rewrote the health care playbook, hospitals, health systems, facilities, and providers are still striving to find some semblance of normalcy. Challenges present before the pandemic werenât solved during the all-hands-on-deck mentality during wave after wave of COVID-19 cases and hospitalizations. Obstacles such as outmoded workflows remain to be [...]
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