A 37-year-old man was diagnosed with Lyme carditis after presenting to the emergency department (ED) with fever, weakness, history of tick bite, and prolonged PR interval of 394 ms (a type of heart block) and positive Lyme testing. In the ED, second-de…
“There is nothing like staying at home for real comfort,” says James Austen. So, instead of traveling and waiting for hours by standing in a queue, what if health care is provided to you at home? That’s why home hospital care (HHC) is…
I’m a small-time doc in a small town, and I work at a small hospital in the Midwest, and I’m proud of it. The huge university hospitals (like Cleveland Clinic) get all the glory (especially in society and in the press), but small hospitals like mine dr…
More than half of all physicians in the United States are employed by health care organizations, and the numbers have been trending upward since 2019. Recruiters who work for health systems are tasked with finding the best physicians available, and the…
“You have to show proof that you have something wrong with you in order for you to get the medicine. I put forth, and I maintain that if I was white, I wouldn’t have to go through that.” – Dr. Susan Moore. In a 7-minute-and-22-second …
In a world where everything is fast-paced, I believe we miss out on some stuff that deserves our attention. Just like we need to stop and smell the roses, we need to stop and pay heed to the little life traumas that hit us daily. For today, I will jot …
A colleague announces he is retiring. Unknown at the time is the fact that there were a series of fires and suicides committed by patients at the psychiatric facility where he was chief medical officer during the year prior to his departure. State inve…
It’s no secret that rural hospitals have been struggling. According to online data from the University of North Carolina, 137 rural hospitals have closed in the U.S. since 2010. In Appalachia, the rural hospital where I work, which is staffed by …
Along came COVID, and no one was prepared. We had minimal PPE. We were told to put our N95 mask in a paper bag, use it on every patient, and use it for one full week. Normally the N95 mask would be disposed of after each patient room exit. Health care …
There is value in reflecting on the most difficult experiences, as it affords an opportunity to examine how we act, react and change in response to the forces around us. The most difficult experiences in medicine are often not discussed, as there is ty…
