Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 35-year-old man is evaluated during a follow-up appointment for persistent heartburn with chronic cough. He has a 1-year history of gastroe…
I hear it all the time. Young resident physicians are taught it. It infects our failed attempts to staff rural hospitals. (Among other things.) It’s this. ‘If you’re well trained in a teaching center, and you go to a small rural hospital, you’ll lo…
I was struck by the difference between my care and that of the rest of the system as I cared for a patient recently. She was complaining of a strange pulsating noise in her ear that had started a few weeks before. We chatted for a while, as I asked abo…
When Colorado legalized marijuana, it became a pioneer in creating new policies to deal with the drug. Now the state’s surgeons, nurses, and anesthesiologists are becoming pioneers of a different sort in understanding what weed may do to patients who g…
As a law student, I recently was a legal extern at a hospital this summer. It’s a crazy thought because when I started medical school back in Fall 2015, my bus would pass through the pick-up/drop off zone at the hospital every single day at 7:43 a.m. I…
As a law student, I recently was a legal extern at a hospital this summer. It’s a crazy thought because when I started medical school back in Fall 2015, my bus would pass through the pick-up/drop off zone at the hospital every single day at 7:43 a.m. I…
I wrote about this topic a few years back, but the recent outbreak of measles has once again ignited the debate of just what the government has the right to do or not do in compelling individual actions in support of public health. This is an old quest…
It wasn’t even nine o’clock when the screen on my laptop suddenly froze. From that moment until my last patient left the building, my clinic had no internet. For my part, the day went pretty smoothly, mostly because of some of my own work habits. It al…
In 1902, a smallpox outbreak infected thousands of people across the northeastern United States. That year, in Massachusetts alone, 2,314 people were infected, and 284 died. This was not unusual for early-twentieth-century Massachusetts: The smallpox v…
When it comes to destroying debt, many of us are familiar with the two most common methods to pay down debt. Many choose the debt snowball method where you pay off your smallest debt first while paying the minimum on others. Once that first debt is gon…
