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Last Build Date: Wed, 21 Mar 2018 06:00:25 PDT


What Frederick Douglass can teach us about health care

Wed, 21 Mar 2018 06:00:25 PDT

“I’ve done this thousands of times. If you do not intubate him, he will die quickly. I’m a pro, but I don’t have all night: either decide to let me do my job, or he dies. But remember, he could die while I do the procedure as well.” These were the words that echoed around […]

Physicians: Focus on net time, rather than net income

Wed, 21 Mar 2018 04:00:54 PDT

We all understand the concept of net income or net pay. If you’re an employee, it’s what you see deposited into your bank account after federal and state taxes, Social Security taxes, Medicare taxes, etc. are all withheld. If you’re self-employed, it’s what you’re left with after you set aside the funds for many of […]

6 reasons how exercise makes you a better physician

Tue, 20 Mar 2018 16:00:54 PDT

Practicing medicine sometimes feels a bit like pulling teeth, and getting regular exercise often resembles flossing. I have only recently started flossing on a regular basis. For most of my life, the bulk of my flossing activities would happen in the few days before my rapidly approaching dentist appointments. The “logic” I used to employ: […]

Tap water: an undervalued and overlooked key to health

Tue, 20 Mar 2018 12:00:06 PDT

Suffering from headaches? Drink more water. Feeling tired? Drink more water. Fighting the flu? Drink more water. Trying to lose weight? Drink more water. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.

10 tips to help patients through benzodiazepine withdrawal

Tue, 20 Mar 2018 10:00:51 PDT

As physicians, we are experts at prescribing medications. However, we often fail miserably when it comes to recognizing adverse reactions and tapering medications. It’s something that is simply lacking in our medical training. I have become a victim of this with benzodiazepines, as I detailed in a prior blog post. Benzodiazepines, in particular, are very […]

A millennial doctor’s love-hate relationship with EHRs

Tue, 20 Mar 2018 08:00:19 PDT

At the start of the transition to electronic health records (EHRs), I was totally on board as one would expect of a millennial doctor. I, along with my fellow millennials, grew up alongside the internet. We can type with our eyes closed, navigate pop-ups in a jiffy and intuitively know how to manipulate electronic charts […]

Physicians: scared of social media? Stop and dive in.

Tue, 20 Mar 2018 06:00:39 PDT

Fear of exposure I hear from a lot of my professional friends, especially the doctors I’m in touch with regularly, about the fear of diving in — of starting out on their own social media journey. They’re watching us all swim around them, paralyzed by the thought of even dipping in their feet. It’s OK […]

Enjoy financial freedom by reaching the land of critical mass

Tue, 20 Mar 2018 04:00:59 PDT

If you’re doing investing right, you’re saving a large percentage of your income every month (like 25-50%) and stuffing it into stocks, bonds, and real estate investments. At first, even with a high savings rate, your net worth will be low, and the money made by your investments will also be low, like maybe a few hundred […]

How to find purpose in the age of burnout

Mon, 19 Mar 2018 18:32:51 PDT

A recent sports injury required me to have surgery. As a cardiothoracic surgeon, my experience as “the patient” reminded me of lessons-learned years ago on finding one’s purpose. You should never underestimate your capacity as a health care professional to dramatically impact the lives of your patients. As a pre-med in college, I interviewed at […]

The tiny gains of patient-centered medical homes. Are they worth it?

Mon, 19 Mar 2018 16:00:54 PDT

First, a history lesson. Back in the mid-2000 oughts, the AAFP launched a wholly owned subsidiary called TransforMed. It was originally started to help practices implement the “new model of care” from the Future of Family Medicine Report. Soon after it was launched, the joint principles of the patient-centered medical home (PCMH) were announced, so […]

How inflation will affect our health system

Mon, 19 Mar 2018 12:00:49 PDT

All eyes are on interest rates as investors look for more signs of trouble ahead. If their concerns over higher-than-expected inflation prove accurate, many players in the U.S. economy will suffer the burden of higher costs. But perhaps no sector would feel the strain more than health care. Higher costs would be just the start […]

The pain scale shares the blame for the opioid crisis in America

Mon, 19 Mar 2018 10:00:05 PDT

If you have ever had surgery or told your doctor about physical pain, no doubt you have heard the question: “How would you rate your pain on a scale of zero to 10, with zero being no pain and 10 being the worst pain you can imagine?” That sounds like a reasonable question, but everyone […]

Science and medicine are seemingly at constant odds

Mon, 19 Mar 2018 08:00:34 PDT

In the mid-1800s, Ignaz Semmelweis, then a professor at Johns Hopkins, proposed something outrageous: Doctors and medical students working in the maternity ward should wash their hands before delivering babies because doing so could reduce infant mortality. For proof, he performed a rigorous experiment that showed babies delivered by midwives, who traditionally did wash their hands prior […]

The public’s unrealistic expectations about CPR

Mon, 19 Mar 2018 06:00:31 PDT

A survey of 1,000 volunteer adults found 71% regularly watched medical television dramas, but only 12% said the shows “were a reliable source of health information.” The participants were given some brief vignettes describing scenarios where CPR was administered: a 54-year-old who suffered a heart attack at home and received CPR by paramedics, an 80-year-old […]

Physicians: Are you paying attention to your mutual fund fees?

Mon, 19 Mar 2018 04:00:51 PDT

In the past, investors had to pay an actively-managed mutual fund to manage their money. The average actively-managed mutual fund charges about 1% of assets under management. Hedge funds typically charge 2% of assets and 20% of profits. And the worst of the worst mutual funds charge up to 3% or 4% of assets. Now, index funds […]