Health
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5h ago ( March 24, 2019 at 3:00 PM ) There is no better place to watch science in action than in the world of medicine. It was discovered in the 1930s that blood, in the presence of a certain streptococcus bacteria, did not clot. The agent formed by the bacteria was isolated and eventually called streptokinase, the first “clot-buster.” Through the decades, pharmaceutical companies […]
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9h ago ( March 24, 2019 at 11:00 AM ) “Please don’t tell my family,” Mary (identifying information changed) immediately asked me after I disclosed the results of her lymph node biopsy and diagnosis of metastatic non-small cell lung cancer. At the time, I was a first-year oncology fellow. Initially, I thought it was a normal reaction (an example of my lack of experience). I […]
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March 23, 2019 at 3:00 PM I pause for a moment and close my eyes — to center myself in this country, where I am today. I am about to walk through the door and tell the parents what my assessment has shown. I nod to the interpreter waiting behind me and knock firmly before entering the room. You see, I […]
Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. Tags: Conditions, Neurology, Pediatrics135 people like this. Like
March 23, 2019 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 49-year-old woman is evaluated for recently worsening joint symptoms. She has a 13-year history of Crohn disease characterized by four to six stools daily and mild crampy abdominal pain. She also has a 1-year history of arthritis. She currently has […]
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March 22, 2019 at 9:00 AM A man in his fifties is wheeled into the emergency department on a gurney hoping he’ll still be around to cheer from the sidelines at his daughter’s next soccer game. A little girl on the pediatric floor upstairs simply hopes her tummy stops hurting. A woman in the clinic explains her puzzling symptoms and hopes […]
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March 21, 2019 at 7:00 PM Parkinson’s disease (PD) is a progressive neurodegenerative disorder that affects movement, resulting most notably in tremor, slow movement, stiffness and balance issues. While Parkinson’s patients benefit from medicine that can alleviate some of these symptoms, there are no available treatments to slow, halt or reverse the progressive destruction of dopamine-producing brain cells and abnormal clumping […]
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March 21, 2019 at 11:00 AM Some children present to me with complex problems or multiple problems that fail to resolve after the typical interventions. I recall a child with severe abdominal pain. He had tried numerous medicines and had had scopes and studies galore. It had reached the point where he was being scheduled for exploratory surgery to try and […]
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March 16, 2019 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 79-year-old man is evaluated for a 2-month history of progressively worsening headaches, nausea, visual disturbance, and difficulty speaking. He also has hypertension and gastroesophageal reflux disease. Medications are lisinopril and omeprazole. On physical examination, vital signs are normal. Right oculomotor […]
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March 15, 2019 at 11:00 AM Parents often ask me about snacks for their children once they are eating table food. Should they even give them snacks? If so, what kinds are good for them, and how often? In general, after age one I recommend three kid-size meals and 1 to 2 snacks to help them get their daily nutritional requirements. […]
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March 15, 2019 at 9:00 AM As a sports medicine orthopaedic surgeon, I often see patients with complaints at their elbow. One of the more common diagnoses is tennis elbow, otherwise known as lateral epicondylitis. Surprisingly, most of my patients with this condition don’t even play tennis!! Many types of repetitive arm movement can lead to tennis elbow. It all has […]
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March 14, 2019 at 5:00 AM World Kidney Day reminds us of the 850 million people globally affected by kidney diseases. It draws attention to the 1 in 7 American adults managing Chronic Kidney Disease (CKD) and the 660,000 Americans with end-stage renal disease (ESRD). It also reminds us that kidney disease is the 9th leading cause of death in the United […]
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March 13, 2019 at 7:00 PM As medical professionals, one of the most challenging things to do is to motivate a patient to make changes in their lives. We passionately want the best for our patients, and it is sometimes so difficult for us to be able to connect with and inspire them to take the next step on a path […]
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March 13, 2019 at 9:00 AM I didn’t become a primary care doctor to treat opioid addiction. I wasn’t trained for it. To be honest, it scared me. But when you work, like I do, at a clinic that serves a lot of people who have little money or who struggle with mental health and substance use issues, there comes a […]
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March 12, 2019 at 7:00 PM Most patients have an idea of how surgery and chemotherapy work. It’s not difficult to picture a surgeon cutting out a cancer or a medical oncologist prescribing chemotherapy. But how does radiation therapy work? For the vast majority of patients, and a good number of physicians, radiation therapy is a completely foreign concept. In my […]
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March 12, 2019 at 9:00 AM More than two-thirds of Americans use social media, and 90 percent of adults in the U.S. have a cell phone. With these tools surrounding us, we must be more connected with one another than ever before. Right? It doesn’t feel like we are. At least, the people who engage with the health care system don’t […]
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March 11, 2019 at 11:00 AM When it comes to communication in the hospital setting, I have seen many iterations. My favorite version was at the VA on the inpatient medicine unit. Every morning, we all met in the medicine team room to discuss patients on the floor. The team’s social worker, nurses, residents, students, and the attending ran down the […]
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March 11, 2019 at 7:00 AM A guest column by the American College of Physicians, exclusive to KevinMD.com. The aim of medical education is not only to transfer scientific knowledge, but also impart the wisdom accumulated over the long history of medicine that equips us to apply this knowledge for the betterment of our patients. Although much of medical wisdom transmitted […]
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March 10, 2019 at 11:00 AM I see several patients daily with cancer. Some days can be tough, but nothing compares to what they are going through. I know that. The physical anguish and toll that chemotherapy, radiation, and surgery can take on the body. The burden that the disease can take on the mind and the soul. It’s devastating and […]
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March 9, 2019 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 40-year-old man is evaluated for a new skin rash of 10 days’ duration. The rash appeared abruptly and is not tender or pruritic. The patient has poorly controlled type 2 diabetes mellitus. His current medications include metformin and glyburide. Family […]
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March 8, 2019 at 11:00 AM For pediatric cardiologists, February, National Heart Month, is a special time. We share health tips in the hospital and talk about heart health with those looking for advice, especially with patients and families impacted by CHD. It’s also a time to look back at what’s worked well in the field, while accelerating advancements for CHD […]
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March 8, 2019 at 8:32 AM The news that beloved game show host Alex Trebek has advanced stage pancreatic cancer hit his millions of fans hard this week. His illness has elicited heartbreak and support. As a clinician who treats pancreatic cancer, I anticipated the reaction that would follow next. Fear. While it is a rare form of cancer, pancreatic cancer […]
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March 7, 2019 at 7:00 AM Ski season is here, and it’s time to think about how we can avoid injuries on the slopes. As an orthopaedic surgeon, I most often see knee injuries, but also plenty of wrist, elbow and shoulder injuries as well. Hopefully, you’ve done some pre-season conditioning — but if not, go ahead and start now! Obviously, […]
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March 6, 2019 at 10:10 PM The news that Alex Trebek has advanced stage IV pancreatic cancer has been met with an outpouring of support and good wishes, as would be expected for someone who has been a part of our lives for so many years. The fact is, pancreatic cancer is a difficult disease to treat effectively. That is due in no small […]
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March 6, 2019 at 10:10 PM The news that Alex Trebek has advanced stage IV pancreatic cancer has been met with an outpouring of support and good wishes, as would be expected for someone who has been a part of our lives for so many years. The fact is, pancreatic cancer is a difficult disease to treat effectively. That is due in no small […]
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March 6, 2019 at 7:00 PM “Grandma fell and we’re in the emergency room. She’s very distressed and does not look good. I’m going to put the doctor on the phone.” I could hear my mother’s voice strain on the other end of the phone line as I braced myself for my conversation with the emergency department physician. The emergency physician […]
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March 6, 2019 at 11:00 AM I view medicine as a team effort. Doctors, nurses, technicians, and patients work together to promote and improve health. Recently some new members have joined the team: My patients’ Fitbits, phones, and watches. For years, the pessimists out there have predicted that wearable technology would lead to mass hysteria. Patients would misdiagnose themselves as having […]
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March 6, 2019 at 8:06 AM When your grandmother suffers a devastating stroke, it is a family tragedy, but it does not necessarily make the headlines. When Luke Perry has a massive stroke at age 52, it does. Stroke remains a surprisingly common occurrence, striking someone in the United States every 40 seconds, and killing someone every 3 minutes and 45 […]
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March 5, 2019 at 11:00 AM As I sit in the conference room awaiting one of my first interviews for residency, the angst among all the applicants was palpable. We all make awkward eye contact and conversation with each other as our interviewers pull us out of the room one by one to speak with us. Amongst the awkwardness and anxiety, […]
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March 4, 2019 at 1:00 PM “Please help me. I was brushing my teeth this morning and started bleeding a ton from my mouth.” Joe (identifying information changed) pointed to a bucket next to his bed. I was horrified to see close to two pints of blood in it. With gloves on, I pulled out my penlight and a new tongue […]
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March 2, 2019 at 7:00 AM Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. An 81-year-old woman is evaluated for a 1-year history of headaches, redness of the face, and itching. She indicates being otherwise capable of performing her daily activities on her farm. She reports no shortness of breath, chest pain, or difficulty sleeping. […]
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