Tag Archives: quality care
male, Afr.Amer. doctor standing, smiling outside

‘A Man Walks Into a Bar’: Riddles in the Teaching of Medicine

For some years now, one of us (AV) has enjoyed posing this riddle on teaching rounds with residents.1, 2 A man walks into a bar and makes a wager: He will keep his head submerged in a bucket of water for as long as the patrons wish. If he succeeds, the patrons must each buy him […]

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handgun painted with american flag

Twenty Children, Six Teachers, Two Sets of Eyes, a Dog, and a Transformation

Twenty children, six teachers, two sets of eyes, and a dog were a terribly tragic catalyst for my metamorphosis as a physician and person. Let me explain. Until the cataclysmic event, I was an academic physician at an Ivy League institution who worshipped at the altar of evidence-based medicine and thought housestaff and students should […]

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House Calls

When I was a medical student, 50 years ago, physicians, especially pediatricians, internists, and family physicians, were still making house calls as part of their provision of care for their patients.1 The symbol of the practicing physician at that time was the “black bag,” which contained diagnostic tools like the stethoscope, ophthalmoscope, tuning fork, reflex hammer, […]

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doctor gives a physical examination of a patient

Reducing Hospital Toxicity: Impact on Patient Outcomes

Circadian rhythms are endogenous 24-hour oscillations in biologic processes that drive nearly all physiologic and behavioral functions. Disruption in circadian rhythms can adversely impact short- and long-term health outcomes. Routine hospital care often causes significant disruption in sleep-wake patterns that is further compounded by loss of personal control of health information and health decisions. We […]

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close up of gloved hands filling a syringe

Emerging Trends in Pain Medication Management: Back to the Future: A Focus on Ketamine

  Providers face many challenges when faced with pain management. Pain is complex, difficult to understand and diagnose, and especially enigmatic to manage. The discovery of nonopioid agents for pain management has become particularly important considering the ongoing opioid epidemic. This review is focused on revisiting ketamine, an agent that has historically been used for […]

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