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Avoid Surgeons Without Accredited Training: It Could Save Your Life

Three young mothers under the age of 40 are dead because they wanted to be beautiful. Kellee Lee-Howard wanted a slimmer body. Ditto Maria Shortall and Rohie Kah-Orukatan. Shortall worked as a housekeeper; Lee-Howard was the mother of six kids and Kah-Orukotan died at the same place where she received manicures. What do these women have in common besides being minorities? They had liposuction procedures performed by men who offered a discounted price for an elective surgical procedure. These men professed to be competent in performing the procedures but never had accredited training.

I knew this day was coming. I saw the storm long before the clouds emerged. As the insurance payments for professional medical services decreased and declined, physicians began to look for alternative ways to earn money. But was it ethical? Read more »

*This blog post was originally published at Dr. Linda Burke-Galloway*

Does The Next Generation of Physicians Know What They’re Getting Into?

Doctors have an image problem.  People see us one way.  Perhaps more importantly, we see ourselves one way.  And it seems to start at a young age.

I had a premedical student in my office recently – A friend of a friend interested in a career as a doctor.  And as I often do I like to ask the question, ‘what do you think medicine will be like when you’re done training?’ It’s something of an exercise.  I usually get an answer involving some combination of hospital rounds, physical examinations, telephone calls, and busy office visits.  Occasionally I’ll get rehearsed nonsense about black leather bags and house calls.  The young woman in my office didn’t fail to deliver.

What does the next generation of physician know? Read more »

*This blog post was originally published at 33 Charts*

BBC America Introduces New TV Show About Real Life In The ER

You know me.

I’m all over anything that is from the BBC.

But this is different.

There is no TARDIS. And there are nurses along with the doctor. Lots of nurses.

And the only people flying through time and space are the trauma patients before they hit the bus or the ground.

24 Hours in the ER premiered last night on BBC America. I received a copy of the first two episodes from BBC America unedited for American television. Of course in Great Britian, this was called “24 Hours in A&E”.

On a personal level, I like it. It reminds me of the old “Trauma in the ER”.

On a professional level, Read more »

*This blog post was originally published at Emergiblog*

Can A Curriculum Cultivate Empathy In Med Students?

It seems that there are medical schools taking the initiative to help their students become more compassionate.  It’s a worthy goal but I don’t know if it’s possible.  We can teach individuals to act compassionate.  But that, of course, is different from being compassionate.  While there may be literature to support the cause, I don’t think that a curriculum can cultivate empathy.

Is it possible to change a student or doctor’s heart?  Of course, I see it all the time.  But not from role playing or small groups.  It’s human circumstances that drive change.  Personal loss and life experience tempered by introspection and humility change how we see those around us.  It’s only when we recognize our own vulnerability that we can begin to see it in others.  This doesn’t happen in a classroom. Read more »

*This blog post was originally published at 33 Charts*

Cancer Diagnosis Doesn’t Stop Woman From Starting A Family

In 2007, Melanie Jaggard went to the hospital for a punctured ear drum and was given the shock of her life. She had cancer; a very rare form that was located at the base of her brain.

Adenoid cystic carcinoma (ACC) is the second most common cause of salivary gland cancer but can affect other areas of the body. Melanie is one of only 20 to 25 people in the United Kingdom to have ACC and had a 2-inch tumor removed from her head following a delicate 10-hour operation. She was single at the time, cancer free and one year later met the love of her life, Charlie Jaggard, on an online dating site. Charlie proposed three months after their first date and life was good, until she received the news that the cancer had returned, this time metastasizing to her lungs. Surgery was not an option because the tumors were too numerous and radiation was too risky to the lungs. However the couple was not discouraged. They married in January 2009 and Melanie decided to be a victor rather than a victim. Although 89 % of people with ACC survive after 5 years only 40% survive after Read more »

*This blog post was originally published at Dr. Linda Burke-Galloway*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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