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Total 170 results found since Jan 2013.

The antibiotics arms race must end
“Cha-ching!” goes urgent care. For your rhinovirus, adenovirus, or seasonal allergies you get a strep screen, flu swab, CBC, and chest X-ray. You get a steroid shot, Rocephin, and Z-Pak. A week later, you present for medical care again, because your virus is no better, and you want a stronger an tibiotic. In the meantime, your […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 18, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/charles-w-olson-jr" rel="tag" > Charles W. Olson, Jr., MD < /a > < /span > Tags: Conditions Infectious Disease Source Type: blogs

A physician ’s New Year’s resolutions
2019 is here. I started my year by doing an urgent care shift on New Year’s day.  It was not quite as busy as I expected; most of the shifts I’ve done around the holidays were high-volume, with lots of flu, other respiratory infections, and lacerations sustained while cooking holiday meals.  New Year’s day was […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 14, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/rosalind-kaplan" rel="tag" > Rosalind Kaplan, MD < /a > < /span > Tags: Physician Emergency Medicine Primary Care Source Type: blogs

Countering misinformation about flu vaccine: Why it ’s so hard
Many Americans hold beliefs about the flu vaccine that are at odds with the best available scientific evidence. For example, a recent study found that more than two-fifths, or 43 percent, of Americans believe that the seasonal flu vaccine can give us the flu. Scientific research strongly suggests that this is not true. Because most […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 14, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/matthew-motta-dominik-stecula-and-kathryn-haglin" rel="tag" > Matthew Motta, PhD,  Dominik Stecula, PhD, and Kathryn Haglin, PhD < /a > < /span > Tags: Meds Infectious Disease Source Type: blogs

Electronic health records: Separating the signal from the noise
5,177. That’s the current number of“cc’ed charts” as of this morning in my electronic health record in-basket. While it might sound like a lot, this is not at all an unusual accumulation, partly due to the fact that I receive a notation every time a patient at our practice gets a flu shot, and […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - December 23, 2018 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > < /span > Tags: Physician Health IT Primary Care Source Type: blogs

On The Pulse - November 2018
Point-of-care tests for influenza in ambulatory care: what ’s their clinical utility?
Source: OnMedica Blogs - November 23, 2018 Category: General Medicine Source Type: blogs

The main difference between functional medicine and evidence-based medicine
Figuring out what ’s actually true is far harder than most people realize. Our brains are both hypothesis-generating machines and incredibly credulous. As a result, most of the things we believe to be true turn out to be false. We don’t just mistakenly believe that vaccines cause autism, that the flu shot can giv e us the […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - November 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/alex-lickerman" rel="tag" > Alex Lickerman, MD < /a > Tags: Physician Primary Care Source Type: blogs

Flu vaccination in pregnant women reduces risk of hospitalization
Influenza is the leading cause of vaccine-preventable deaths in the United States. Influenza also tops the list of the burden of disease and disability-adjusted life years (DALYs) according to a Eurosurveillance article. The flu is more likely to cause severe illness and harm pregnant women as compared to women who are not pregnant. Changes in the immune system, heart, and lungs during pregnancy make pregnant women (including women up to two weeks following childbirth) more susceptible to severe illness from flu, including illness that directly results in hospitalization. Pregnant women with influenza also have a higher ...
Source: Kevin, M.D. - Medical Weblog - October 20, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/melvin-sanicas" rel="tag" > Melvin Sanicas, MD < /a > Tags: Conditions Infectious Disease OB/GYN Source Type: blogs

A stab in the dark
Chris Preece takes a look at vaccination and transparency in research Related items fromOnMedica BMJ report questions swine flu jab transparency Scientists develop new tool to fight anti-vaccine rumours Treatment of whistleblowers a “stain on NHS”, say MPs Apologise early to resolve complaints Threat of prosecution could scupper transparency
Source: OnMedica Blogs - September 27, 2018 Category: General Medicine Source Type: blogs

The best medical specialty you ’ve never heard of
The most common response when I introduce myself as a preventive medicine resident is an interjection, “You mean family medicine?” I have come to realize that the majority of the healthcare field has never heard of preventive medicine as a unique medical specialty. It’s a shame, because preventive medicine is truly the best medical specialty you’ve never heard of. Preventive medicine practices at the intersection of public health and clinical medicine — we are population doctors. Sure, we love vaccines as much as the next physician, but we do so much more than give flu shots. We provide clinical care, inform ...
Source: Kevin, M.D. - Medical Weblog - May 22, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jennifer-chevinsky" rel="tag" > Jennifer Chevinsky, MD < /a > Tags: Physician Primary Care Source Type: blogs

Influenza in children: reducing the death rate
A recent article and accompanying commentary in the journal Pediatrics describe what we currently know about children who have died from influenza over the past decade or more. The Centers for Disease Control (CDC) has collected information about this since the 2003-2004 influenza season. In that first report, there were 153 deaths. Since then there have been at least 100 influenza deaths annually among children. Several characteristics have not changed. About half of the deaths occur in children who were otherwise normal; that is, they had no underlying chronic condition that would predispose them to having more sev...
Source: Kevin, M.D. - Medical Weblog - May 3, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/christopher-johnson" rel="tag" > Christopher Johnson, MD < /a > Tags: Conditions Infectious Disease Pediatrics Source Type: blogs

How behavioral finance can be used in medicine
While I was reading an issue of New England Journal of Medicine, I came across an interesting perspective article. Usually, I skip these articles and focus on clinical studies, images in medicine and review articles that usually have higher yield information that I can apply to help care for my patients. However, Dr. Jerry Avorn’s article, “The Psychology of Clinical Decision Making- Implications for Medication Use,” caught my attention. Essentially, he discusses how a lot of clinical decision making in medical education is based on the assumption that both clinicians and patients “behave rationally...
Source: Kevin, M.D. - Medical Weblog - April 27, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/samuel-plost" rel="tag" > Samuel Plost, MD < /a > Tags: Conditions Infectious Disease Primary Care Source Type: blogs

Learn typical community acquired pneumonia with a Medcomic
Community-acquired pneumonia (CAP) is an acute infection of the lung parenchyma acquired outside of the hospital or less than 48 hours after hospital admission. CAP is classified into typical and atypical subtypes, differentiated by their presentation and causative pathogens. This illustration focuses on the classic features of typical CAP. The most common cause of typical CAP is Streptococcus pneumoniae. It is an encapsulated, gram-positive, lancet-shaped diplococcus bacterium. Other common causative pathogens include Haemophilus influenzae, Moraxella catarrhalis, gram-negative bacilli (e.g., Klebsiella), and Staphylo...
Source: Kevin, M.D. - Medical Weblog - March 26, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jorge-muniz" rel="tag" > Jorge Muniz, PA-C < /a > Tags: Conditions Infectious Disease Pulmonology Source Type: blogs

How squeaky brakes reminded this doctor of the joys of primary care
Our local media, in an effort to raise awareness and increase vaccination rates, devoted a lot of time to the unusually harsh flu outbreak this winter. While well intended, the stories about children getting morbidly ill inadvertently led to a flood of families coming to our emergency room and urgent care centers fearful that their child would be next to get very ill or die. On one of my recent Friday night shifts at our main campus urgent care I had spoken to 6 or 7 families about their child’s flu diagnosis, discussing what the flu is, the expected course of the illness, and red flags that the families should be monito...
Source: Kevin, M.D. - Medical Weblog - March 23, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/alexander-rakowsky" rel="tag" > Alexander Rakowsky, MD < /a > Tags: Physician Pediatrics Primary Care Source Type: blogs

Tap water: an undervalued and overlooked key to health
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.
Source: Kevin, M.D. - Medical Weblog - March 20, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/alvin-chan-and-kimberly-ramirez-chan" rel="tag" > Alvin Chan, MD, MPH and Kimberly Ramirez-Chan, MD, MPH < /a > Tags: Conditions Pediatrics Source Type: blogs

Dear Mom and Dad: Are you calling your pediatrician ’s office too often?
I work as a pediatrician in a bustling metropolis, in an outpatient setting of a world-renowned academic center. One of those non-profit hospitals you see in television ads. For the last three years, our outpatient encounters have plummeted, and the mothership has put all efforts into recuperating financial losses. Meanwhile, our office phones are ringing off the hook, and we cannot seem to hire enough nursing staff to deal with the phone volume and our patients’ needs — not to mention the dreaded “patient portal” that allows patients free and direct access to their doctor. It’s a full-time job to...
Source: Kevin, M.D. - Medical Weblog - February 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > Tags: Physician Pediatrics Source Type: blogs