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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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Social Media and Physician Conflict of Interest

The use of social media by physicians has increased substantially in recent years, with some estimates reporting increases from 41.6% in 2010 to as high as 90% in 2011.1 While personal use is more common, approximately 65% of physicians interact with various social media platforms for professional reasons.1 For example, some physicians use social media to promote […]

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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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Dr. Joseph S. Alpert

Socrates on Quality

Following several hours of vigorous exercise on a warm afternoon in the spring of 410 bce, Socrates converses with Asculepo, a young medical student attending the Hippocrates School of Medicine in Athens. Asculepo is telling Socrates about several recent lectures at the school on the subject of quality in healthcare. Socrates: A wonderful afternoon, Asculepo, perfect weather […]

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