Gender Bias In Lecture Acoustics

Gender Bias In Lecture Acoustics

Last month, I attended the American College of Chest Physicians annual meeting. At one of the sessions, I realized I could hear the men talking but I had a hard time hearing the women despite the fact that they were all standing in front of the same lectern and all speaking in what seemed to […]

Controlling The Epidemic Of Outrage

Controlling The Epidemic Of Outrage

Outrage is one of those human emotions that when used sparingly is useful to separate the most egregious violations of social norms from the constant background of minor social violations. This applies to whether you are working in a hospital or anywhere else. But in excess, outrage can be lethal to workplace culture. We live […]

What Does EMTALA Really Mean For The Hospital

What Does EMTALA Really Mean For The Hospital

The EMTALA law was enacted 33 years ago as an “anti-dumping” law. EMTALA fundamentally has 2 main implications for the hospital: how you manage patients in the emergency room and how you manage hospital transfers. It stands for the Emergency Medical Treatment and Active Labor Act and it placed requirements on hospitals receiving Medicare payments; […]

Making Wound Care Work

Making Wound Care Work

Hospital wound care clinics are one of those unheralded parts of healthcare. As our population ages, gets more obese, and has more diabetes, chronic wounds are only going to become more common and having a location within the hospital system that can provide a comprehensive approach to healing wounds is important today but will be […]

Telomeres And Pulmonary Fibrosis

Telomeres And Pulmonary Fibrosis

My stepfather was the quintessential short telomere syndrome patient. His hair turned gray in high school, his father died of idiopathic pulmonary fibrosis, his sister died of idiopathic pulmonary fibrosis, and then he too died of idiopathic pulmonary fibrosis, complicated by bone marrow failure from myelodysplasia. Last month, I attended an international conference on telomeres […]

Predicting The Next Influenza Season

Predicting The Next Influenza Season

Last month, in August 2019, we have our first influenza case in our hospital. The patient recently returned from an international gathering so it is likely that he acquired the flu from a Southern Hemisphere resident attending the same gathering. The Southern Hemisphere has its influenza season at the opposite time of year as the […]

Why Your Electronic Medical Record Upgrade Feels Like A Downgrade

Why Your Electronic Medical Record Upgrade Feels Like A Downgrade

All software undergoes periodic upgrades. This may happen every few years (think Windows or the Macintosh operating systems) or every few months (think Microsoft Word and Powerpoint). Electronic medical records are no different.¬†Sometimes, software upgrades are for improved security, sometimes for better user-friendliness, and sometimes to provide additional features. But whenever they happen, they cause […]