I had my first jaw dropping patient last week. You know, working in cardiology, you see a lot of the same thing. Acute coronary syndrome, atrial fib, heart failure...Turn 'em and burn 'em, that's my motto. Thursday, I had my first patient that I was completely side-bombed over. That day, an 86-year-old female presented to the ED for ...

My first encounter with homelessness was while living in Ecuador. Homelessness there is pervasive and hard to miss. It is present on most street corners and does not discriminate, affecting both old and young; it is quite merciless and ruthless. I remember seeing kids as young as 3 years old with plastic cups begging on the streets. They had a ...

You don't have to break the law to fail a pre-employment drug test. In fact, you could lose your job just by using countless products hanging on the wall of your local gas station. That's because at my hospital, when an employee's urine drops into that little plastic device during a pre-employment drug screen, it is checked for ...

I was going to write a blog about neuro-syphilis because I just recently treated a 29-year-old patient for this condition, however, on reflection it seems more apt to discuss the enormous financial costs associated with her care. That being said, neuro-syphilis is a tricky diagnosis; I advise clinicians to read up on it. Syphilis is commonly ...

''America has spoken'' says Nick Cannon from America's Got Talent and the winner is: The American People! This is the feeling of many when the Supreme Court ruled that the Patient Protection and Affordable Care Act (PPACA) is constitutional. Are the American people really winners? Absolutely! As the healthcare reform unfolds, nurse ...

Most of my spare time is spent listening to and watching the healthcare reform debate. I know that I favor a single payer system but I also know many people do not. My intent is not to get in a debate about this, as I don't think it will happen. What I do think has a chance is a public insurance option. That is if everyone is not scared to death ...

According to data published by Wolters Kluwer Health, patients are increasingly declining to fill their prescriptions as their wallets become thinner. The Wall Street Journal reported these findings today, showing that 6.8% of patients did not fill their brand-name prescriptions in the last quarter of 2008, an increase of 22% from the first ...

Have you all been watching AMC's Mad Men, the TV series about a Madison Avenue advertising firm in 1960? The premise explores the lofty question of how we create truth — and sell falsehood. We follow the power of sex, ethnicity and money through each episode. The women wear bullet bras, and the men swill bourbon from bottles kept in their desks. ...