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Organized labor is having a moment. Medicine has not been immune. In recent months, 75,000 Kaiser healthcare workers went on strike, and that was just one of 26 healthcare worker strikes in 2023. One of the biggest changes for medicine, though, is a significant uptick in the unionization of trainees. As of December 202... |
Because in my opinion, having a seat at the table is important, but really having what I need to be the best physician I can be, to deliver the best care possible to my patients, to learn what I need to learn in order to operate safely and well, that's what I really care about, not necessarily for a limited short perio... |
And so we want to be able to do that through unionization. And so I don't think unionization was the first lever, but rather the ultimate lever that was pulled to try to affect these types of changes. And so how did you respond to them when they came to you saying that we are organizing to vote to unionize? I think to ... |
And one of those things I did mention was that there would be limitations on those things. And so if we were to simply divide the world of programs into the haves and the have-nots, the Department of Medicine and MGH was clearly one of the ones that had. And I worried that in this effort to kind of make everything the... |
I'm very pleased to be joined by Vikram Patel, one of the lead authors on the China-India Mental Health Alliance series. Hello, Vikram. Hi, Niall. So, the first question I have is, why this series and why now? Well, India and China together represent more than a third of the world's population, and I think both countri... |
Now, clearly, of course, within the countries, there's huge amounts of diversity. But I think the other thing for maybe readers in Britain, other European countries in the US to get their heads around, is that the sort of pattern of suicide, the demographics, they seem to be very different in China and in India. If you... |
But it's scary thinking of how much social resources are going to have to be committed to deal with this tidal wave of dementia that's sort of hitting us already. So without wanting to make you lose any more sleep, I wonder if we could conclude by talking about where you'd like to see mental health care in China in th... |
Welcome to the New England Journal of Medicine summary for the week of December 5, 2013. I'm Dr. Lisa Johnson. This week, we feature articles on APOL1 risk variants, race, and chronic kidney disease, targeted temperature management for cardiac arrest, bivalorudin during transport for primary PCI, and fertility treatmen... |
As we celebrate the fact that the annual number of deaths among children younger than five years of age has fallen to 6.6 million, which is a 48% reduction from the 12.6 million deaths in 1990, despite an increased number of births in many high-burden countries during the same period, the sobering realization is that ... |
Hello and welcome to the podcast for the September 2009 issue of The Lancet Oncology. Richard Lane here and I'm joined this month by TLO's editor David Collingridge to discuss some of the issue highlights. David, let's start with a study actually looking at two trials concerning the treatment of prostate cancer. Just b... |
The article covers the contrasting reports on red wine and alcohol consumption, consumption of various food types, and lifestyle choices. And finally, the piece champions the use of meta-analyses and systematic reviews, with the inference that these types of reports are perhaps a much better source of reliable informa... |
Hey folks, just a quick reminder that this episode is not meant to be used for medical advice, just good old-fashioned education. All patient information has been modified to protect their identity and the views expressed in our podcast do not necessarily reflect the opinion of our employers. Welcome back Clinical Prob... |
I like Dan Minter even more now than I thought I could. Well, there's a lot of biliary pathogens, you know, those flukes and whatnot. Oh, this is bringing me a huge smile. Let me give you the next aliquot of the case. So the patient's past medical history included hypertension, hyperlipidemia, and a recent diagnosis of... |
And in terms of the lumen, you know, we can think about stone, sludge, biliary cast, and I have to say parasites because of that. What can happen within the walls? And the wall pathology usually leads to strictures, cancers in the form of cholangiocarcinoma, trauma, ischemic injury, and autoimmune diseases such as prim... |
And the fact that these lesions were cavitating also, I learned, was atypical of a pancreatic adenocarcinoma. And so there was some diagnostic uncertainty over whether if we found what was the underlying etiology of the extrahepatic balearial obstruction, whether or not it would definitively explain the pulmonary nodu... |
Welcome to the New England Journal of Medicine summary for the week of February 28, 2013. I'm Dr. Michael Bierer. This week's issue features articles on high-frequency oscillation for ARDS, on dancitron and risk of adverse fetal outcomes, and an artificial pancreas versus sensor-augmented pump, review articles on idiop... |
For the sake of inquiry and knowledge, the inevitability of open access, a perspective article by Anne Walpert from MIT Libraries, Cambridge, Massachusetts. It's difficult to have a measured conversation about open access, Thank you. will undermine the viability of scholarly journal publishing disagree sharply with th... |
Hey folks, just a quick reminder that this episode is not meant to be used for medical advice, just good old-fashioned education. All patient information has been modified to protect their identity and the views expressed in our podcast do not necessarily reflect the opinion of our employers. Welcome back, family. It i... |
So we would like to suggest to you, our listener, that in the setting of meeting a patient, it's not, or really anyone, it's not really the way to start building trust with them by assuming their gender and their pronouns. You don't want to start by that. And so we suggest you offer your pronouns. That way, the person... |
Welcome to the New England Journal of Medicine audio summary for the week of February 24, 2011. I'm Dr. Lisa Johnson. This week's issue features articles on environmental microorganisms and childhood asthma, heterogeneity of hemoglobin H disease, BMI and risk of death in Asians, perilipin deficiency and lipodystrophy, ... |
There are many causes of septic shock that are consistent with his presentation, so the physicians needed a way to limit and focus their differential diagnosis. The immune status of the patient is an important consideration. No overt immunosuppression is evident, but his advanced age confers a relatively immunosuppres... |
Welcome to Intention to Treat from the New England Journal of Medicine. I'm Rachel Gottbaum. For decades, scientists have tried to find effective ways to treat Alzheimer's disease, with very little success. But that could be changing. New medications may help slow the progression of the disease, and new diagnostic tool... |
So what does moving the curve actually mean for patients? What it means for the patient, if we interpret the data literally, it means that they deviated from the control curve according to some neuropsychological tests. And what is hotly debated, do those changes in the neuropsychological parameters, are they discernib... |
Because the more amyloid you have, the much more likely that you have some tau. And again, these blood tests can tell us whether the amyloid's bothering the tau. So I envision that eventually we will be at a point where we will offer this as a blood test to everybody who's entering the age of risk in the same way we m... |
This is the New England Journal of Medicine audio summary. The full text of all articles is available to personal subscribers on our website. We offer discounts on personal subscriptions to residents and students. Go to NEJM.org and click on subscribe. Welcome to the New England Journal of Medicine audio summary for th... |
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