Tag Archives: opioid

Selfie-Diagnosis, Fentanyl Anti-Doses

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  • Dave’s been seeing a lot of videos on social media that suggest “You might have {insert condition} if you {insert experience or behavior that most people have or do to some degree}.” Which is great–it’s always nice to know that you are not alone, that your experience is not unique. But how should physicians work with a social media self-diagnosis?
  • There may some day be a vaccine against fentanyl, meant to protect against overdoses. This is great news, if it works out, because people die from fentanyl overdose every day. Who will get it, what affect it will have on anesthesia, and the parallels to how people view HPV vaccines will among the things we’ll be watching.
  • And Dave has co-hosts Jeff, Jacqueline, Faith, and Riley practice their doctoring on each other.

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Continue reading Selfie-Diagnosis, Fentanyl Anti-Doses

Brown Girl, White Coat, ft. Saie Joshi

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Saie Joshi via Instagram

Saie Joshi is a first-year med student at Baylor, but that’s not all she is.  She’s got a beautiful singing voice and a busy schedule advising med school hopefuls from her tight-knit Indian-American community.  And, of course, as she’s an up-and-coming podcaster we were excited to have her on as a guest co-host.  Aline Sandouk, Issac Schwantes, and Rob Humble spoke with Saie about her show Brown Girl White Coat, and about  ZDoggMD’s recent reflection on moral injury among physicians and healthcare providers.

Fittingly, we had a question from listener Jesse about his path forward after a bad first semester lead to a low graduating GPA.  Luckily Saie was on hand to help.


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This Week in Medical News

Scientists at Yale have found a way to partially re-start the brains of pigs hours after they were slaughtered, causing ethicists to clutch their inhalers.  The Feds rounded up more than 60 people including doctors and pharmacists in Appalachia charging them with opioid offences and fraud.  And a cure for bubble boy syndrome using HIV has changed the lives of 10 infants barring unknown future side effects.

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Hit By A Bus

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Our newest co-host has already had a taste of fame.

school bus photo
“And that’s when I new I wanted to be a doctor.” Photo by ThoseGuys119

Abby Fyfe joins the crew this time, along with Aline Sandouk, Jayden Bowen, and Aditi Patel.  Turns out, Abby is an old hand at being internet famous, because she was (trigger warning) once run over by a bus. True story.  She has since regained her 3-dimensional shape, but did she mine that experience for her med school applications?

But first, listener Tyler wants to know: is your undergrad institution’s reputation an important factor for med school admissions committees? And we got some feedback from Alex, an actual registered dietician, and Blake responds to a recent question from Courtney about raising kids during med school.

Later, Jayden quizzes us: can we guess what these genes do based on their very geeky names?

This Week in Medical News

In light of recent scandals in research and retractions of studies, an article in Molecular Cell proposes a Hippocratic Oath for scientists.  And there’s a new opioid possibly coming to market that is 500 times more powerful than morphine.

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Recess Rehash: Bropocalypse 2017

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The national #MeToo conversation continues

creepy man photo[Dave had the flu on recording day, so we’re posting this awesome episode from the recent past.  Enjoy!]

Dave found himself hosting with another group of women, so what better time to talk about #MeToo and the powerful people being taken down by their sexual harassment and abuse of their less-powerful victims?  Erin Pazaski, Hillary O’Brien, Laura Quast, and Liza Mann weigh in on why this seems to have staying power in the news cycle, and why it seems to destroy some powerful men and not others.  Plus, since this is a group of friends who, through med school, have come to know each other well, Dave challenges each to answer questions as their friends would.

This Week in Medical News

Speaking of creepy, The University of Miami has a problem on its hands with a medical student who’s been posting other students’ social media pics of their car selfies and beach photos on websites where other folks are excited by such things.  A New Hampshire doc loses her license after refusing to use an EHR because she’d rather practice ‘medical art’ (and not properly tracking her prescribing practices).  And more medical schools want to hear from premeds what they think about the national debate on the ACA and the individual insurance mandate.

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Your thoughts and comments are important to us!  Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

Continue reading Recess Rehash: Bropocalypse 2017

Bropocalypse 2017

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The national #MeToo conversation continues

creepy man photoDave found himself hosting with another group of women, so what better time to talk about #MeToo and the powerful people being taken down by their sexual harassment and abuse of their less-powerful victims?  Erin Pazaski, Hillary O’Brien, Laura Quast, and Liza Mann weigh in on why this seems to have staying power in the news cycle, and why it seems to destroy some powerful men and not others.  Plus, since this is a group of friends who, through med school, have come to know each other well, Dave challenges each to answer questions as their friends would.

This Week in Medical News

Speaking of creepy, The University of Miami has a problem on its hands with a medical student who’s been posting other students’ social media pics of their car selfies and beach photos on websites where other folks are excited by such things.  A New Hampshire doc loses her license after refusing to use an EHR because she’d rather practice ‘medical art’ (and not properly tracking her prescribing practices).  And more medical schools want to hear from premeds what they think about the national debate on the ACA and the individual insurance mandate.

We Want to Hear From You

Your thoughts and comments are important to us!  Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

Continue reading Bropocalypse 2017

Reaffirming points of pride, and life in rural Iowa

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We’re Iowa proud

grain elevator view photo
Photo by cwwycoff1

Dave has been noticing a certain mid-semester droopiness among some students at the College of Medicine.  Perhaps, he conjectured, we all need a bit of a pick-me-up.   So, Levi Endelman, Issac Schwantes, and new co-host Derek Bradley share things about themselves of which they are proud.  Issac isn’t much impressed by Dave’s point of pride.  And the boys reminisce about their rural Iowa upbringings, from careening over the ubiquitous gravel roads to romancing atop grain elevators.

This Week in Medical News

Vox has begun collecting data from ER visitors on the resulting bills, so the American Hospital Association issues a warning to its members.  And the US opioid epidemic is finally a national emergency, officially.  Will the president’s latest proclamation have any effect?  Will the American taxpayer get its $57,000 worth?

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What do you do when you’re academically down in the dumps?  Do you take your cell phone to the bathroom?  Admit it! Show the world you aren’t afraid of its judgement by calling us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

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The Modern Opioid Epidemic

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heroin photo
Photo by G4GTi

Close your eyes, and picture an opioid abuser. If you’re like me, you see a man in a flophouse or dark alley. He’s cooking up heroin in a spoon over a lighter. Maybe he has a loop of tubing around his upper arm, and he’s shooting the heroin into a vein in the crook of his elbow. Once he’s done with the injection, he leans back with a euphoric sigh. Fade to black.

Maybe it’s just me, but this is the image that, for years, mediated my perception of the opioid epidemic, but it’s a stereotype created by television and movies. Even as a stereotype, it’s outdated, though. For decades, now, much of the epidemic is one of prescription drugs. The CDC says 78 people die from opioid overdoses every day. At least half of all opioid overdoses are from prescription drugs. Meanwhile, deaths from illegally made opioids, like the synthetic Fentanyl which is often mixed with heroin or cocaine to increase the high, increased 80% from 2013 to 2014. The American Society of Addiction Medicine says that prescription pain reliever overdose deaths among women increased more than 400% from 1999 to 2010, compared to 237% among men. In 2014, 168,000 adolescents were addicted to prescription pain medications. More than 2 and a half times that number of kids were taking prescription pain relievers for non-medical uses.

Next week, from September 26 to September 30, 2016, the University of Iowa Carver College of Medicine will host the Opioid Overdose Prevention Summit. Second-years med students Sarah Ziegenhorn, Petra Hahn, and Cameron Foreman helped organize the conference, in which students from the Colleges of Medicine, Dentistry, Pharmacy, Social Work, Public Health, and Nursing will join together to increase their knowledge and to influence public policy and legislation; personal perspectives; and student advocacy. , Sarah, Petra and Cameron were joined by Assistant Dean Denise Martinez and Nurse Kim Brown, whose son Andy died of an overdose, to talk about the issues of opioid addiction, treatment, and overdose prevention.
Continue reading The Modern Opioid Epidemic