By: Steven R. Newmark, JD, MPA

Medically reviewed by Patricia Salber MD, MBA

Telehealth utilization under Medicaid surged during the pandemic providing needed services to the vulnerable. Ongoing funding must be ensured.

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We all need to keep an eye on the weather in our state capitals. That’s because a public health storm is forecasted. It is caused by the opposing forces of the pandemic-related economic downturn and related diminished tax income versus an increased demand by many unemployed Americans newly eligible for Medicaid. The Medicaid tsunami is here!

As explained by the Kaiser Family Foundation (KFF), to support Medicaid and provide fiscal relief, generally, the Families First Coronavirus Response Act (FFCRA) authorized a relief package to help Medicaid meet the demands of new enrollment. …


By: https://thedoctorweighsin.com/poor-vision-senior-falls/

Aging is associated with an increased risk of poor vision. Poor vision, in turn, increases the risk for senior falls. Vigilance is needed to prevent both.

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Photo source: iStock

More than ever, seniors need to be vigilant about their vision. Not only is it an essential sense, but poor vision presents another risk: preventable falls. Unfortunately, we live in the age of COVID which makes it harder for older adults to maintain their health, including their eye health. This article reviews the reasons why it is more important than ever that seniors get regular vision care.

The health risks of social isolation

There are millions of older adults living alone, a grim fact amplified by the COVID-19 pandemic. Family members are visiting older relatives less. And when they do, they may keep their distance to limit virus exposure and spread. …


By Jonathan Aviv M.D. & Suiana Chandrasekhar M.D.

A treatable, virus-related vagus nerve injury may be the cause of persistent shortness of breath in some COVID-19 long haulers.

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Some COVID-19 long haulers have persistent shortness of breath but normal lung imaging. (Photo source: iStock)

Persistent shortness of breath in COVID-19 long haulers may be due to a treatable nerve injury. This is a reminder that shortness of breath is not always pulmonary.

Sandy’s story

Sandy is a 42-year-old previously healthy woman who presented with a four-month history of an inability to have conversations or do Zoom meetings without feeling out of breath.

Her chest X-ray (CXR) and chest computerized tomography (CT) scan were normal. However, she had an unusual abnormality on her spirometry lung breathing test with flattening of the inspiratory curve. …


By Gavin Clark

Medically reviewed by Margaret Cary, MD, MBA, MPH

A medical student finally learned how to give permission to himself to explore his memories and experience his emotions.

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Photo source: iStock

Permission is a heavy word. When we are young and have little agency, permission takes on the most superficial meaning: asking for something tangible. It’s innately tied to something we want in the hopes of bettering the moment.

As we grow and our desires begin to intertwine with those around us, permission begins to involve incorporating others. We ask for dates and we ask for intimacy.

Either way, you cut this, though, we are asking something of someone else on behalf of ourselves. For some, this is where their understanding of permission ends. It is as neatly contained in wanting something that can be provided to you. …


By: Loren A. Olson, MD

Body dysmorphic disorder is a syndrome in which a person can’t stop thinking about some perceived flaw in their appearance.

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Photo Source: iStock Photos

Body dysmorphic disorder is a mental disorder in which a person can’t stop thinking about some perceived flaw in their appearance. It may be a flaw that doesn’t exist or is so minor it isn’t noticed by anyone else. It leads to feelings of embarrassment and shame.

Sometimes people with the disorder avoid social situations because they feel their “defect” will be on display. A fairly common example is a person who has had multiple rhinoplasties to fix their imagined nose defect. …


By Forrest Arthur, M.D.

A new addiction medicine fellowship aims to expand the number of addiction specialists to close gaps in addiction treatment.

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Photo Source: iStock Photos

America’s opioid addiction problem began, in my opinion, over 30 years ago in what many consider an unlikely place: America’s medical schools. Prolonged anxiety, grief, isolation, and financial worries stemming from COVID-19 have only exacerbated an already growing problem.

There’s been a dramatic surge in opioid-related deaths during the past six months. In fact, just this month, the American Medical Association issued a statement citing rising cases of opioid-related mortality in more than 40 states, urging those governors and legislatures to take swift action to help curb the deadly tide. …


By: Patricia Salber MD, MBA (@docweighsin)

Doximity’s Physician Compensation report revealed that income growth slowed and the gender wage gap grew in 2020 due to the pandemic.

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Like many other people in the U.S., physicians took a financial hit in 2020 because of the COVID-19 pandemic. (Photo source: iStock)

Have you been wondering how much money US doctors made in 2020? It was, after all, a year marked by one of the worst health crises in modern history — the COVID-19 pandemic. The impact on our healthcare system has been profound, including impacts on physician compensation.

Not only were hospitals inundated with extremely ill patients in certain parts of the country but their most lucrative source of income, elective surgeries, evaporated overnight[1]. …


By: Katie Marks-Cogan, M.D

New USDA Dietary Guidelines have important recommendations including ‘no added sugar before 2 years old’ and ‘early allergen introduction by 4 months’.

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Following USDA guidelines, Allergist Katie Marks-Cogan MD recommends introducing food allergens to your baby’s diet as early as 4 months old. (Photo source: iStock)

In this article, I will talk about the new USDA Dietary Guidelines and key takeaways for parents and doctors. Including the following:

  • Important new recommendations for children under 2 years of age
  • How new landmark clinical trials on food allergy prevention support the new USDA Dietary guidelines to recommend early allergen introduction to help prevent food allergies
  • New guidelines on added sugar for infants and children based on the strong link between added sugar intake and…

By: Dov Michaeli, MD, PhD

Can conservative vs. liberal views be married in order to come up with social policies that benefit society as a whole?

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Photo source: iStock

As in other periods in our history, ours is a battleground between two basic views of statecraft: 1) the liberal view of social change for the good of the people and 2) the conservative belief that any “social engineering” is doomed to failure at best and is tyrannical at worst.

Our present-day heated, even venomous arguments, are nothing new. Abraham Lincoln, not a rabid Socialist, had to contend with the reactionary Democratic Party of his time. It was called the “know nothing” party. …


By Elizabeth Glowacki

Medically reviewed by Margaret Cary, MD, MBA, MPH

Here’s the story of how I learned the profound honor and responsibility of giving bad news to loved ones.

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The fire doors to the stairwells are fairly thick in the hospital. Still, when I opened the door to the stairs on the 3rd level, I could hear a distinct sound coming from the ground floor hallway. It was something like an animal howl, loud and uninhibited but also vaguely familiar.

I couldn’t make out any words or clear emotions due to the muzzle of the two-inch-thick metal fire doors. …

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The Doctor Weighs In

Dr. Patricia Salber and friends weigh in on leading news in health and healthcare

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