Evidence-based medicine (EBM) is the foundation of modern patient care and focused on using the best available data to guide clinical decisions and ensure optimal outcomes for patients. Unfortunately, the frustrating reality is that there’s often a gap between research and how medicine is practiced in the real world. New…
Since December 2020, I’ve been heavily involved with our hospital’s organ donor care center (DCC), and with the start of this academic year, I transitioned into the medical director role. The DCC is a dedicated ICU within Memorial Hermann Hospital for donors and their families, improving clinical efficiency and patient…
The Texas Medical Center (TMC) gained significant traction in the medical community courtesy of two eminent cardiothoracic surgeons – Drs. DeBakey and Cooley. After DeBakey’s passing over eight years ago, Dr. Cooley continued to serve as the quintessential example of an educator and visionary in medicine. Few others have left such…
Earlier afternoon, I received a great question posed by a pre-med student who I’ve come to know through social media. He asks:
I recently received an inquiry from an MD/PhD friend of mine who is returning to clinical rotations after completing his thesis. Hi Rishi, I was hoping to get some advice from you. I’m going back to the clinic next month. Been out of it for almost 5 years. I’m a…
Before the 1840s, the advancement of surgery was hampered by a lack of anatomical knowledge, poor aseptic techniques, and especially a lack of safe, reproducible anesthetic techniques. Beyond remedies like alcohol and opium, patients had very little in the way of anesthesia prior to surgery. In 1842, pioneers William Clark…
Earlier this year, the FDA nixed two drugs I was really looking forward to using in my training and/or practice.
In February 2014, the ACGME, AOA, and AACOM outlined a single graduate medical education (GME) accreditation system. This meant that graduates from allopathic (“MD”) and osteopathic (“DO”) medical schools could apply to all residency and fellowship programs, regardless of whether they were allopathic or osteopathic in nature. I’m sure the…
This topic is WAY overdue, but I received this question from a follower on Instagram.
Pundits cite the cost of healthcare as one of the leading issues facing our country. Every year, an increasingly larger fraction of our GDP goes towards labs, images, and medications which are, often times, ordered for no meaningful purpose. Some will argue that physicians over-order tests for the sake of…