As a student and early in my career I had the wonderful opportunity to work with my father, who was also a family doctor. If there was one lesson that he burned into my brain it was that when things weren’t going well for the patient “cherchez la médicament” – look for the medicine (he… Read more »
Posts By: Noah Nesin, MD
Dr. Nesin, Vice President of Medical Affairs for PCHC, is a family doctor with 30 years of experience.
Although America’s health care system is often touted as “the best in the world” that is demonstrably untrue. A recent study published in Health Affairs magazine, however, indicates that we are a world leaders in one area of healthcare: inequality. The difference between rich and poor as it pertains to access to care and health… Read more »
One of the biggest safety concerns across healthcare settings is diagnostic error, and unfortunately diagnostic error is relatively common. It accounts for 17% of preventable errors in hospitalized patients and one autopsy study conducted over 40 years indicates that 9% of patients had important medical conditions that went undetected.
Congress has now released the American Health Care Act (AHCA), their proposal for replacing the Affordable Care Act (ACA), or what is commonly referred to as Obamacare. There are some very important distinctions and in order to be informed about policy that impacts all of our lives and it’s helpful to be explicit about the… Read more »
On January 30, 1 week after his inauguration, President Trump issued sweeping Executive Orders which, among other things, blocked the entry of citizens from 7 predominantly Muslim countries for 90 days, barred all refugee entry for 120 days and indefinitely barred refugees from Syria. The response to this action has been dramatic and plays itself… Read more »
On November 17 The U.S. Surgeon General, Dr. Vivek H. Murthy released the first ever Surgeon General’s report addressing substance abuse and addiction. Entitled “Facing Addiction in America” this remarkable 500 page document summarizes all that we know about this disease and its treatment and creates a hopeful roadmap for the future. As General Murthy points… Read more »
The overproduction of stomach acid and our sensitivity to it is one of the most common reasons people visit a doctor’s office. Of course, many lifestyle choices contribute to that as well (overeating, obesity, smoking, alcohol use, to name a few). Drugs that suppress acid production have been blockbusters for a long time. In 1990… Read more »
Doctors, nurse practitioners and physician assistants who work as primary care providers have always been busy and through much of the history of modern medicine, that busy-ness was balanced by a high level of job satisfaction, well above average compensation, and a position of esteem in society. But over the past decade that balance has… Read more »
Hepatitis C is a very important cause of liver disease and damage in the US and across the world. Once infected, 80% of people will develop chronic infection and 20% of those will develop cirrhosis, and the risk of developing cancer of the liver is also increased. 75% of those who develop cirrhosis will die… Read more »
Over the past 20 years the rate of teenage pregnancy has steadily declined, and with that trend the rates of pregnancy termination have declined as well. This is a success largely fueled by the availability of contraception and improved patient education. Yet the U.S still has a teen pregnancy rate 7 times higher than that… Read more »