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‘A Big Heads Up to the Rest of the World’: What We Heard This Week

“It’s a little more complex than just a binary true-false, but … it shouldn’t have to be complicated.” — Alexander Bick, MD, PhD, of Harvard Medical School in Boston, on the lack of paid maternity leave policies available to administrative staff at medical institutions.

“Ultimately what the anti-vax community wants is to scare us into silence.” — Nicole Baldwin, MD, responding to harassment and a death threat she received after posting a playful TikTok touting the benefits of vaccination.

“This is a big heads up to the rest of the world to go ahead and start preparing your healthcare workers.” — Julie Fischer, PhD, of Georgetown University, on news that over a dozen healthcare workers have already contracted the novel coronavirus from China.

“You come into the orthopedist’s office because you’ve got a broken ankle, but you’re more likely to die from the fact that you’re smoking.” — Surgeon General Jerome Adams, MD, discussing how more providers should advise patients to quit smoking.

“Are we so wedded to 12-hour shifts that we can’t reduce to [8-hour shifts], or look at other staffing patterns that might better suit a nurse who is older?” — Cheryl Peterson, MSN, of the American Nurses Association, on rethinking the traditional nursing work schedule.

“Doctors are trying to do the right thing when deciding how to treat patients who are in pain.” — Juan Carlos Montoy, MD, PhD, of the University of California San Francisco, discussing EMR settings and opioid prescribing in emergency departments.

“It can be used with some reassurance for most gender expansive children hitting puberty in order to provide time for thoughtful consideration of next steps.” — Joshua Safer, MD, of the Icahn School of Medicine at Mount Sinai, discussing pubertal suppression in transgender adolescents.

“Ultimately, this approach continues to be a promising, but at this point experimental, strategy to improve outcomes for high-risk surgical patients.” — Daniel McIsaac, MD, MPH, of the University of Ottawa, on whether “prehabilitation” works to improve surgical outcomes after colorectal cancer resection.


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