Donald W. Crowe public
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One year ago there was no data or experience to guide us as we struggled to defend ourselves against the Covid 19 pandemic. We therefore relied on our leadership's best guesses. In this episode I argue that it is time for individuals use the lessons learned in 2020 to replace guesswork and decide for themselves how best to protect themselves and th…
 
Data collected in 2020 has allowed us to paint an objective picture of the Covid 19 pandemic that seems quite different than the portrayal fed to us by the mainstream media. What this data shows and why it is distorted by the evening news are explored on this months offering.By Donald W Crowe, MD
 
Ever thought in detail about how people die? I suppose that for most this morbid subject is not dwelled upon, but for 40 years it has been a big part of my job. Experience has taught me that people die in many ways. And this is a problem since most medical personnel are trained to understand one model of the dying process and it is one that they ar…
 
As Americans struggle to return to normalcy, we are constantly told what we must do to be safe. These instructions come at us from all directions and are numerous, wide-ranging, and inconsistent. In this episode I reveal the secret to safety from Covid 19 (and everything else).By Donald W. Crowe, MD
 
The media continues to sow fear by distorting the truth. As the coronavirus pandemic predictably and inevitably spreads, the misconceptions resulting from these lies poisons rational decision making both in individuals and society as a whole. Emerging evidence supports an understanding of the pandemic contrary to the doomsday scenarios popularized …
 
As an old white guy , I haven't had to consider how racism has shaped me. But an odd thing happened as I became agitated watching the recent unrest....I started to sense that the protesters might be right. They compelled me to revisit my beliefs, and on this episode I discuss some that have crumbled under the scrutiny.…
 
Despite significant concerns, our nation is reopening. Now is the time to employ the "doctors best test" as we share the environment with corona virus. There will be rough water ahead, not simply a second wave. But by allowing ourselves not to be certain we can adjust our course frequently and keep our heads above water.…
 
Americans are asking "when is enough enough"? If we are to successfully unlock our national lockdown , we must first unravel the twisted truths used to convince us to support this policy. In this episode I illuminate the "little white lies" that became the wrong reasons for doing the right (and ultimately successful) thing.…
 
We see them on the newscasts, our emotionally distraught politicians, pleading for ventilators - our "missiles in the war against Coronavirus". Without expanding our supply people will die. So with enough of them people will live, right? On this episode I reveal how this lie, that is being fed by the media to a public hungry to trust its leaders, i…
 
The internet and TV report that corona virus tests are crucial but also scarce - so they must give an advantage to individuals trying to survive the pandemic, right? (kind of like having lots of toilet paper). Testing is important but not for the reasons that the media implies and misconceptions about testing continue to abound. So here is a realit…
 
Whether or not it is the medias's intent to distort the truth, the fact that it does has left most Americans encumbered with misconceptions that block an effective understanding of all things Corona. In this episode I discuss the lockdowns enforcing social isolation, that are necessary for now, but not for the reason that people have been led to be…
 
If your window on the world is provided by popular media, then the chances are great that your initial contact with the Corona Crisis has left you infected with misconceptions about the pandemic. In this presentation I discuss how this happens and why being burdened with these misconceptions is harmful.…
 
The Corona virus crisis has gripped, perhaps strangled our society. Is this event the unprecedented medical apocalypse that the evening news and our political leaders are portraying? It is a big deal but some historical perspective is necessary to balance our understanding of this pandemic. I present observations from the trenches we are preparing …
 
Can a non critically ill patient's physical exam yield information that is not more precisely derived from laboratory testing, imaging, or other technology? Certainly. In this episode, I discuss aspects of the physical exam that remain not only clinically relevant, but essential to understanding a patients pathology.…
 
If we are being honest, most emergency physicians will admit that our physical exams have become subservient to technology as we evaluate our patients. Does this mean that the physical exam is now just an archaic ritual? Not so fast, my friends. In this episode I describe those aspects of my physical examination I still fine crucial as I care for c…
 
Forty years of experience have allowed me to develop skills and acquire knowledge that make the practice of Emergency Medicine a bit easier. Thank goodness for that, since many other factors have appeared through the years that have had the opposite effect. So with this episode, let the bitchin' begin!…
 
The boogey man's voice that is forever urging us to tread cautiously is a part of us, so how can we escape his influence? We can't. But we can balance it, making it less oppressive and allowing us to practice more confidently and less defensively. I present several strategies that experience has taught me to accomplish this.…
 
We go to work each day accompanied by a boogie man whose ceaseless demands that we be cautious can become overbearing. His influence sows seeds of doubt and nurtures within us a paralyzing anxiety that interferes with our decision-making and can expose our patients to harm. In this episode I discuss his genesis.…
 
How did we get to a point where emergency specialist's are having to choose between providing patient care or being sanctioned by their employers and hospitals? In this episode I conclude my discussion of the hijacking of the management sepsis by the surviving sepsis campaign and how this harms unsuspecting patients.…
 
During my 30 year practice of emergency medicine, sepsis has transitioned from being a descriptive term for a patient being overwhelmed by infection into a distinct disease process. Unfortunately this has lead to serious problems. In this episode I discuss my experience witnessing this transition and how is this change evolved.…
 
Many patients present to our emergency departments with worrisome symptoms, but we physicians can find no objective evidence that they have disease. In this episode, I present a hypothesis to explain what is causing this confusing situation. By offering our patients an understandable explanation for what is happening to them we can more effectively…
 
Although younger emergency physicians may not recognize it, our specialty is under siege. From the perspective of 30 years of practice I discuss how the primary skill which makes a specialists is becoming devalued in a misguided quest help us "improve our practice" by those who have other agendas.By Donald W. Crowe, MD
 
Pressure is mounting for physician support for "medically assisted treatment" for those with addiction. Unfortunately, in actuality, this strategy results in disease perpetuation, keeping our patients dependent and sick. True recovery however is possible and enjoyed by millions. In this episode I outline the components of effective treatment of add…
 
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