The Point of Medicine

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The following articles fall under this category of content within The Point of Medicine.

The Realist

By Al Weir, MD | May 2, 2023
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One of the young doctors I train is an amazingly good doctor and a person of faith. She had a discussion today with a patient who refused the medicine we offered, wanting to wait instead for God’s miracle.

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A Second Step

By Al Weir, MD | April 25, 2023
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A few weeks ago, he had come to me discouraged that his physical debilitation had taken away his ability to serve the Lord. Today was different. He began to share as I was transcribing his prescriptions.

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The AMA and Abortion

By Thomas W. Eppes, Jr., MD | April 18, 2023
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Ever since the American Medical Association’s (AMA) meetings in both the summer and fall of 2022, I have felt a huge tug on my heart by the Holy Spirit. And that tug is persistently asking me to address the issue of unrestricted abortions as a woman’s right to authority over her body, including the unrestricted right to abortion.

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Heart Words

By Al Weir, MD | April 11, 2023
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“I have come that they may have life, and have it to the full” (John 10:10b, NIV).

“I’m ready for you to let me go, Doc,” he said.

“You mean to heaven?” I asked.

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It Isn’t Hate to Speak the Truth

By Amy Givler, MD | March 23, 2023
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I am one of those parents who didn’t let her daughter (though she begged and begged) read the Harry Potter book series when she was 10…and 11…and 12. Even though her friends were reading them. Even though the whole world seemed crazy about them, and she was an avid reader.

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Promises

Promises

By Al Weir, MD | March 21, 2023
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“Against all hope, Abraham in hope believed and so became the father of many nations…” (Romans 4:18, NIV).

“I got my hug!”

I had not seen her in a while. Her husband had been one of my dear friends with medical problems that complicated COVID and took his life last year.

“I was so blessed,” she said. “I was dreaming about him, just like when he was healthy. In that dream he gave me this wonderful hug.”

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Pushing, Pulling and the Tension in Between

By Autumn Dawn Galbreath, MD, MBA | March 16, 2023
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Just today in a text exchange about job hunting, a CMDA friend reminded several of us that God can lead us in a variety of ways. Many times, God calls us, or pulls us, into the roles He has for us. We feel clearly instructed, and we feel certain we are following His leading as we step into a new chapter, be it a job or school or church or a new family decision. As American Christians, we are used to thinking about decision-making this way, I think. We feel that we must not know the right thing to do if we don’t feel pulled to one of the options. We pray for clarity, and we seek advice because we want that sense of calling, of being pulled in the direction God would have us to go.

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Car Thief

Car Thief

By Al Weir, MD | March 14, 2023
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“Do not repay evil with evil or insult with insult. On the contrary, repay evil with blessing, because to this you were called so that you may inherit a blessing” (1 Peter 3:9, NIV).

My patient has just retired, and I was curious how he was handling it.

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Stinky

Stinky

By Al Weir, MD | March 7, 2023
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“And walk in love, as Christ loved us and gave himself up for us, a fragrant offering and sacrifice to God” (Ephesians 5:2, ESV).

Yesterday morning one of my colleagues, whose office is next to mine, walked into my office just before clinic started.

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On the Side: March 2023

By Christian Medical & Dental Associations® | March 2, 2023
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It has been said that all the world is a stage, and the people are mere players. If that is true, then sometimes I feel like a supporting character in my own life. My husband’s career has been center-stage for so long, I can’t remember a time when our life didn’t somehow revolve around it. It determined where we lived, and how long. It determined when dinner was, and when we could go on vacation. It was the reason we moved away from home, and the reason we moved again, and again, and again. And I have been the one making sure all the endless “little things” got done along the way. I am pushing the plot of our lives along—but standing outside the spotlight.

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On His Blindness

On His Blindness

By Al Weir, MD | February 28, 2023
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“Now I want you to know, brothers and sisters, that what has happened to me has actually served to advance the gospel” (Philippians 1:12, NIV).

He was beaten down by loneliness and a cancer that brought him pain, but he loves Jesus the Christ. When I asked him how he was doing on this visit, he said, “Not so well.” I was surprised at his continued response, unrelated to the issues above: “The main reason I’m not doing well is that I want to serve the Lord again, and I just can’t.” He was too weak and too displaced by his circumstances to have a solid foundation from which he could serve, and his heart was deeply committed.

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Protecting our Healthcare Conscience Freedoms

By Jeffrey Barrows, DO, MA (Bioethics) & Anna Pilato, MA | February 27, 2023
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We have been privileged as American healthcare professionals to practice medicine according to our sincerely held beliefs, at least until the relatively recent past. However, as many of our members know from personal experience, those conscience freedoms are coming under increasing attacks from several quarters. In this post, we want to remind the reader of the conscience protections that exist at the federal level and explore why those protections are currently endangered.

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Impractical Decisions

Impractical Decisions

By Al Weir, MD | February 21, 2023
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“For the message of the cross is foolishness to those who are perishing, but to us who are being saved it is the power of God” (1 Corinthians 1:18, NIV).

I’ve worked with him for years, through his aggressive cancer, allogeneic transplant, now doing well except for lung damage from the graft versus host disease. He always brings me homemade beef jerky that I hand off to those who love it. Today he had a special request: “I need a letter to go to the Philippines.” He had met a young lady online and had been online dating for four months, now planning to marry her there and bring her home to the U.S.

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Moral Injury of a Different Kind

By Craig Nakatsuka, MD | February 16, 2023
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Much is being made of the “moral injury” healthcare professionals suffer, which, rightly so, has been exposed and highlighted during the COVID-19 pandemic. Moral injury consists of an accumulation of a number of things, such as straining to care for the overwhelming number of incredibly sick patients, having to make wrenching decisions on prioritizing use of medical resources, etc. The focus on the subject is to address a practical need, like workforce supply in the face of increasing burnout among healthcare professionals, but it also addresses a personal human desire to ensure the personal well-being of another, which is the healthcare professional in this case.

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Louder

Louder

By Al Weir, MD | February 14, 2023
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“For I am not ashamed of the gospel, because it is the power of God that brings salvation to everyone who believes…” (Romans 1:16, NIV).

He sat across from me and had time to chat while I was ordering some complex treatment for him, a part-time pastor with theology as good as a ThD professor. We were talking about how much the world needs Jesus.

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Pulling Back

Pulling Back

By Al Weir, MD | February 7, 2023
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“The fear of the Lord is pure, enduring forever” (Psalm 19:9a, NIV).

She has issues with chronic anxiety and depression, which are reasonable in her case, with a history of three different cancers and a family that rejected her. She is healthy today and was sharing with me her dependence on Jesus. “I just bring Him along with me. Sometimes I get so worried, and He comes in and just makes me feel warm and comfortable in spite of things.” She added, “Sometimes, though, I get too close to Him, and it scares me. I have to pull back.”

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Precious in God’s Sight

By Amy Givler, MD | January 26, 2023
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When I was a child—maybe six, maybe seven—I went through a phase of suspecting the entire world existed as a massive play with one star—me. That is, I was the main actor and the rest of humanity played supporting roles. That is, the universe revolved around me. That is, I was all ego.

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A Call to Holiness

By Autumn Dawn Galbreath, MD, MBA | January 25, 2023
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This week, our kids’ Christian school published The Statement. They sent it out with The Letter. And they asked for The Signature. And once again, our family began the now-familiar dance of shame, grief, anger, prayer, isolation, indignation and so many other emotions that bubble in the toxic stew Christian organizations often throw onto families like us.

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Valueless People

By Al Weir, MD | January 17, 2023
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“He said also to the man who had invited him, ‘When you give a dinner or a banquet, do not invite your friends or your brothers or your relatives or rich neighbors, lest they also invite you in return and you be repaid. But when you give a feast, invite the poor, the crippled, the lame, the blind, and you will be blessed, because they cannot repay you…’” (Luke 14:12-14, ESV).

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The Ghost of Savita Halappanavar

By Steven A. Foley, MD | January 9, 2023
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The official journal of the American College of Obstetrics and Gynecology (ACOG), Obstetrics and Gynecology, (often referred to as the Green Journal because of its traditional green cover) recently featured an article entitled “The Ghost of Savita Halappanavar Comes to America.” The article refers to a pregnant woman in Ireland named Savita Halappanavar who died in 2012 from an inappropriately managed second trimester miscarriage.

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Waiting for the Gift Photo by Engin Akyurt on Unsplash

On the Side: January 2023

By Eric Willingham | January 3, 2023
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It is a foggy morning at my house and I just filled my fourth garbage bag following the departure of my Christmas guests (full disclosure: my mom is still here after airline troubles delayed her flight by a week!) I am not ready to un-decorate yet as we love to savor the Christmas lights for a bit as we enter the new year. The deep sigh of tidying up is truly palpable — getting things back in their place somewhat and organized so that the new year can begin.

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Saving the Coach

Saving the Coach

By Al Weir, MD | December 13, 2022
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“How then shall they call on Him in whom they have not believed? And how shall they believe in Him of whom they have not heard? And how shall they hear without a preacher?” (Romans 10:14, NKJV).

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Waiting for the Gift

On the Side: December 2022

By Christian Medical & Dental Associations® | December 5, 2022
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The Christmas season is upon us! I love the smells, the lights and the traditions. One tradition we have in our family is to not put any Christmas gifts under the tree until after the kids go to bed on Christmas Eve. It is a tradition born out of practicality: we had curious toddlers in our house for more than 10 years. But even now, when our youngest is 11, we still keep all the gifts safely tucked away until late Christmas Eve. It is so much fun to see the surprise on their sleepy faces Christmas morning!

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Solid

By Al Weir, MD | November 29, 2022
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“…whether I come and see you or only hear about you in my absence, I will know that you stand firm in one Spirit, striving together as one for the faith of the gospel” (Philippians 1:27, NIV).

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The Travails of Moral Distress for the Abortionist

By Jeffrey Barrows, DO, MA (Bioethics) | November 28, 2022
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It will come as no surprise that the Journal of the American Medical Association (JAMA) recently released a special issue filled with articles and opinions arguing for the absolute necessity of access to legal abortion. One opinion that caught my attention was entitled “Implications of the Dobbs Decision for Medical Education Inadequate Training and Moral Distress.” CMDA recently publicly released a new position statement on moral distress, so I was naturally intrigued. Were the authors of this opinion piece actually going to make the argument that the lack of access to elective abortion, a procedure that has been considered immoral for thousands of years, will cause moral distress among upcoming students and residents? Exactly.

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With Justice for All

By Amy Givler, MD | November 23, 2022
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Let me introduce you to Aidah. She worked in our home (our “inside worker”) during the eight months our family lived in Kenya in 2003/2004. Don and I worked at Tenwek Mission Hospital as family physicians, and our three children attended elementary and middle school at nearby Rift Valley Academy. She helped me buy food and cook it, and she kept our house clean. Aidah was our backbone. She was a rock.

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Holy Spirit Boldness

By Al Weir, MD | November 22, 2022
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“Whenever you are arrested and brought to trial, do not worry beforehand about what to say. Just say whatever is given you at the time, for it is not you speaking, but the Holy Spirit” (Mark 13:11, NIV).

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The Voice

By Al Weir, MD | November 8, 2022
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God speaks to us in so many ways: through incidents like this, through dreams, through visions, through an unexpected word from a friend, through a formal Sunday sermon, through a quiet morning Bible passage.

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On the Side: November 2022

By Sharon Chatwell | November 3, 2022
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I make a mean lasagna. Always have. It’s my mom’s recipe and it has never let me down. (Don’t worry. I’ll share it with you in a minute.) So, naturally, when I think of taking food over to someone’s house, I think of lasagna. It’s easy, portable, reheats well, and lasts for days. This is especially helpful if the person is sick, or in this case, recovering from surgery.

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On the Side: October 2022

By Christian Medical & Dental Associations® | October 10, 2022
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Medical life takes grit. We wrap our minds around MCAT scores, acceptance letters, residency placements and job contracts, knowing it’s not easy. There’s risk in leaving a paying job and moving across the country. And it’s scary. Will you land on your feet? Will you live on this budget? Will you make friends? Regardless, we have hope. We see the endpoint, or the little milestones on the way—the white coat ceremony, the match and the job signing. 

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Mentorship in Uncertain Times

By Kathryn Butler, MD | October 6, 2022
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I recently had the pleasure of hosting a medical student in my home for a (mediocre) waffle breakfast (my sub-par cooking, not hers). She was a completing a sub-internship locally, and it was a joy to hear how her faith in Christ had inspired her to practice in resource-poor settings. I listened with a grin on my face as she described her heart for the downtrodden and afflicted, the mentors whose compassion inspired her and how she saw the Lord at work daily in her chosen specialty.

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Living What We Know

By Al Weir, MD | October 4, 2022
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“And this is my prayer: that your love may abound more and more in knowledge and depth of insight, so that you may be able to discern what is best and may be pure and blameless for the day of Christ” (Philippians 1:9-10, NIV).

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Don’t Use Ice Picks for Brain Surgery

By Amy Givler, MD | September 22, 2022
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The first time I ever heard of a lobotomy was in the early 1980s. I was a medical student, but I didn’t learn about it in class. Instead, I was in a darkened room with a bunch of other family members, watching a family home movie filmed 30 years earlier. The scene was some kind of a garden party, and in the midst of the lively antics of my parents, their siblings and my great-aunts and great-uncles, there was a late middle-aged woman who just…stood there. Eventually someone took her arm and led her to a chair where she just…sat there. Completely still, no facial expression, no interaction with anyone else.

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What Comes After the “But?”

By Autumn Dawn Galbreath, MD, MBA | September 15, 2022
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Coming out of the darkest days of COVID, I entered 2022 feeling bludgeoned by the experience I had just endured, both in medical practice and in society around me. I felt emotionally broke, overwhelmed and lost, to use some of Ms. Morrissette’s words. I was drowning in negative emotions and feeling psychologically depleted. My natural response was to grit my teeth and force myself to keep going. To get through each shift by ignoring my feelings and retreating into my knowledge.

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Friendship

By Al Weir, MD | August 30, 2022
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“I no longer call you servants, because a servant does not know his master’s business. Instead, I have called you friends, for everything that I learned from my Father I have made known to you” (John 15:15, NIV).

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United Kingdom Closing the World’s Largest Pediatric Gender Clinic

By André Van Mol, MD | August 25, 2022
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The BBC broke a story July 28 headlined, “NHS to close Tavistock child gender identity clinic.” Following the Cass Interim Review determination that the current model of care “is not a safe or viable long-term option,” Britain’s National Health Service announced that their Gender Identity Development Service (GIDS), the world’s largest pediatric gender clinic, is to close by spring 2023. It is to be replaced with centers in London and North West with increased emphasis on mental healthcare and relevant general practitioner services.  Also noted was that the UK’s 20-fold increase in referrals over the last decade (250 then and 5,000 in 2021) had overwhelmed the capacity of the service.

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Letting Go of the Miracle

By Al Weir, MD | August 24, 2022
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“‘Then neither do I condemn you’ Jesus declared. ‘Go now and leave your life of sin’” (John 8:11b, NIV).

I had managed his lymphoma for a few years. The task had been difficult due to his drug problem affecting his compliance—I almost lost him twice, but he is in good shape now.

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Top Ten Myths of the Sexual Revolution: Part 1

By Steven Willing, MD | August 24, 2022
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All battles over human sexuality spanning the last 50 years in the Western world can reasonably be parked under the umbrella of the sexual revolution. Its foundational principles are assumed dogma throughout the educational and entertainment establishment, serve as battle cries for politicians and activists and have infiltrated much of the professing Christian community. However, the sexual revolution has been an unmitigated disaster for individuals and society, and it is built upon a foundation of lies.

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A Port in the Storm: Good News for CMDA Members

By Anna Pilato, MA | August 18, 2022
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In the midst of often baffling and perplexing policies and mandates coming out of our nation’s capital, this post outlines good news for current and future members of CMDA. With conscience freedoms increasingly at risk from government infringement, we want to emphasize a recent victory in court. This victory affords you crucial protections of your conscience freedoms as a healthcare professional allowing you to practice from your sincerely held beliefs.

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The Call

By Robert E. Cranston, MD, MA (Ethics) | August 17, 2022
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As a young man, I struggled some, wondering what my true calling in life was. At age 18, after months of prayer, I felt the Lord was calling me to life as a physician. Later, in medical school, the multiple options for work within medicine fascinated and, at times, bewildered me. They say the average undergrad student changes their major five or six times. I don’t know what the number is for medical students, but I know I seriously considered multiple options before I finally settled on neurology as a career choice, and later God also led me into working in palliative medicine, healthcare leadership and medical ethics.

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Anger

By Al Weir, MD | August 16, 2022
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“Jews demand miraculous signs and Greeks look for wisdom, but we preach Christ crucified: a stumbling block to Jews and foolishness to Gentiles” (1 Corinthians 1:22-23, NIV).

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Canada’s Warning

By Jeffrey Barrows, DO, MA (Bioethics) | August 16, 2022
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While it is never possible to accurately paint a picture of the future, especially the future of the complex culture of healthcare, what is happening in Canada should alarm every healthcare professional in the United States who desires to practice medicine according to a Judeo-Christian ethic.

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Training Well

By Al Weir, MD | August 9, 2022
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“Jews demand miraculous signs and Greeks look for wisdom, but we preach Christ crucified: a stumbling block to Jews and foolishness to Gentiles” (1 Corinthians 1:22-23, NIV).

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Protect Your Conscience Rights

By Anna Pilato, MA | August 8, 2022
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On August 4, 2022, the U.S. Department of Health and Human Services (HHS) published its notice of proposed rulemaking (NPRM) to the Federal Registry to modify Section 1557, the “Nondiscrimination in Health Programs and Activities Clause” of the Affordable Care Act.

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Your Body Will Be Whole: Meditations on Heaven

By Kathryn Butler, MD | August 4, 2022
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During my surgical training, I helped care for an aging professor who bemoaned his declining health. His mind still moved in academic circles, pondering the high points of chemistry and physics, but arthritis had so fused the bones in his neck that he couldn’t nestle into a pillow anymore. Cancer riddled his chest, and squandered nutrients, until his frame wasted to skeletal proportions. The simple routine of enjoying a meal pitched him into coughing, and pneumonia festered from the secretions that pooled in his lungs.

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On the Side: August 2022

By Christian Medical & Dental Associations® | August 2, 2022
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I don’t drag out my MD for just any occasion. Typically, I keep it tucked away. But today I thought I would speak (indirectly) to residents, especially first-year residents or interns, so it seemed appropriate. Perhaps you ladies, who are reading this article, will pass along my remarks to the young physicians in your lives.

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Rough People

By Al Weir, MD | July 26, 2022
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“A new commandment I give to you, that you love one another: just as I have loved you, you also are to love one another. By this all people will know that you are my disciples, if you have love for one another” (John 13:34-35, ESV).

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One Body

By Autumn Dawn Galbreath, MD, MBA | July 21, 2022
Posted in

Today I am a pharmacist. Well, not really. I’m still a physician, but this week in the Dominican Republic on a Global Health Outreach (GHO) trip, I am serving as a pharmacist. The incredibly dedicated pharmacist who has served on this team for years is at home with COVID-19, and I am attempting to fill his shoes. And as I look around the pharmacy, I see a beautiful picture. While we don’t quite represent every tribe and tongue, we are a varied group, to be sure. There is a woman here from Georgia who is originally from Colombia, a woman here from Ohio who is originally from Indonesia and a multitude of Dominicans and Americans. When I look outside the pharmacy door at the rest of our 75+ team members, we represent at least 10 U.S. states and at least five countries of origin. We include physicians, dentists, nurses, students, optometrists, teachers, pastors and homeschooling moms. We span ages from 10 to 70. We have people triaging and organizing patients, taking vitals, pulling teeth, prescribing medications, performing ultrasounds, filling prescriptions, dancing, singing, making balloon animals and sharing the gospel. We speak English, Spanish, Indonesian and Tagolog. We are funded by people and churches who paid our way or bought medications, and we are even funded by airlines that waived baggage fees to allow the many bags of equipment to travel here. We are supported in prayer by hundreds of people across at least two countries. As a group, we exemplify the beauty of the body of Christ. 

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Misinformation Spreads After Dobbs Decision

By Sandy Christiansen, MD, FACOG | July 13, 2022
Posted in

The June 28, 2022 piece by Rita Rubin in the Medical News & Perspectives section of JAMA, “How Abortion Bans Could Affect Care for Miscarriage and Infertility,” presents a one-sided narrow view of the potential impact of the U.S. Supreme Court’s ruling on women’s reproductive care, specifically the management of miscarriages and advanced reproductive technologies.

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On the Side: July 2022

By Christian Medical & Dental Associations® | July 5, 2022
Posted in

We were doing a residency rotation in Florida when the triplets were four. One dreary overcast Saturday we were enjoying family time even though Wade was on call. We didn’t understand that in Florida rain can turn to sun in less than a minute. That day it did just that. And three four-year-olds began to wail. I couldn’t understand why the sun was making them cry. As I attempted to console them, I was asking why they were sobbing: “Daddy will have to go to work now.”

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Regretting Transition for Gender Dysphoria

By André Van Mol, MD | June 23, 2022
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Supporters of gender-affirming therapy (GAT)—transition affirmation—are doubling down on claims that regret and detransition are rare. From state-level bills in my home state of California to national policy initiatives from the federal administration, the assertion that transitioning for gender dysphoria is all but regret free is used as a promotional tool for the proposed mandating of GAT essentially on request. However, the sales pitch does not hold up to inspection.

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Father’s Day

By Al Weir, MD | June 21, 2022
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“But while he was still a long way off, his father saw him and was filled with compassion for him; he ran to his son, threw his arms around him and kissed him” (Luke 15:20, NIV).

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Psychopaths in the Workplace

By Steven Willing, MD | June 16, 2022
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Over the years, countless healthcare professionals have shared touching stories of mentors who encouraged and inspired them at early stages of their training. Such accounts motivate us to “pay it forward” and serve in that role for the next generation.

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Too Deep

By Al Weir, MD | June 14, 2022
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“Therefore, as God’s chosen people, holy and dearly loved, clothe yourselves with compassion, kindness, humility, gentleness and patience” (Colossians 3:12, NIV).

I received this text early last week. “Dr. ____, Can I come see you today? I’m throwing up and my stomach hurts. And my brother just shot himself in front of me.”

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