Monthly Archives: October 2013

Book Review. Maximum Insecurity: A Doctor in the Supermax

Quick!  Name a book that describes the experience of being a medical professional in a jail or prison!  . . . Can’t do it, can you?  There are lots of books that talk about the life of a lawyer or a doctor in general.  There are books about prison inmates and even correctional officers.  But, to my knowledge, no one has ever written a book describing the experience of working as a physician in a jail or prison. Maximum Insecurity:  A Doctor in the Supermax fills that void.  This is a wonderful book, written by Dr. William Wright, about his experiences providing medical care to inmates in the Colorado State Penitentiary maximum-security prison. And not only is this the first memoir I am aware of written about correctional medicine, Maximum Insecurity is also a gem–funny, informative and engrossing.19960515 Continue reading

Antibiotic Over-prescribing and The Looming Threat of Resistance

I ran across a couple of interesting articles about antibiotics recently.

In the first article, entitled We Will Soon Be in a Post-Antibiotic Era, CDC researchers predict that the end of the antibiotic era is coming quickly. Antibiotic resistance is developing so rapidly now, that it is only a matter of time until antibiotics just don’t work anymore. This actually is not surprising when you think about it. If we kill all of the microbes that can be killed by our antibiotics, then of course the only ones left will be those that cannot be killed by antibiotics, in other words, that are resistant. The fact that this will happen eventually is a no-brainer.imgres Continue reading

Reader Question: How to Handle Swearing in the Medical Clinic?

My good friend Al Cichon in Maine writes:

Dr. Keller,

What are your thoughts regarding disrespect?swear

As health care providers we are trained to be tolerant when patients are less than pleasant – excusing their behavior as a result of their illness / injury. Certainly there are occasions when this is appropriate. However, that tolerance can be abused in the correctional setting. Continue reading