A family doctor ruminates on physician burnout and dreams of a health care revolution.
A family doctor ruminates on physician burnout and dreams of a health care revolution.
Sulfide mining (specifically copper-nickel sulfide mining) represents a significant departure from Minnesota's iron mining tradition. Sulfide mining can produce acid waste and sulfates that mobilize the release of heavy metals into the environment. These metals include known neurotoxins such as lead and mercury. Mining activities also create airborne fibers and pollutants that can contribute to increased morbidity. The short- and long-term effects of exposure to these substances on human health should be considered in present and future sulfide mining proposals. In addition, Minnesota physicians need to understand the potential adverse mental and physical health effects of sulfide mining on mine workers and residents of communities near mining operations.
The shortage of child and adolescent psychiatrists in the United States has resulted in more and more patients presenting to primary care clinics with mental health concerns. Consequently, clinicians often find themselves dealing with issues outside their expertise. The Psychiatric Assistance Line was created in 2014 to connect primary care clinicians with mental health professionals for consultations and provide assistance with psychiatry referrals. This article looks at the use of the service and outcomes following its first six months of operation.
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