Sept-Oct_2021Sept-Oct 2021 | Volume 104 | Issue 5

There are two ways to read Minnesota Medicine.

1. View the Digital Edition on your desktop computer, tablet or smart phone.

2. View individual articles by clicking on the titles below.



IN THIS ISSUE

Every year, Minnesota Medicine invites medical students, residents and fellows to submit abstracts and case studies for possible publication and presentation at the Minnesota Medical Association virtual annual conference in September. This year, 28 people submitted abstracts and case studies, with topics ranging from how racism impacts primary care patients to a sudden case of multi-organ failure. Nine of the top-reviewed submissions are in this issue of the magazine, starting on page 38.
 

TABLE OF CONTENTS


ON THE COVER

NEW OPTIONS IN MENTAL HEALTH TREATMENT

EmPATH

Emergency Psychiatric Assessment, Treatment and Healing units help keep patients in mental health crisis out of the hospital by providing a calm environment and connection to the kinds of services they need.

BY LINDA PICONE

Moving the needle on depression care
A collaborative care model can help us do better at screening and caring for patients.
BY ANGELINE CARLSON, RPH, PHD, AND DEBRA KRAUSE, MBA
 

FEATURE

Sex and Dr. Charles Malchow

This Minnesota physician wanted to help married couples have better sex, but his 1904 book sent him to prison.
BY RYAN T. HURT, MD, AND PAUL NELSON
 

MEDICAL CANNABIS IN MINNESOTA

Changes in Minnesota’s program
In six years, the Office of Medical Cannabis has seen growth in both participation and its knowledge base.
BY LINDA PICONE

Can medical cannabis help with anxiety?
After calls for anxiety to be a qualifying condition, the Office of Medical Cannabis put together a working group of experts to explore the possibility.
BY ANDY STEINER
 
Medical cannabis and employment
Physicians can help their patients using medical cannabis to manage workplace issues.
BY DAVID G. WAYTZ
 

EDITOR’S NOTE

Bearing bad news: walking with patients

I started to wonder about what happened with my patients after all the occasions when I’ve had to convey
bad news. If it is this challenging for me, knowing well how treatable this disease is, having faith in the science and skill of other physicians and being at peace with the limits of medicine, how hard must this be
for my patients?
Zeke J. McKinney, MD, MHI, MPH
 

ETHICS

How to determine when treatment is futile.

BY DENNIS O’HARE, MD, AND TIMOTHY SIELAFF,
MD, PHD, FACS


ARTS AND MEDICINE

A poem prompted by the deaths of George Floyd, Breonna Taylor and Ahmaud Arbery.

BY LAPRINCESS BREWER, MD, MPH

 

COMMENTARY

It’s time for physicians to be more involved in Minnesota’s medical cannabis program.

BY GEORGE REALMUTO, MD


THE PHYSICIAN ADVOCATE

The Physician Advocate / MMA NEWS

The MMA's report on policy, people and politics
Minnesota Supreme Court to hear medical malpractice suit about physician responsibility to predict violence by a patient. Minnesota to get millions from opioid settlement. AMA launches fellowship for LGBTQ+ community. Report on MMA priorities at Minnesota Legislature.
 

ON CALL

Meet MMA physicians
Meet MMA physicians Janna R. Gewirtz O’Brien, MD, MPH, and Peter Argenta, MD.
 

STUDENT, RESIDENT & FELLOW RESEARCH

Pemphigus vulgaris: a case report of a blistering masquerader
BY JESSICA PADNIEWSKI, DO, AND ERIN LUXENBERG, MD
 
Assessing genetic screening barriers for hereditary breast and ovarian cancer in a high-risk Minnesota population
BY JADE M. COHEN, BA; RAHEL G. GHEBRE, MD, MPH; NATHAN T. RUBIN, MS; AND ANNELISE M. WILHITE, MD
 
Purple urine bag syndrome in a skilled nursing facility during the COVID-19 pandemic
BY NATE GIPE AND SUSAN LAABS, MD

Subacute combined degeneration secondary to nitrous oxide abuse
BY MARK GORMLEY III

Fear of racism during COVID-19: A patient survey before and after the murder of George Floyd in Minneapolis
BY LAUREN MCPHERSON, MD, MAT; BECKY FORD, PHD; MARIA VERONICA SVETAZ, MD, MPH, FSAHM, FAAFP; AND KATHERINE VICKERY, MD, MSC
 
Leptospirosis: a case of sudden multi-organ failure in a previously healthy male
BY SIMISOLA ODUSANYA, BS, AND MICHELLE KIHARA, BA

Clinical and histopathological features of lipoblastoma
BY SANJNA RAJPUT; SAAD ALSUBAIE, MD; KULDEEP SINGH, DO; TONY C-T HUANG, MBBS; AND STEVEN MORAN, MD