About a month ago, I developed a very sudden and alarming skin condition—clusters of painful, itchy bumps that quickly spread across my arms, legs, and chest. At first, I was not overly worried. I made an appointment with my primary care physician, expecting answers. But the exam was brief—she took a cursory glance and speculated it was an allergic reaction. To her credit, she didn’t jump to conclusions. She snapped …
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Physician and public health advocate Judith Eguzoikpe discusses her article, “Hope is the lifeline: a deeper look into transplant care.” She pulls back the curtain on the kidney transplant process, revealing that …
Many health care providers are still coming to terms with the opioid epidemic. The development of drugs such as Oxy opened a door for widespread opioid use, and the aftermath of this failure has led to rampant addiction in our country’s most vulnerable. As the system gradually regulated legal opioids, dangerous alternatives like heroin and fentanyl increased in prevalence. Other nonopiate medications like amphetamines have also become common in communities. …
Frivolous medical malpractice lawsuits are endemic and infect everyone whether they realize it or not. The greed of plaintiffs, attorneys, medical experts, and malpractice carriers, coupled with the ineptitude of the tort system, causes hopelessness in physicians. Everyone else pays the price.
Plaintiffs sue for malpractice even when a claim has no attributable merit. Plaintiff attorneys, who are looking for business, advertise “if we don’t win, you don’t pay.” Once …
As nurse practitioners, our professional licenses are more than credentials. They are symbols of trust, responsibility, and commitment. It is vital we never take them for granted, because when they are compromised, not only do we suffer, but our entire profession pays the price.
We must be vigilant: Safeguarding our licenses is on us alone
No one cares about our NP licenses as much as we do. They grant us the privilege …
A veteran came into my clinic with quiet frustration in his eyes. He was 100 percent service-connected and medically retired, struggling to survive in San Diego. He handed me a DMV disability form—something that could save him hundreds of dollars in car registration fees. But another VA doctor had already refused to sign it.
The form asked whether his disability caused “an impaired gait.” It was vague. He had chronic back …
I have only recently started thinking about strikes. They seemed like something other people did: railway workers, bus drivers, teachers, dockworkers. People with contracts. People who clocked in and out. Not doctors. Not surgeons. Certainly not me.
You and I were supposed to absorb and adapt. To advocate from within. And we did, for a long time. We bent ourselves into shapes that did not fit. Worked around all the broken …
It begins with thunder. Not just the kind that splits the sky, but the kind that settles into the chest — low, rolling, remembered. It’s been years since the hurricane, but each crack of lightning still pulls my body into defense. I never used to be afraid of storms. Now, my body remembers before my mind does.
That night, I was post-call. Exhausted, planning to ride out the storm the way …
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Critical care physician Jess Bunin, co-founder of All Levels Leadership, discusses the article, “Civil discourse as a leadership competency: the case for curiosity in medicine.” They challenge a core tenet …
Words matter.
In a recent conversation with a physical therapist friend who lives with chronic illness, she shared that the term “wellness” doesn’t resonate with her—it feels like an impossible state to attain. She prefers “well-being,” explaining that it more accurately reflects how she feels and functions in daily life.
Over the past couple of years, I’ve spoken and written about physician wellness and well-being, often using the terms interchangeably. But that …
Surthriving in the brave new world of sick care requires not just a new playbook, but players with new skill sets to execute the plans. Knowledge technicians are as obsolete as an NFL team with a running game but without a passing and special teams plan. Unfortunately, HR managers are getting it wrong. The biggest risk to future success and becoming a disruptor is a company’s existing …
The so-called “One Big Beautiful Bill” was passed by both houses of Congress and signed into law by the president on July 4, 2025. This bill will have a sweeping impact on the already declining health care landscape in America.
If you’ve been feeling a mix of confusion and frustration, you’re not alone. This isn’t just policy. This is your career, your practice, and your patients.
This bill brings the largest cuts …
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Pediatrician and certified life and weight coach Karla Lester discusses her article, “An effective treatment using an effective care delivery model: Using telehealth to treat adolescents with obesity with GLP-1 medications.” She …
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I like quails. They resemble sparrows but are slightly larger. Quails are relatively quiet and easy to keep since they cannot fly much, unlike sparrows. They have a good lifespan as well. Since childhood, I have raised many quails, and I currently have two that I bought in 2023.
The quails have aged significantly, and the male has plucked many feathers from the female’s body. As a result, there are bald …
An excerpt from Crave: The Hidden Biology of Addiction and Cancer.
Prevention, as commonly understood, has struggled to match the evolving reality of cancer. The traditional model rests on two main ideas: Reducing exposure to known carcinogens and detecting abnormalities as early as possible. Avoid tobacco, wear sunscreen, and get screened. These recommendations remain useful, yet they are incomplete. They overlook the terrain in which disease develops. They address threats …
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Cardiologist Monzur Morshed discusses the article, “Why South Asians in the U.S. face a silent heart disease crisis.” Drawing from his direct experience treating the Bangladeshi-American community in New York City, Monzur …
Physicians joining private practices have a relatively new issue they should be aware of. As more practices are taken over by private equity, the traditional concerns of a physician joining a practice as an employee with the hope of becoming an owner are heightened.
Traditionally, the physician would join the practice as an employee, work for a few years, and get the “golden ring” of ownership after a few years. Often …
This story has been fictionalized.
Dorothy Klein. MRN 508291987. DOB 12/22/1962. Patient A-. Unit A-. Unit number W038306745014-K.
OK. Next.
Dorothy Klein. MRN 508291987. DOB 12/22/1962. Patient A-. Unit A-. Unit number W038306928906-K.
We finish checking the emergency release blood and wait. We know that whatever was coming up isn’t going to be pretty. A lung transplant gone bad, uncontrolled hemorrhaging, 14 hours on the table. So much blood transfused, an exploratory laparotomy was …
Although cardiovascular disease (CVD) is the world’s largest cause of mortality, its burden varies by ethnicity. People from South Asia, including Bangladesh, Sri Lanka, Nepal, India, and Pakistan, are among the groups most at risk for developing coronary artery disease too soon. However, this population frequently receives standard risk assessments in clinical practice across the U.S. that do not take ethnic-specific risk factors into consideration, which results in underdiagnosis and …
At age 81, I am one of “the old guys” who writes in online chronic pain support groups. I get a lot of emails from people in pain. One recent inquiry was from a lady named Marisa, who asked questions that are combined in the title of this article. The following is my response to Marisa and others.
My wife is a chronic pain patient who has multiple medical issues. I …
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