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Join Archana Reddy Shrestha, an emergency physician. In this episode, we explore her personal journey through the highs and lows of her medical career, addressing the challenges of metric-driven evaluations and the impact on a physician’s sense …
Breaking free from metric shaming [PODCAST]
Recently, roughly 400 primary care and urgent care physicians at Allina Health System voted to unionize. In doing so, they became the largest group of unionized private-sector physicians in the country. Their decision is indicative of a hard reality of American health care–physicians are burned out.
Research shows from 2021 to 2022, 63 percent of surveyed physicians experienced at least one symptom of …
Physicians are burned out. Could entrepreneurship be a cure?
The sciences and even medicine have long been used to justify atrocities. In the early 1800s, the United States of America was a slave nation. Citizens were allowed to purchase and imprison other races and hold them in bondage as property. This is different from indentured servitude, where someone is held in bondage until they pay off a debt. The indentured servant still has some rights and autonomy; the slave …
The dark role of science, medicine, and tasers
“I cannot escape death, but at least I can escape the fear of it.”
– Epictetus
I wish more people knew that quote during the pandemic. I write this on November 1st, celebrated as Dia de Muertos or “Day of the Dead.” Epictetus and the other Stoics knew that death is inevitable, that life can change in an instant, and viewed it as a reminder to live each day purposefully and virtuously. …
Embracing life’s purpose in the face of inevitable death
Korean culture has been capturing the attention of a worldwide audience in large part thanks to success on multiple platforms, whether it be a binge-worthy TV show such as Squid Game, award-winning films like Parasite, or even world-class goals from the beloved Hotspurs team captain, Son Heung Min. Celebrating Korean culture jumps beyond the screen and into a pair of headphones thanks to the global fandom of K-pop or even …
Beyond K-pop and kimchi: Unraveling the mental health tapestry of Korean Americans
An excerpt from The Power of Placebos: How the Science of Placebos and Nocebos Can Improve Health Care by Jeremy Howick. Copyright 2023. Published with permission of Johns Hopkins University Press.
“When he had asked me if I knew the cure for headache, I somehow contrived to …
A manifesto for the next revolution in nocebo and placebo studies
Defining tax loss selling
Tax loss selling, also known as tax-loss harvesting, is a strategy employed by investors to offset capital gains and reduce their taxable income. This approach involves selling stocks or other securities that have experienced losses to counterbalance capital gains realized throughout the year. By doing so, investors aim to mitigate their tax liability and potentially improve their after-tax returns.
Mechanics of tax loss selling
Identifying losses. Investors begin by …
How to sell your losing stocks to reduce taxes
After 32 years working as an ICU nurse, I believed I had developed a strong capacity to confront death alongside my patients. I had become accustomed to the challenging scenarios: co-morbidities, multi-system organ failure, emergency intubations, ventilators, pressors, central lines, art lines, failure-to-thrive cases, code blues, and the grim sounds of ribs cracking during CPR.
It was not uncommon to witness families desperately shouting, “Do everything,” even when there was little …
From ICU to kidney mass: a nurse’s journey of fear
Representatives of a battered and stressed Canadian medical profession gathered in Montreal and virtually last week for the 7th annual Canadian Conference on Physician Health (CCPH) – the first such meeting in four years and the largest to date. One of the main pain points identified as facing individual physicians is the burden of administrative work, and this was the focus of a special cross-border plenary session featuring Canadian Medical …
Physician well-being: Overcoming administrative hurdles
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Join L. Joseph Parker, a research physician, as we explore the intricacies of depression treatment. We’ll delve into the prevailing theories about serotonin, the delayed effects of SSRIs and SNRIs, and the emerging neuroplastic theory of depression. …
Depression treatment with ketamine and SSRIs [PODCAST]
If you find yourself heading down a rabbit hole pursuing a diagnosis, consider using a Markov chain to get back out. No, it’s not a physical chain. It’s a metaphorical chain.
In mathematics, statistics, and research, a Markov chain is a series of branching events where the options of what comes next at each branch point are not limited by what happened at a previous branch point. That is, each step …
Escape diagnostic rabbit holes with Markov chains
Health care is constantly evolving, and it’s no secret that many hospitals are bleeding money when it comes to their primary care practices. On the low end, a hospital loses $127,000 per year on a primary care physician. Anecdotally, a rural hospital in Indiana expressed that they lose nearly $500,000 per year!
Headlines are filled with stories about rural hospitals (& many others) struggling to keep their …
Health care’s hidden problem: hospital primary care losses
I, like many of my peers in medicine, am a terrible sleeper.
And it’s no wonder, after all. I spent the better part of my twenties and thirties training my brain not to give in to sleep when I needed it. Then, in the rare hours I did sleep, I was forced to wake at a moment’s notice and go from deep sleep to high alert. Sometimes, I was asked to …
How medicine’s demanding training took my sleep away
In the rural area where I practice, two general surgeons recently retired, a medical oncologist moved out of the community, and two urologists left over a year ago. My patients with cancer are left wondering who will care for them. And this small community is not alone. An aging physician population, burnout, and understaffing of other health care workers all contribute to rising rates of physicians moving and leaving communities.
One …
Navigating physician shortages in rural communities
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Join Natalya Beneschott, a pediatric infectious disease fellow, as she shares her personal experience and insights on coping with the lasting impact of a patient’s death, the challenges medical professionals face in processing grief, and the importance …
Coping with grief in health care [PODCAST]
In the Japanese tradition of kintsugi, broken things are repaired with gold joinery. The repaired object is even lovelier than the original. The breakage and repair become an acknowledged part of the object’s history. The scars and wounds are cherished rather than disguised. What a beautiful reminder to harness the powers of darkness and light that exist within us and the world.
In the book, Born for Love: Why Empathy …
Kintsugi: Embracing brokenness and empathy
The health care industry is witnessing a transformative phase with the integration of artificial intelligence (AI). AI’s ability to process vast amounts of data and provide predictive insights is revolutionizing medical diagnostics and patient care. AI’s precision is invaluable in diagnosing and managing kidney disease, offering both speed and accuracy in analyzing patient data.
Unleashing the power of data
A major challenge …
The synergy of AI and human intelligence in transforming health care
Six months after being diagnosed with gastroparesis, I underwent experimental intravenous immunoglobulin treatment. What is often considered a wonder drug, with the ability to treat hundreds of rare illnesses, resulted in the worst experience of my life. I suspect that I developed aseptic meningitis, feeling like I had brain-damaged myself.
What is intravenous immunoglobulin?
Immunoglobulin is found in plasma, which is a part of your blood. It contains antibodies that help you …
Intravenous immunoglobulin for gastroparesis: What happened to me
Every physician has a story to tell, about their medical training, about their clinical work. Every story is unique. Simultaneously, there are common shared themes about the joys and the difficulties. These experiences are universal, regardless of gender, specialty, or geographic location.
I asked two physicians, a female ER doctor on the East Coast in the U.S., and a male trauma-informed physician-coach in the U.K., to tell us how their experiences …
Physicians turn feelings of frustration and powerlessness into purpose and hope
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We sit down with guest Andrew Wilner, a neurologist, to explore the transformative impact of artificial intelligence on medicine. Join us as we discuss how AI is changing the role of health care professionals, the tasks it …
AI and the patient-physician relationship [PODCAST]
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