Every primary care doctor knows what we are up against. The obstacles are many: payers, licensing boards, MOC, CME requirements, coding for billing, access issues, and the changing clinical field.
Sometimes these cause real harm.
Fifty miles north of where I-95 ends in Maine, winters there are long. My friend Dr. J did locums and spent a winter there. He tries new things wherever he goes, like spearfishing on Maui. So he …
Five days before this story begins, where everything is upside down, and the end is the beginning.
Me, standing in my PICU, slowly approaching that cradle, then removing the medication, one by one, turning off the syringe pumps. Saying out loud the number of milliliters passed, where that line is trapped, that little division between the professional and me, the person.
Where I stopped being a doctor and became a woman holding …
There are many topics on which I cannot claim to be an expert. I cannot solve the issue of gun violence, I don’t know what will “fix” the current societal crises, and I have no idea what will happen in the future regarding climate change.
There is one topic that seems to be coming up with more frequency and regularity, and I am qualified to speak on that. The shortage of …
If the U.S. medical system is a chessboard, and providers are the game pieces, America is playing those pieces with one column, row, and role instead of using the whole space. Several journals, economists, and medical professionals forecast physician supply to be dangerously low in 10 to 20-plus years. They’re 100% correct that supply won’t meet demand (as things stand now), but the reasons are flawed. Alarmists have been complaining …
Imagine that you hired a teenager to sell hotdogs at the local fair, but the teenager started telling customers that hotdogs were really not very healthy, that the price was ridiculously high, and that they could find healthier, cheaper options just around the corner. Is he wrong? From a business perspective, he’s a nightmare, but from a human perspective, he’s absolutely correct.
Where does your current work setting fall …
As an emergency medicine physician, I see firsthand the consequences of being a patient in America without health insurance. While the Biden administration previously addressed a key gap in insurance coverage known as the family glitch, other gaps remain, including Medicaid postpartum coverage. Additionally, recent attacks on reproductive rights in this country have left many concerned about the future of health care for people who choose to, …
He was a tall, healthy psychiatric technician, experienced in his line of work. He was a CNA but wanted more. He wanted to help heal the troubled, forgotten, and neglected — behavioral health was his niche.
He would lead the way with therapy sessions in this group every day. This was Intensive management: the intermittent home for the paranoid schizophrenics, bipolar, and MDD.
They came in all shapes and sizes — wealthy, …
It’s been five days since I’ve been able to sleep. My two-month-old daughter coos softly in her bassinet. My husband sleeps soundly next to me. But I lay awake, hijacked by thoughts that I am a bad mother, wife, and doctor. This unwanted torment consumed me. All I wanted was to remain still and make this stop.
I lay awake; time stands still.
I am swept by flash currents beyond my control.
I …
Starting a new job can be nerve-wracking and exciting. Along with negotiating salary and benefits, you should also ask about a few other factors to know what you are getting into. Here are eight questions to ask before you join a new medical practice.
1. Why are you hiring? Some practices are hiring because they are growing. Other practices are hiring because people are quitting. What is the case at this …
“Diabetes uniquely requires patients be experts in their own care and demands 24/7/365 vigilance. Close communication with a health care team eases the burden and improves outcomes.
Glucose management revolves around numbers. Unfortunately, numbers are just noise unless translated into actions. Innovations, such as color for people with low numeracy, are essential …
In a published statement in JAMA Network on May 24/31, 2022, the U.S. Preventive Services Task Force found that there was insufficient evidence for screening for primary open-angle glaucoma in adults. They could not find a way to balance harms versus benefits for screening in general. But is this reasoning faulty?
It is well known that Black and Hispanic populations suffer a greater incidence and severity of glaucoma, …
“I am so sorry …”
My apology diffused as I stood adjacent to the IV pole, triangulated between Ms. S, her husband, and her daughter. Ms. S, who was congenitally deaf and capable of lip-reading save for my N95, nevertheless immediately caught the sadness in my eyes. My pulse raced, and my heart sank as her face fell. She knew that her transplant – for which her family had paused their …
One day, working as a floater PT, I walked into the rehab gym, and every single therapist looked at me with the same pitying expression. The rehab manager took me into her office.
“I’m so sorry to put you in this position. One of your new patients today is a really large man. His BMI is 103. It took 12 people to move him from the stretcher into the bed last …
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Most physicians choose medicine to care for others. The essential premise balances this selfless, optimistic objective that the physician is healthy and happy with enough knowledge, experience, and abundance to heal their patients.
Unfortunately, our health care system thwarts us at every turn, with continual devaluation and reduction in reimbursements, paralyzing insurance and government regulations, and demoralizing lack of control.
Ballooning student debt and declining reimbursements, and the perception of greater stability …
I wondered if this post needs a trigger warning. Maybe it does. I don’t know now. What feelings stir up inside us when we hear of a child’s death?
My first experience with a child dying in front of me was soon after medical school graduation. I was an inexperienced 24-year-old working in a government hospital in Bangalore. I don’t remember many details, but I remember his face and his father’s …
On June 4, 2022, CNN.com published an Opinion piece written by Carolyn Chen: “Why ‘do what you love’ is the worst graduation advice.” As a mother of a recent college graduate, with two others close behind, I read it to garner insights into which encouraging words to use with my own babies entering the adult workforce. The target audience is college graduates, narrowing the relevance to those privileged to …
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“The bottom line is that while you can’t predict exactly which MMI prompt you’ll be given, you can absolutely start preparing for the MMI. Become familiar with the format, practice your delivery, start reading about issues in health care, and start thinking about major points to discuss around these issues. While …
Since writing a cathartic post about being burned out, I’ve received supportive messages as well as concerned calls from friends and former colleagues. Some were worried about my well-being. Others agreed with the sentiments.
One note in particular resonated. It named cognitive dissonance as part of the problem. This dissonance is pervasive in society. The gap between what we say we stand for and what we actually do …
When it comes to developing healthy habits, there’s no one-size-fits-all approach. However, certain habits are particularly effective when working as a physician. These are what we refer to as high-performance habits.
Being a physician is one of the most challenging jobs out there. I know this because I am one. It takes many years of schooling to become a physician. But, it takes even more than that. It takes …
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An excerpt from The Paper Tiger Syndrome: How to Liberate Yourself from the Illusion of Fear.
Your Original Blueprint is the part of you that knows abundance is your natural state. It’s the inner voice, which says, I am full. I am satiated. I am content. I am peaceful. …
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