“You’re superficial,” the dean of the curriculum explained to me as we sat in an empty lecture hall. I had just finished a lecture when he pulled me aside to share his assessment of my progress as a student. By this point in my second year of medical school, I had become more focused on the health and well-being of lesbian, gay, bisexual, transgender, and queer [LGBTQ] persons and communities, …
Fun fact: The first recorded use of electric stimulation to ease pain was in … get ready … CE 46! That’s right, nearly 2,000 years ago, ancient Roman writer Scribonius Largus described the use of torpedo fish, aquatic animals capable of electrical discharge, to heal. This system is still as common in health care settings as a conventional TENS Unit (transcutaneous electrical nerve stimulation). Similarly, many health care IT innovations …
It is said that everything that moves has a breaking point. Engineers understand this concept, and they have developed intricate methods to understand when metals will reach their breaking point if they sustain repeated back and forth stress.
It becomes crucial to understand that when metals break, the consequences have substantial implications as many industries rely on machines to be efficient and safe. If a machine shuts down due to the …
“Children don’t get as sick with COVID-19” and “only children with comorbidities get very sick from COVID-19” are two statements that have concerned me during the pandemic. They have been used as statements to support loosening COVID-19 prevention measures for children, like wearing masks, and rationalizing arguments opposing vaccinating children against COVID-19. It is true that children, for the most part, do not get as sick from COVID-19. Nevertheless, while …
For married physicians looking into estate planning strategies, one thing to keep in mind is how to make best use of spousal benefits in reducing taxes or providing for a surviving spouse or other beneficiaries. For wealthy physicians, a spousal lifetime access trust, or SLAT, may provide a viable vehicle for avoiding estate taxes for both spouses and protecting assets from creditors while at the same time providing distributions that …
I used to think, “I had COVID. I don’t need a vaccine… not for now at least, and maybe not ever.”
November 2020: I was a few hours into my 12-hour shift in the emergency department. I had been treating COVID at every shift for about 10 months at that point, and I knew what I was feeling now was more than just fatigue. I took a swab and went into …
I go to the hospital cafeteria to unwind from this night — another unpredictable one with irrational patients that randomly attempt to assault the staff.
This time, they missed. Behavioral health. Land of the psychotics and schizophrenics. But an incredible staff to work with.
This song blares out. “Easy Like Sunday Morning.” And I know that nothing is “easy” anymore.
I’ve heard it all about COVID vaccinations:
“It’s my body.”
“It’s not FDA-approved.”
“I have natural …
I’ve always had a strong sense of justice. I think that’s what attracted me most to superheroes as a child. Growing up, my favorite by far was Spider-Man.
Many people think it’s because of his superpowers, but for me, it was always about Peter Parker, the man behind the mask. Peter Parker is a nerdy guy who loves science and makes inappropriate jokes all the time. He has this immense personal …
You were finally starting to understand Bitcoin when talk about alternative cryptocurrencies or “altcoins” started springing up everywhere. Elon Musk is tweeting about Dogecoin. Mark Cuban is talking about Ethereum. The Motley Fool is posting about Chainlink.
What are altcoins, and should you be investing in them?
I cannot speak to whether investing in altcoins is appropriate for you. Altcoins are a highly volatile and risky asset class that offers the potential …
I recently unearthed all my pay stubs from residency, including the first one — all $89.14 of it.
When I received that check, I had just moved across the country after a grueling internship in Philadelphia, which left me physically and emotionally exhausted.
I was staying in a motel, which I paid for with a credit card because I used my last paycheck from internship to pay for moving across the country. …
I went to replace four hanging plants at a nursery this past weekend because they all died once the Texas heat made its appearance, despite being watered, placed in the shade, and talked to by my daughter and me.
While I was looking for plants that will hopefully survive the Texas summer, I was chatting with my husband, who cheekily said, “Those plants weren’t resilient.”
He, of course, knows my disdain for …
We’ve all been told by a well-meaning friend, family member, or therapist, “You can’t care for others unless you care for yourself first.” Put your oxygen mask on first, blah blah. But in medical training, we repeatedly demonstrate that, unfortunately, you can provide great care for patients while neglecting yourself. Medicine rewards self-sacrifice and hard work, often at the cost of physician happiness or wholeness.
Maybe it starts in undergraduate school, …
Despite the bright pink walls of its exterior, the Immigration and Customs Enforcement (ICE) facility stands inconspicuously, set back along a stretch of a frequently traveled road. We had come to meet Carla (identifying information changed), a detainee seeking asylum whose lawyer had requested a medical evaluation from our medical student-run human rights clinic. The immigration officer peered closely at our letter granting entrance and balked at the medical equipment …
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Year after year, new medications find their way into the market, adding to the abundant and colorful world of pharmaceuticals.
Medications play a dual role in our lives, as they represent wellness and illness concomitantly. I am primarily fascinated by the human love-hate relationship with medicine in the form of dependency and liberation, desire and distaste, and hope and despair. On one …
Award-winning actress Christina Applegate revealed on social media that she had been diagnosed with multiple sclerosis (MS). “It’s been a tough road. But as we all know, the road keeps going,” wrote Applegate in a tweet.
Multiple sclerosis is a neurological autoimmune disease that has puzzled patients and health care providers for decades. The disease was first described by the French physician Charcot in the 1800s in the original report “sclerose …
I’m confused and disillusioned. When we were in the throes of the COVID pandemic at the beginning of this year, the talk revolved around when life-saving vaccines would become available for the general public. Thankfully, beginning during the first quarter of this year and continuing through present times, the COVID vaccine is being administered to all who wish to secure it. But unfortunately, in many states across our country, some …
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In 2009, I came across the white paper written by Satoshi Nakamoto describing a digital currency based on a peer-to-peer network, completely independent of central banks, autonomous, decentralized, digital, and would give access to finance and banking to the masses.
This “magical internet money,” as it was described at the time, would come to be known as Bitcoin.
The reason that this paper was so revolutionary was that it was prescient of …
U.S. COVID deaths have surpassed U.S. war deaths from World War II, Vietnam, and Korea. The unvaccinated are a fifth column that has ushered in a wave of nasty COVID variant infections in the United States, with their attendant deaths, costs, and disruptions to society. We need to stop debating the tone in which we address the unvaccinated and label their sabotage for what it is. We need to start …
I’m currently reading What Happened to You by Oprah Winfrey and Bruce D. Perry, MD, PhD, and being reminded that I react rather than respond when I am in a trauma activation. When that happens, I don’t have access to higher cortical functions like critical thinking. And as Gabor Mate, MD, would say, I don’t respond to what’s happening; I respond to my perceptions of what’s happening. And actually, I …
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On April 5, 2021, the federal government mandated that health care providers provide free electronic access to patients’ clinical notes, as part of the 21st Century Cures Act. This includes 8 types of notes spanning outpatient and inpatient arenas. If providers/organizations do not comply with this mandate, they will be subject to fines due to “information blocking.”
This was borne from the OpenNotes movement – which declares itself to promote and …
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