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In this episode, we welcome Cindy Perlin, a licensed clinical social worker and chronic pain survivor, to discuss the ongoing issue of prescription painkiller abuse and the dangers of relying on medication to treat pain. Research shows …
Pain management beyond prescription pills [PODCAST]
Sharon Stone has publicly said that medical professionals missed a large fibroid tumor. This followed a prior incident where she reported that she was given larger breast implants without her knowledge while undergoing reconstruction surgery. We all know that Michael Jackson was killed by his personal doctor, who failed to monitor him while he was given Propofol (an anesthetic that is never used at home). Dr. Murray was on the …
The dark side of celebrity medicine
Psychosis is a broad term that describes a change in the perception of reality. It can be caused by various conditions, including metabolic, psychiatric, neurologic, genetic, and other medical conditions, as well as licit and illicit substances, particularly cannabis. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) states that abnormalities define these disorders in one or more of the following five domains: delusions, hallucinations, disorganized thinking (speech), …
The dark side of cannabis: increased risk of psychosis
I have to respond to and correct the recent article and podcast about a doctor having his first colonoscopy in his late 60s without anesthesia. There were multiple factual errors and misstatements by the doctor author, which may well dissuade doctors and laypeople from colonoscopies in the future.
First, he notes the reason he’s thus far not had a colonoscopy: he has no family history, and he’s athletic and overall …
Why skipping your colonoscopy could be a deadly mistake
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In this episode, we hear from Alen Voskanian, a palliative care physician, who shares his personal experience with COVID-19. Dr. Voskanian reflects on the mental coping mechanisms he used to try and understand how he contracted the …
I have undergone numerous IVF cycles. It is a heart-wrenching experience. Infertility is a pain that is difficult to describe unless personally experienced. I have never truly known heartbreak until the failure of IVF embryo transfers. Three preimplantation genetically tested normal embryos failed to implant, and knowing my three perfect embabies (embryos that were transferred but not implanted) will not be in my arms still hurt my heart. It took …
Infertility: Navigating the challenges of IVF and the importance of self-advocacy
It is well-recognized that there is a large number of physicians leaving medicine or preparing to do so. This is not to be debated!
Many physicians are retiring due to age, and others have accepted early retirement as their best option with the current state of health care. Beyond those retiring, it is concerning how many young physicians are leaving medicine and no longer want to stay in the current health …
Why are so many physicians quitting medicine? The real reasons revealed.
I’ve had the opportunity to interact with a wide variety of patients. Along the way, I’ve heard some pretty memorable and interesting things. I thought it might be fun to share a few of my favorites.
One of the most common things I hear from my older patients is something like, “Doc, it’s just hell getting old!” Our standard response is usually …
Patients’ hilarious comebacks: a doctor’s perspective
The COVID ICU is abuzz with monitors beeping and doctors and nurses rushing from bed to bed to care for critically ill patients, most on ventilators. The machines – dialysis, vents, pumps – sound off their rhythmic repetitions; breaths are pushed in and pulled out, and meds are dripped. Only the patients themselves are silent. We know this, and we hear this, but we are not there. It’s thhe height …
The isolation of the COVID ICU: the need for patient advocates
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Join us on our latest episode as we explore the importance of addressing violent behaviors in health care settings. We’ll be discussing the role of Behavioral Emergency Response Teams (BERTs), trained in non-violent intervention techniques, in managing …
Innovative strategies for managing disruptive behaviors in health care settings [PODCAST]
“My parents abused me as a child. I went no contact with them over ten years ago, but now my dad is in the hospital with a serious diagnosis and the discharge planner keeps asking me to be involved. I don’t want to. What are my rights?”
I read the lengthy message several times, feeling an overwhelming sense of dread. I was in the same “no contact” situation with my own …
Forgiveness vs. self-preservation: the difficult decision of caring for an abusive parent
Alzheimer’s disease is a devastating illness without effective treatment. Yet it may, in fact, be largely preventable. The first shocking fact to absorb is that the pathogenesis is largely extracranial, though assuredly not entirely so. That clearly defies the conventional pharmacologic wisdom, which has obsessed with amyloid-beta as the offending agent and has approached it by crafting and evaluating antibodies against it. The FDA has even bought into that theory …
Challenging conventional wisdom: How to reduce the risk of Alzheimer’s disease
A good cup of soup can be comforting during illness. It’s like a form of medicine. Soups have many vitamins and minerals, protein and carbohydrates, and of course, water or cream to help stay hydrated. Salt makes a sore throat feel better (like warm salt water gargling) and heat clears nasal congestion (which relieves pain and sinus pressure). As such, a typical cup of restaurant soup costing $5 or $10 …
The $6 soup that saved a pregnant patient $20,000
We don’t talk about burnout.
I recently reunited with a former medical school classmate for lunch and realized that I talked more to him in two hours about my experiences over the past few years than with my hospitalist colleagues at work or my closest friends. I’ve only ever dared to mention anything to my wife and brother (both physicians).
Lots of sources define burnout as the accumulation of stress over time …
The unspoken epidemic: Why health care professionals aren’t talking about burnout
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In this episode, interventional physiatrist Francisco M. Torres shares a poignant story about missing the signs of depression in a patient. He reflects on the challenges of limited time with patients in modern health care and the …
Missed signs: a doctor’s reflection on depression [PODCAST]
Among high school seniors using marijuana, the pandemic forced the largest one-year decline in use over the past 48 years. Marijuana use fell from 35.2 percent in 2020 to 30.5 percent during 2021. In 2022, it remained pretty much unchanged at 30.7 percent.
Alcohol drinking among high school seniors fell from 55.3 percent of seniors in 2020 to 46.5 percent during the pandemic year. However, in 2022, alcohol use among seniors …
Teen substance use rebounds after pandemic
There were no smartphones when I was a medical resident in the late 80s in Puerto Rico. During my last year, while waiting for a lecturer to arrive, I grabbed a medical journal from the conference room table to kill some time. I flipped through the pages, skimming the titles of the articles and looking at some of the advertisements. When I was about to put the journal down, I …
Why taking risks is worth it: a doctor’s journey from uncertainty to opportunity
Why is it that physicians are seeking alternative avenues to boost their income? It may seem counterintuitive for busy clinical doctors to pursue a side gig, why? In a post-pandemic era, physicians are plagued by colossal debt and increasing rates of burnout. More than 100,000 physicians have left the profession since the start of the COVID-19 pandemic. My peers are frustrated, tired, and seeking a way out. For many, …
Why every doctor should have a side gig
Creating something new, taking calculated risks, and effectively allocating resources are all aspects of entrepreneurship. Both environmental and genetic variables play a role in this intricate process. This article will examine how a person’s propensity to become an entrepreneur is influenced by genetic and environmental factors that drive entrepreneurship.
Personality qualities and risk tolerance are critical genetic determinants of entrepreneurship. These characteristics can influence an individual’s approach to entrepreneurship and can …
The DNA of entrepreneurs: How your genes could determine your business success
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In this episode, we explore the emotional impact of medical malpractice lawsuits on physicians and how they can navigate the process. Attorney Christine Zharova shares her insights on how these lawsuits can affect relationships with colleagues, staff, …
Navigating the emotional impact of a medical malpractice lawsuit [PODCAST]
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