Want your skin to look better? Then consider your mental health. 

Conditions and Diseases
June 3, 2022

Despite a popular embrace of self-care and the growing awareness of trauma-like symptoms stemming from COVID, one facet of mental health remains widely overlooked: the way our emotional state affects our skin.

Although most of us don’t think about it regularly, our mental state impacts our bodies from head to toe, and the skin—the largest, most visible organ of the human body—is not an exception.

Over the last …

Read more…

Want your skin to look better? Then consider your mental health. 

Stop financially handicapping non-citizen physicians

Physician
June 3, 2022

“I’m sad you are leaving! But I’m sure you had your loans forgiven by coming here! So I am happy for you!”

A colleague said this upon learning I was leaving to pursue a fellowship. Her comment stung. As a non-citizen with private student loans, I don’t qualify for federal loan repayment programs. I came to work in a Federally Qualified Health Center (FQHC) because I wanted to.

Each year, a very …

Read more…

Stop financially handicapping non-citizen physicians

How reversing Roe v. Wade will affect physicians and patients [PODCAST]

Podcast
June 2, 2022
YouTube video

“These changes on the horizon for our country are unlike anything we have ever experienced. We have only experienced an expansion of rights for those who have been denied fair treatment. Going backwards only infringes our ability to pursue life, liberty, and the pursuit of happiness. Future laws that could be …

Read more…

How reversing Roe v. Wade will affect physicians and patients [PODCAST]

Fibromyalgia is not a trash can diagnosis

Conditions and Diseases
June 2, 2022

Yet again, while reading an article about fibromyalgia, I was hit with another pejorative term in the first few lines. The authors describe the usual characteristics of fibromyalgia and then say, “and a high level of catastrophizing related to pain.”

If you do a Google search for “catastrophizing,” it tells you that it is “a way of thinking that assumes things are worse than they are or will have a far …

Read more…

Fibromyalgia is not a trash can diagnosis

20 years and counting. How long will it take to address clinical inertia in T2DM?

Sponsored
June 1, 2022

This article is sponsored by the Academy for Continued Healthcare Learning, an independently owned and operated full-service medical education company that has been developing certified health care education for nearly twenty years.

Visit the CME activity and Clinical Inertia Assessment Tool. This activity is …

Read more…

20 years and counting. How long will it take to address clinical inertia in T2DM?

Politics is health care on a grand scale

Health Policy
June 1, 2022

At the same time that gun violence becomes the leading cause of death for children in the U.S., lawmakers and political pundits caution the public against turning gun violence into a political issue. Yet as Jelani Cobb writes in the New Yorker, the mass killing of children is always already a political issue.

Furthermore, as so many have articulated against the backdrop of decades of …

Read more…

Politics is health care on a grand scale

To be effective leaders, physicians need to be trained as entrepreneurs and encouraged to innovate

Medical Education
June 1, 2022

In 2021, among the 37 individuals named to Forbes’ 30 Under 30 list for health care, 24 were identified as “co-founder” or “founder” (64%), while only ten individuals were MDs or MD Candidates (27%), and only 4 were both MDs and Co-founder/founders (11%). These metrics demonstrate that of people under the age of 30, the majority of those who were most recognized were not medical students, residents, …

Read more…

To be effective leaders, physicians need to be trained as entrepreneurs and encouraged to innovate

Discriminatory policies criminalize care for transgender youth

Physician
June 1, 2022

I am truly disheartened and frustrated that politics are criminalizing evidence-based medical care for transgender youth. At least seven states proposed anti-trans bills in the first week of 2022, and due to political pressure, some hospitals are closing their doors to new patients. I worry about not being able to see my patients and about their treatment being disrupted. Transgender youth could lose access …

Read more…

Discriminatory policies criminalize care for transgender youth

What do doctors do when they get sick?

Physician
June 1, 2022

Doctors don’t get sick. Right?

We’re certainly not supposed to. Throughout our training, the consequences of illness are dire—if you have to miss a day, someone else, someone you know well and care about, will have to fill in. They will probably have to fill in on their one day off that week. You know they’ll be angry and sad. If you’re still a med student rather than a resident, the …

Read more…

What do doctors do when they get sick?

It’s time for evidence-based change to reduce gun violence

Physician
May 31, 2022

As we are all processing the horrific events that occurred in Texas, as a psychiatrist and advocate for individuals suffering from mental illness, I beg you not to state this individual was mentally ill. We do not know enough information to come to this conclusion.

We know that individuals with mental illness are not more violent than peers without mental illness. We need to lean into the research, look at other …

Read more…

It’s time for evidence-based change to reduce gun violence

Creating and promoting a culture of wellness in medicine 

Physician
May 31, 2022

The practice of medicine goes beyond treating bodily wounds or electrolyte imbalances but also involves understanding and holistically helping patients. To ensure that the health care system functions well, physicians work tirelessly around the clock to provide care, support, and hope. Our focus is on delivering the best possible care to our patients, often putting aside our own needs and wants to complete the never-ending daily scroll of to-dos and …

Read more…

Creating and promoting a culture of wellness in medicine 

Doctors as organizational stewards

Physician
May 31, 2022

COVID-19 melted down the world at a very inopportune time in history. Just as medicine was getting a handle on previously intractable conditions, from sophisticated diabetes management to less invasive surgical procedures, a new threat that devastates our population with few good treatments overwhelms health care.

Medical workers come to the rescue, as we always do, though at a personal and communal price. Somebody else keeps our food available, allows our …

Read more…

Doctors as organizational stewards

Warehouses for the elderly?

Physician
May 30, 2022

Bringing in the mail recently, I was pleased to see a thick 5-by-7-inch booklet among the catalogs and bills. The anticipation of reading a few Reader’s Digest short stories and “Humor in Uniform” made the evening seem pleasurable. But when I opened the 244-page Reader’s Digest-sized booklet, I found the “Senior’s Blue Book for Greater Boston.” Here was page after page of assisted living communities, retirement communities, skilled nursing facilities, …

Read more…

Warehouses for the elderly?

Death and Dvořák

Medical Education
May 30, 2022

Dvořák Symphony No. 9 in E minor (“From the New World”) – Movement II ‘Largo’: a soundscape like floating beside the clouds in a perfect blue sky. The brass chords flood your ears. The underlying orchestra adds harmonic depth and richness. The English horn solo tugs at heartstrings, sighing at the end of each phrase.

After years spent in numerous youth symphonic orchestras, this performance stands out to me among an …

Read more…

Death and Dvořák

To scribe or not to scribe? That is the question.

Physician
May 29, 2022

By this title, I mean whether it is a good idea or not to hire a scribe to enter data into the electronic medical record (EMR) system.

I favor having a scribe. I came of age with paper charts, and I found the transition to EMR tricky and time-consuming.

My chief argument favoring scribes is that scribes can save doctors a lot of time. And by saving time, scribes can also help …

Read more…

To scribe or not to scribe? That is the question.

A call to dismantle structural heteronormative care

Health Policy
May 29, 2022

“That is a very heteronormative lens.”

These words were uttered to me by a 23-year-old female patient as I explained i-PLEDGE and the steps she must complete to take oral isotretinoin.

The visit started as fairly routine. A young female presented with a complaint of acne. I quickly appraised the patient on entering. She was petite, with a blonde pixie cut. She wore clothes that …

Read more…

A call to dismantle structural heteronormative care

Reproductive and abortion care is health care

Physician
May 29, 2022

It is getting very crowded in my exam room. As a practicing obstetrician, I have counseled women for more than the past 36 years and our conversations have always been private. Suddenly, for the first time in 50 years, judges and politicians are vying to join me in these intimate moments that can involve the life or death of the mother. This is impossible for me to comprehend or accept.

The …

Read more…

Reproductive and abortion care is health care

622
pages