You can save your baby for $2 million. Can we afford to do this?

Medications
May 31, 2019

You can save your baby for $2 million. Can you afford to do this? If you cannot, should we all pay?

Spinal muscular atrophy (SMA) is a rare genetic disease affecting the part of the nervous system that controls voluntary muscle movement. All types of SMA result from a single known cause, a deficiency of a protein called SMN, for “survival of motor neuron.” When SMA symptoms are present at birth …

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You can save your baby for $2 million. Can we afford to do this?

It’s time to rethink what it means to be a DO

Medical Education
May 30, 2019

The future of our profession lies in our ability to come together with a unified voice. We must also recognize that the practice of osteopathic medicine, and the training of osteopathic physicians, has evolved significantly since A.T. Still, MD, DO, created osteopathy.

The AOA recognized this when its Board of Trustees announced that the AOA will start providing two pathways for board certification. DOs will be able to …

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It’s time to rethink what it means to be a DO

The power of an individual’s story reminds physicians why they got into medicine

Physician
May 30, 2019

STAT_LogoAs a surgeon who specializes in gynecologic cancer, I have performed thousands of operations over my two-decade career. But the ones my team and I have done since the beginning of this year have been the most fulfilling. The reason? A simple yet remarkable adjustment in how we prepare for surgery has forever changed the way we …

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The power of an individual’s story reminds physicians why they got into medicine

3 ways to change your mindset in continuing medical education

Medical Education
May 30, 2019

The seeds of emotional turmoil inherent in medical education are planted early in the pursuit of becoming a doctor. It is the unspoken fear that medical students and residents experience each day on attending rounds.  It is the worry of missing a vital piece of information from the history and physical exam of a patient. It’s the concern that despite reading and preparing for the cases, emerging physicians may find …

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3 ways to change your mindset in continuing medical education

How did we let insurance companies get so intimately involved with patient care?

Physician
May 30, 2019

Who works for who?

How did we allow ourselves to let a system get built up around us that makes it so hard for us to take care of our patients?

Our job is to advocate for our patients, to help guide them towards their best health, to help them understand the difficult choices and to live healthy lifestyles, to give them …

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How did we let insurance companies get so intimately involved with patient care?

When constipation pain was worse than cancer pain

Conditions and Diseases
May 30, 2019

Coming in to meet the students, house staff, and patients for the first day on service always excites me. This Monday was no exception. What awaited me? How many patients would I need to see? What lessons could I impart?

When I arrived, we had 11 patients, two new, and nine had arrived previously. Going through the list, while routine, always stimulated questions and teaching opportunities. Sometimes the team had questions …

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When constipation pain was worse than cancer pain

A student finds his passion for medicine

Medical Education
May 29, 2019

3:30 a.m. – Wake up.

4:00 a.m. – Leave apartment.

4:15 a.m. – Arrive at hospital.

4:20 a.m. – Print out the patient list.

4:20 – 5:25 a.m. – Split the list of 50 patients with your partner, go to a computer and write down for every patient their 24-hr vital signs, any reported fevers and what was done, what post-op day it is, what day of antibiotics and indications, discharge criteria, etc.

5:29 a.m. …

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A student finds his passion for medicine

How this physician fought imposter syndrome

Physician
May 29, 2019

It took me a long time to put a name to what I was feeling. Only recently had I started to read about imposter syndrome. I’ve had this feeling multiple times throughout my life, and it always had the potential to pull me backward instead of allowing me to propel forward towards my goals.

I had this feeling when I made it into college, then again in medical school. Even when …

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How this physician fought imposter syndrome

Home buying tips for physicians

Physician Finance
May 29, 2019

Financial planning is comprised of the six decisions people make with their money. Physicians need to make decisions as to how you earn, spend, save, borrow, give, and protect yours. Home buying typically touches on all of the six money decisions.

Home buying often begins with a mortgage, so you will have to make decisions about borrowing money. You also must earn money or at least have the potential to earn …

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Home buying tips for physicians

Patient experience scores are being dragged down by process problems

Health Policy
May 29, 2019

Which statement fits your organization the best?

Option A: Our organizational strategies, incentives, goals, and mantras are driven by patient experience.

Option B: Our organizational strategies, incentives, goals, and mantras are driven by quality and safety.

It may be hard to say an organization can be one without the other since, after all, experience is a byproduct of quality. The two are so interrelated that there is often a cloud of confusion regarding …

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Patient experience scores are being dragged down by process problems

Disproving the false claims of febrile seizures after vaccines

Conditions and Diseases
May 28, 2019

A seizure in response to a fever, called a febrile seizure, is an extremely common event in childhood. They affect 2 to 5 percent of children between 6 months and five years of age and have a peak incidence between 12 and 18 months of age. They generally occur after a rapid rise in temperature; it appears the rate of rise is more important than the actual …

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Disproving the false claims of febrile seizures after vaccines

Medical judgment: Healing demands more than knowledge

Physician
May 28, 2019

I’ve delved into the issue of medical judgment more than once.  I have argued that sound judgment is more important than medical knowledge.  If one has a knowledge deficit, assuming he is aware of this, it is easily remedied.  A judgment deficiency, per contra, is more difficult to fix.

For example, if a physician cannot recall if generalized itchiness can be a sign of serious liver disease, he can look this …

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Medical judgment: Healing demands more than knowledge

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Physicians can’t do everything for everybody in every visit

Physician
May 28, 2019

How long does it take to diagnose guttate psoriasis versus pityriasis rosea? Swimmers ear versus a ruptured eardrum? A kidney stone? A urinary tract infection? An ankle sprain?

So why is the typical “cycle time,” the time it takes for a patient to get through a clinic such as mine for these kinds of problems, close to an hour?

Answer: Mandated screening activities that could actually be done in different ways and …

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Physicians can’t do everything for everybody in every visit

Physicians and the risk of a plateauing net worth

Physician Finance
May 28, 2019

Wealth accumulation can follow many trajectories, depending on discipline and external factors like stock market health or economic fluctuations.  With a proper financial plan, doctors can stick to a game plan that should allow them to reach financial milestones rather predictably.  The adage that wealth begets wealth certainly does hold true most of the time, but it doesn’t necessarily guarantee financial victory.  One of the issues with wealth accumulation is …

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Physicians and the risk of a plateauing net worth

3 reasons why your patients love you

Physician
May 27, 2019

I recently wrote an article giving 3 reasons why any patient may not have liked their doctor. They included the physician being visibly in a hurry, appearing to brush off concerns, or giving a general sense of not caring. While no doctor deliberately sets out to do any of these things, complaints like these are all too common, unfortunately.

The degree to which the practice of good medicine is …

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3 reasons why your patients love you

The rise and fall of measles vaccinations

Conditions and Diseases
May 27, 2019

Ten years ago it would not have been worth my time to write about measles nor yours to read about it. In the year 2000, thanks to a very effective 2-shot childhood vaccination program using a combined measles-mumps-rubella (MMR) vaccine, the U.S. was declared free of this potentially lethal disease. However, by the end of April this year, just over 700 cases have been reported by the CDC; the largest …

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The rise and fall of measles vaccinations

A physician’s journey to working from home

Physician
May 27, 2019

Raise your glasses (of juice, water, champagne, or whatever you fancy) and join me in celebrating a dream come true: I’m officially a physician who practices medicine from home. To think that it was only four years ago that I was burnt out. It took having that eye-opening experience to take myself off the grid and begin practicing medicine on my own terms. I left nephrology to practice as a …

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A physician’s journey to working from home

The journey from a low GPA to an orthopaedic surgeon

Physician
May 27, 2019

I’m an orthopaedic surgeon, but if you told me I’d be here when I graduated from college, I’d be laughing at you. When I got started in college, I thought I was going to be pre-med and apply to medical school. It was not a well-thought-out decision. I thought that this was what good Chinese-American children do: Grow up to become doctors. It became clear that this goal was parent-driven …

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The journey from a low GPA to an orthopaedic surgeon

A patient’s tale of type 2 diabetes

Conditions and Diseases
May 26, 2019

Samuel was an English gentleman hailing from London. Close to 10 percent of the U.S. population, over 30 million people, lives with diabetes. Five years ago, Samuel was diagnosed with type 2 diabetes. Taking lisinopril and glipizide, he also goes on hour-long walks every morning at 6:30 a.m. to keep his A1c at his comfort number of 5.5. It has not always been this way for Samuel as he was …

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A patient’s tale of type 2 diabetes

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