I have never been outside my hospital since I joined two months ago.
As the only doctor in the oncology department, I cannot take the time to roam around the hospital. My duty hours are filled with chemotherapy treatments and the continuous monitoring of sick patients.
The hospital where I work is affiliated with a private medical college. On Saturdays and Sundays, the students have a holiday. It was a Saturday, and …
An excerpt from Real Medicine, Unreal Stories: Lessons and Insights from Clinical Practice (Volume 2).
The dinner plates had been cleared and a lazy instrumental playlist drifted through the background. Thad Brigham leaned back in his chair, a satisfied smile crossing his face as he looked at his daughters across the table.
“You two always manage to bring the energy back into this old house,” he …
8:00 a.m.: The start of a not-so-perfect morning
I wake up, already running a bit behind. I toss last night’s leftovers into a lunchbox while thinking, Will this meet my nutrition for the day? Maybe tomorrow I’ll pack something better. Morning routine kicks in: shower, brush, poop, pack bag, grab tea. No time to sit and sip, I carry it with me.
8:45 a.m.: Wheels on the ground
I hop into my WHO-assigned …
It was early morning—likely the first appointment of the day. The music in the waiting room had not even been turned on yet, and the smell of coffee was just beginning to meet the air. After a few minutes, I was called back to a room and sat in the exam chair, already in scrubs and mentally preparing to scurry off to work right after. In fact, I was already …
I’ve felt an overwhelming need to write for about a month now. I struggled to find the right words as recent events in medicine and society have created a constant state of confusion and distress. Most notably, I have found it increasingly difficult to understand or process how some medical professionals can remain silent or indifferent in the face of ethical crises. At times, the anger this evokes leads me …
Imagine assembling an IKEA bookshelf with instructions in 12 languages, missing pages, and screws that cost vastly different amounts depending on which store you went to, unbeknownst to you. Then, after assembling it, you discover you’ll be charged even more because you used an Allen wrench.
That’s a standard experience for Americans navigating the health care ecosystem—one that feels deliberately designed to create confusion and drain bank accounts.
The numbers speak for …
I’ve lived a full life. A hard one. A beautiful one. A complicated one. And now, at 61, I’m finally beginning to live an honest one.
I was built in survival mode. Growing up as a Korean American boy in Central Texas—often the only Asian face in the room—my earliest years taught me that difference could either be celebrated… or punished. At first, it was celebrated. I flourished. But a move …
An older woman with osteoporosis fell at home, developed back pain, then went to urgent care and was diagnosed with a “muscle strain.” During a follow-up visit in my office, she told me she’d had transient urinary incontinence after her fall, and on exam she had midline back tenderness, hip flexor weakness, and hyper-reflexive knee jerks. This woman had suffered a vertebral fracture, not a pulled muscle.
One of my patients …
A nation that can map the human genome, transplant a face, and land rovers on Mars somehow cannot guarantee its citizens a timely doctor’s appointment. The official story blames “complex market forces,” “geographic maldistribution,” or the ever-handy “burnout.” But beneath the diagnostic babble lies a simpler, more uncomfortable truth: A powerful medical guild has learned that scarcity pays—and it intends to keep the spigot only half-open.
A cloister in white
Walk the …
On June 12, 2025, Air India flight crashed minutes after takeoff from Ahmedabad in India. Among the 242 people on board, only one survived: a man seated in 11A.
That image has stayed with me—not just because of the miraculous survival, but because of what it reveals about systems. Seat 11A was located near the plane’s wing box, the structurally strongest part of the aircraft, and beside an emergency exit. Experts …
When I was working full time in emergency medicine, I didn’t think much about the systems in my personal life. I had just enough clarity to show up for the next shift, keep my kid fed, work out, stay married, and try to remember where I parked the car. I wasn’t stupid. I wasn’t lazy. I was underwater. So I did what a lot of physicians do when they’re trying …
The solution to the physician burnout crisis isn’t more diagnoses or interventions. The antidote isn’t more modules, surveys, screenings, or questionnaires. What’s needed is cultural healing: One that we have so far been unwilling and/or too depleted to attempt.
Over the past decade, physician wellness has been medicalized. We’ve absorbed it into the very system that made us unwell. We’ve labeled it as pathology—when in fact, it’s a predictable outcome of …
“Some people learn. Some don’t.
For the former, growing old is a joy.
For the latter, it is hell.”
I’ve seen both.
In exam rooms, break rooms, ORs, and coaching sessions. One physician softens—more present, less defended. Another hardens—brittle, often angry.
The difference isn’t intelligence, training, or temperament.
It’s whether they’re willing to learn—not just from books or trials, but from life itself.
What happens when physicians refuse to learn
Medicine does not require emotional growth to function. …
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Eighty-five thousand medical malpractice lawsuits are filed per year, but the total number of claims reviewed by lawyers is unknown. What underlies their decision to proceed is their inability to determine which complication results from a systemic medical error in a medical intervention and which is just a random error of nature.
Reflected in this 85,000 is that two-thirds—52,000—are summarily dismissed and 4,600 are defense verdicts, and one-third—27,000—are settlements and 1,400 …
As health care professionals, we are constantly immersed in data, intricate details, and complex ideas. Whether presenting at grand rounds, sharing research at conferences, or explaining treatment plans to patients, your PowerPoint slides can either amplify your message or obscure it in a deluge of information.
Let’s be clear: Effective communication is not merely a desirable trait; it is a clinical necessity. Communication …
Most of us didn’t go into medicine thinking about branding or strategy. We went into it to care for people. That was always the goal.
If we want to reach more of the patients who need us, we have to look at how we’re showing up. If we want to build a practice that’s sustainable and aligned with who we are, it matters. It’s not about selling. It’s about connection.
That starts …
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Several decades ago at our local hospital in northern Los Angeles County, an onslaught against doctors began. The administration marginalized and discredited them. It was not due to a lack of medical skill or knowledge, as certain physicians were labeled “troublemakers” and “threats” to health care in our small community.
The chief of staff and I, the chairman of the Department of Medicine, were members of the staff, some of whom …
Dreaming of medicine
Everyone has an origin story. Mine doesn’t include any radioactive spiders or vats of glowing fluid, but I did get a few extra volts of electricity being defibrillated back to life at seventeen, and that’s close enough to a tragic backstory for me. It was a short-lived event, but long enough to change everything. I remember the blur of motion as a team of doctors worked around me. …
In memory of Brian Wilson (1942–2025).
In a world increasingly marked by fracture and fear, it is hard not to return to the quiet, aching clarity of Brian Wilson’s song Love and Mercy. Originally released in 1988, the song was not a protest anthem or a sweeping political critique. Instead, it was a simple, open-hearted wish: “Love and mercy, that’s what you need tonight. So, love and mercy to you and …
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There’s so much we don’t say out loud.
Not because it’s not true.
Not because it doesn’t matter.
But because somewhere along the way, we were taught that strength looks like silence—and that if we’re struggling, it must mean we’re doing something wrong. Or maybe we just forgot, in the brain fog of postpartum hormones and the blur of sleepless nights.
I’m a family physician. I’m also a mother to an amazingly bright and …
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