I was in my upstairs office when I heard the doorbell ring. I ran downstairs to open the door, unable to see through the opaque window who was on the other side. I opened the door, and there stood an elderly Black man and woman, well dressed, with leaflets and literature. I immediately recognized that this was an unsolicited proselytization.
“Can I help you,” I inquired. The woman handed me a …
Reflections on human suffering
Real doctors see patients. For years, I have held this thought as a truth. But it’s not a fact; it’s a belief, and it is no longer serving me.
I’ve been questioning this belief for a while, but this weekend at the American Academy of Pediatrics National Conference and Exhibition, I gained some clarity. There, I met, heard from, and spoke with so many fascinating physicians—physicians who are doing all sorts …
Reevaluating beliefs: the role of real doctors
An overly familiar alarm buzzes at 4:20 a.m. My first thought was, “I should have slept more.” I lazily brush my teeth with the combination of spearmint and reflux mixing in the back of my throat. With heavy arms and legs, I wearily climb into scrubs in the dark and carefully exit the house – a thief in my own night. The pitch-black drive is less interesting this morning. News …
Tomb of the unknown emergency physician
When you think about a beach vacation, what comes to mind? What do you picture?
Fish, seaweed, sharks, sea foam, water bugs, or clear sunny skies? The sound of surfing waves, the feeling of soft sand, or the desire for a perfect tan?
My daughter possesses a meticulous, organized, and clean nature. She finds solace in predictability and dislikes the uncertainty of nature. Consequently, she rarely enjoys hiking, dismissing it as “too …
Conquering fear: Embracing possibilities beyond the horizon
Looking back at my career as an emergency physician, I remember how my first year out of residency was a roller coaster ride with many ups and downs, practicing as an emergency physician in a semi-rural town in Illinois. But once I found my stride and confidence as an attending physician, I recall distinctly knowing to my core that I was a good doctor. I was strong in my clinical …
Metric shaming in medicine and 3 ways to overcome it
The practice of evidence-based medicine and lifelong learning are core tenets of medicine. Through courses, conferences, and lectures, physicians have regularly turned to their colleagues for continuing education. For decades, this reliance on physician-to-physician teaching has been a fitting choice for the subjects at hand, which usually related to clinical practice. In recent years, there has been widespread development of diversity, equity, and inclusion (DEI) initiatives. Holding to previous patterns, …
Learning health equity from activists: a paradigm shift for physicians
What do you do if you get an administrative or court subpoena to produce “all” medical records on one or more patients? Are you sure that your electronic medical records can even create a true “legal” chart? With everything recorded chronologically? How would you know if something was left out?
And if you get an administrative or court subpoena for “all” medical records, what does that mean? What about access logs …
Navigating subpoenas and EHR integration
One of the most memorable scenes in Goodfellas occurs early on, when the audience is introduced to most of the crew at the Bamboo Lounge. Henry Hill (Ray Liotta) and Tommy DeVito (Joe Pesci) get into a tense exchange. Tommy seems to get offended after Henry calls him funny. “I’m funny how, Tommy wants to know?” “I mean, funny like a clown? I amuse you? I make you laugh?”
Unknown to …
Kick start your writing with a surprise
In a world often marred by division, conflict, and hatred, the concept of love may seem like a fragile flower struggling to bloom amidst a harsh and unforgiving landscape. However, it is precisely in such a world that the power of love shines most brilliantly. Let us explore the importance of love in a world full of hate and consider insights into how individuals and communities can foster love to …
Love in a world full of hate: a beacon of hope
“America’s health care system is neither healthy, caring, nor a system.”
– Walter Cronkite
Hospitals, revered as places of healing and recovery, hold secrets and harbor mistakes that can take a heavy toll on patients. These hidden truths, often concealed behind the walls of health care institutions, come with dire consequences. Supported by alarming statistics and credible sources, this exploration unveils some of the most unsettling aspects of the health care system.
As …
Hospital secrets that patients don’t know
Compelling storytelling on your resume can help you stand out as a job candidate. However, storytelling and the story of your life (which is the meaning of curriculum vitae) are not the same.
With so many resumes flooding the job market, it can be challenging to make yours stand out. That’s where storytelling comes in. By incorporating storytelling into your resume, you can showcase your unique experiences, skills, and accomplishments in …
The power of storytelling in your resume
In psychiatry, we are trained to prepare our patients for the end of treatment. Treatment planning focuses on goals and strategies to help the person eventually end their need for therapy and external interventions. Interestingly, even with this anticipation of ending our relationship as part of the focus, it is not unusual for patients to disappear.
Ghosting doctors and treatment personnel is sadly commonplace in the mental health space. I have …
I am writing to express my extreme disappointment in my specialty’s national board organization and its lack of response to the tragedy still unfolding in Israel. Ophthalmology oral boards are currently scheduled for 10/20/2023 through 10/22/2023, and I have received multiple notifications this week regarding testing logistics but not a single reference to a terrorist attack on the scale of the bombing of the Twin Towers in New York City. …
Disappointment with a specialty board’s response to Israel crisis
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When I received an email from her in March, it was exceptionally helpful and genuine. You could tell she exuded that class president energy and was a true leader. Dr. Mortimer sounded excited for residency to begin.
We met each other across the green at the mandatory, unpaid 4-day orientation. She seemed laid-back and content. I remember the one week of electives we were granted was scheduled early for her. By …
The cost of silence: Dr. Nakita Mortimer’s tragic story
The dryer clanks and clangs, a rhythm I thought I knew by heart. Cars hum past the house—loud, then quieter, until they fade into the distance. I’m alert, but it’s a selective kind of alertness. I sit in the stillness, waiting for the next thought to arrive. Except, it doesn’t. Is this what living in the moment feels like? Just waiting? Waiting for what?
In an attempt to understand time—this elusive …
Rediscovering life: a day of heightened awareness
What will the U.S. health care industry look and feel like in 2023?
If you want to call the U.S. health care a “system” today, what will that “system” look like in the year 2030, and how will it handle the health care needs of an older, sicker population?
With nearly everyone calling for system change and reform, including “burn it to the ground” and more, let’s look at the demographics of …
The future of U.S. health care: 2030 and beyond
When a colleague recommended a book, I hoped it would be something enjoyable – perhaps a sports anthology, a music biography, or even a novel. Unfortunately, it was about dialysis, the great American scam that it is.
As a nephrologist (kidney doctor), I had already come to the same conclusion. Here’s why, supported by Tom Mueller’s meticulous research in How To Make a Killing: Blood, Death and Dollars in American …
In 1985, Mr. Charles McCrory was on trial. Charles had found his wife dead, and her family was convinced that he was responsible, despite the fact that Charles denied any involvement and just wanted to grieve in peace. There was no real evidence against him, but the state had an ace up its sleeve in the form of Dr. Richard Souviron.
Dr. Souviron was a forensic odontologist, which is a dentist …
Physicians behind bars: the consequences of medical misjustice
The performative actions of institutions, corporate America, academia, and hospitals among other entities have made me highly dislike the acronyms DEI, EDI, DEIB, or whatever other fancy acronyms the C-suiters come up with. I remember hearing from a colleague that their institution did not want the words “anti-racism” included in the title of one of these phony task forces because it was too “violent”… Hmm, violent? Sort of like the …
Diversity and inclusion: Go beyond performative actions
Every week, I explore with great interest the commentaries, viewpoints, perspectives, podcasts, social media posts, and other dispatches from my peers and colleagues who are seeking to explain and influence the state of both the health care professions and our systems of care.
With each reading, I find modern parallels to the published words of my late mentor, Dr. Carleton Chapman, a former dean of Dartmouth Medical School and one-time president …
Bringing words to a knife fight: Why we’re losing the health care war
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