Physician

What the death of UnitedHealth CEO reveals about our broken health care system

Physician
December 6, 2024

The sudden death of UnitedHealth CEO Brian Thompson has pulled back the curtain on something we’ve all known deep down: America’s health care system is failing. Every day, we hear heartbreaking stories of people denied life-saving treatments like cancer care, not because those treatments don’t exist, but because someone decided they weren’t “cost-effective.” This isn’t just a health care problem—it’s a crisis of humanity.

We talk about “making America great …

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The U.S. Food and Drug Administration is talking when they should be listening

Physician
December 6, 2024

On May 9-10, 2017, the U.S. Food and Drug Administration (FDA) held a workshop titled “Training health care providers on pain management and safe use of opioid analgesics — exploring the path forward.” I attended the workshop in person to offer comments on behalf of chronic pain patients. A summary of my observations at the time was published by the now-defunct Pain News Network. The following extended extract is from …

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Why every physician craves a break from daily chaos

Physician
December 5, 2024

In today’s medical world, cancer treatment guidelines are constantly evolving. CME events are held worldwide to help health care professionals become more familiar with new treatments. They can be live events held at specific locations or online activities. I will not go into further detail about the CMEs or industry-sponsored CMEs because that is not the focus of this story.

The best thing about being a physician is the opportunity to …

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The heartbreaking lesson about life, love, and the “doctor hustle”

Physician
December 4, 2024

“Bring me flowers now while I’m living.
I don’t need your love when I’m gone.
Don’t spend time, tears, and money on my old breathless body.
If your heart is them flowers, bring ’em on.”

These are the words of that great philosopher and country music singer, Tanya Tucker. A friend of hers had died, and someone suggested they bring flowers for the deceased. Tanya thought about this a moment. As she reflected on …

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Why rudeness and AI are pushing doctors to rethink their approach

Physician
December 4, 2024

Last week my nurse called me, weeping. A patient had called and abused her, threatened her, and said he would complain to authorities about her. This, because his insurance company had delayed his medication refill request by a week. My nurse was hurt; she answers patient queries and emails even on her days off. He is not the only one shouting at and threatening medical staff. In my 30-year career …

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A doctor’s life-saving instinct reveals the hidden danger in a patient’s crisis

Physician
December 2, 2024

An excerpt from Yankee Doctor in the Bible Belt: A Memoir.

There are patients you can help. You can see them through a crisis, give them a magic medicine that makes everything better. There are others where there is little you can do. Their distress is beyond cure. The following story is about one person I could help.

Tony Bowman is a man in his early …

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Heartbreaking stories of famous lives lost to suicide and a community’s fight for awareness

Physician
December 2, 2024

Famous artists and athletes who succumbed to suicide:

Robin Williams (American actor and comedian) – August 11, 2014; 63 years old.

Anthony Bourdain (American celebrity chef, author, travel documentarian) – June 8, 2018; 61 years old.

Robert Enke (German goalkeeper, part of German national soccer team) – November 10, 2009; 32 years old.

Goo Hara (South Korean singer and actor) – November 24, 2019; 28 years old.

Ruslana Korshunova (Kazakhstani model) – June 28, 2008; …

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You don’t need to be a doctor to save lives and make a difference

Physician
December 2, 2024

If you ask aspiring doctors, “Why do you want to become a doctor?” they often reply, “I want to help people” or “I want to save people.”

The intention to help is commendable, but many careers work toward protecting and supporting us.

It is much easier to view doctors as “knights in shining armor,” “heroes,” or “saviors.” In some cultures, they may even be seen as deities. This perception can sometimes unintentionally …

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How physicians can get started in digital health and health care innovation

Physician
December 1, 2024

In the rapidly evolving landscape of health care, the urgent need for innovation has never been more critical. As a physician, you are uniquely positioned to drive transformative changes that can improve patient outcomes, enhance care delivery, and reduce costs. However, despite the opportunities, stepping into the realm of digital health and health care innovation can seem daunting.

The importance of understanding the imperative for innovation in health care

Health care systems …

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Hero’s journey: Letting go of self-hate and choosing love instead

Physician
November 30, 2024

One of the biggest lessons I’ve learned on my hero’s journey is the importance of learning to accept ourselves (our full selves).

I couldn’t sit across from patients, clients, friends, or family members the way I wanted to until I started to love all parts of me. When I am grounded in love for all parts of me, I show up differently. I show up better able to love all parts …

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18 words in medical records that restore principles in a medical malpractice lawsuit

Physician
November 29, 2024

There are 85,000 medical malpractice lawsuits filed per year. There are 1 million physicians. Therefore, your odds as a doctor for being sued for malpractice are 8.5 percent per year, which corresponds to one lawsuit every 12 years. To make matters worse, two-thirds of lawsuits have questionable merit.

A malpractice lawsuit is inevitable because a complication is inevitable. It just takes one complication. The problem arises when a complication is a …

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Seeing the unseen: How racism manifests in professional spaces and how you can help

Physician
November 28, 2024

My sister and I speak almost every day. Sometimes we talk about our kids, our husbands, and our jobs. She is an attorney in the military and part of the JAG corps. I am an academic obstetrician/gynecologist (OB/GYN), which means my practice involves education. We are both Black women in majority-white professions. Our morning conversations about our respective jobs are sometimes about the work itself, which we are both passionate …

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How a community rebuilds from devastation day by day

Physician
November 27, 2024

If you make a wrong turn and end up in the heart of it all, there’s a light brown hue over things. The leftover mud. Sometimes on the trees. Other times on the asphalt. Up the rock walls while driving. A reminder that destruction happened here.

If you make a wrong (or right) turn, you can see piles of wreckage. An office chair. Metal debris. Plastic things. Relief and aid workers …

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How Pixar’s Soul teaches us to live in the moment

Physician
November 26, 2024

It is not every day that a children’s movie can touch and challenge the soul of an adult. This is how I felt recently during one part of Pixar’s movie Soul. Whether you’ve seen this movie or not, I want to write about one particular scene that has really affected how I approach life.

The setup (no spoilers!): the main character Joe has received the job opportunity of a lifetime only …

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Unexpected lessons in self-care from my backyard garden

Physician
November 26, 2024

Here’s something you may already know. I didn’t until recently, but I sure do now, and it’s a lesson I won’t forget—something I wish I’d known three weeks ago.

Rabbits love cone flowers.

We recently downsized to a cute house with window boxes. I’ve never had window boxes before and am honestly not much of a gardener. I went to the local place where we buy plants and picked out some tall …

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How to dress like a doctor

Physician
November 25, 2024

Are you a medical student or resident rotating through new parts of the hospital? Then it’s a good time for some nuts-and-bolts advice about what you should wear on your upcoming rotations.

No, it’s not about looking like a doctor (whatever that is). It’s not about whether patients like white coats or not. Or whether white coats carry germs. It’s not about style and personal expression. It’s about how to have …

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Belief in God: Medicine’s guiding light through every challenge

Physician
November 24, 2024

In medicine, there’s a rhythm we grow accustomed to—diagnose, treat, move on to the next patient. But for me, beneath that rhythm, there’s always been a quiet hum: belief. Not the kind that seeks to explain every event or outcome, but the kind that reassures you that even when things go wrong, you are exactly where you need to be.

Faith in God didn’t arrive through one grand moment for me. …

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Self-governance in the medical profession and medical malpractice

Physician
November 23, 2024

Fundamental in a medical malpractice lawsuit is determining whether an unfortunate outcome is an error of nature or a medical error. An error of nature results from a medical intervention that aligns with the standard of care. A medical error, on the other hand, results from a medical intervention that departs from the standard of care.

The problem in medical malpractice is that errors of nature can be random occurrences even …

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How my father taught me the true meaning of generosity

Physician
November 23, 2024

I enjoy buying gifts for people I adore. It’s my love language. I enjoy seeing the smile, joy, or surprise in the eyes of those who receive my gifts. I live for these moments.

There were times when people did not express how much they appreciated my gift, but I could see it in their eyes. It’s not just my wild imagination; it’s because I’m always confident that what I buy …

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Why doctors increasingly turn away from rural clinical practice

Physician
November 23, 2024

It was recently reported that barely 10 percent of U.S. doctors work in rural health care. That number is continuing to shrink, while over 20 percent of the U.S. population lives in rural areas, and more than 80 percent of rural Americans are considered medically underserved.

There are many reasons why doctors, mid-levels, and other health care workers are avoiding rural practice opportunities.

The one I want to focus on today is …

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