Recently, while reading The History of Medicine by William Bynum, I was struck by a line that quietly reframed a great deal of what we claim to believe about our profession. Reflecting on how medicine has evolved, Bynum writes: “When in doubt, remember the Hippocratic injunction that health is most likely to be found in the middle way.”
That notion, nuanced, modest, and deeply clinical, feels worlds apart from …
This story is fiction but inspired by the real and worsening challenges faced by international medical graduates navigating U.S. immigration policy.
The acceptance letter sat printed on top of Nabeel Khan’s passport, still warm from the old inkjet printer in his family’s living room in Lahore. The words glowed like prophecy: “Congratulations! We are thrilled to welcome you to our Internal Medicine Residency Program at St. Julian’s Hospital, Topeka, Kansas, …
It was 7:45 a.m., and I stood frozen in the middle of a sidewalk on campus, barely awake undergrads shuffling past me on their way to morning classes. My daily walk to work cut through a part of the university where the college of medicine sits beside student dorms. It is a path I’d tread as a wide-eyed student, a determined trainee, and now, a weary attending. That morning, I …
Imagine yourself being miserable at work and you have been thinking about quitting for a long time now, but you are just really good at what you do. Your colleagues approached you when they needed advice and even your patients praised and thanked you all the time. Imagine leaving all of this and walking away from years’ worth of hard work.
Initially, you might have felt guilty and isolated for feeling …
“In the courtroom, I was asked to speak about wounds. But the deepest wounds I saw weren’t just in patients — they were in trust, in truth, and in the silence that follows when no one wants to say what really happened.”
I never aspired to testify in court. Like most physicians, I trained to treat patients — not to evaluate the decisions of others. But then a case came. A …
There’s a sacred irony in medicine: Those who care for hearts often forget their own.
This truth came into sharp focus for me this past weekend, where I found myself in a room of women cardiologists at The American College of Cardiology in D.C.
The women in attendance were brilliant and compassionate. They spend their days pacing hearts, restarting them, and stenting them open. They are experts in life’s most vital rhythm. …
I was on another overnight shift in the OB/GYN emergency department. The air was thick with tension, as it always is when the night is full of contractions, cries, and codes. One woman arrived in active labor — her first baby, frightened eyes, and no family by her side.
Everyone rushed to prepare for the delivery. Monitors beeped. Gloves snapped. Orders flew around the room. The focus was on the baby. …
In recent years, an alarming trend has emerged within the health care system, one that is eroding the very backbone of medical care delivery: the physician. What once were rules and regulations designed to protect and elevate the standard of medical care are increasingly being exploited by medical authorities as a tool to extort, reprimand, and harass physicians. More disturbingly, this extortion is now cloaked as “education,” forcing doctors to …
In January, I wrote regarding the biased NBC report on unidentified bodies from a coroner’s office being used by a medical school. Subsequently, the network aired two related episodes.
The second report centered on a self-employed purveyor of bodies and parts. He displayed no respect for the people whose bodies or parts he sold. The report was disturbing, as there is an ethical difference between an individual profiting from these …
The Nova Oath is a modern physician’s declaration of courageous care and ethical impact:
I stand not merely as a technician of the body, but as a steward of life, a witness to pain, and a catalyst for healing.
I vow:
There’s a quiet rebellion happening in medicine. A movement of physicians no longer willing to sacrifice their humanity for productivity quotas, administrative burdens, or the illusion of perfection. We wrote White Coats, Courageous Hearts with thirteen other physicians to shine a light on this shift—voices reclaiming agency in a system that often forgets that doctors are human, too.
Alae Kawam, DO:
There has been a profound cultural shift—and an emerging rift—in the …
The emergency physician across from me had it all on paper: good schedule, six-figure salary, respected by colleagues, two kids in college, mortgage nearly paid off. “I should be grateful,” she said, staring at her coffee. “But I keep wondering — is this it for the next twenty years?” If you’re nodding, you’re not alone. That quiet restlessness isn’t ingratitude. It’s evolution.
The script we’ve all been given
From day one of …
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 …
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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 …
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