This is the story of an addiction, one that walks the fine line between construction and destruction. It’s a tale of work addiction, a cautionary tale for those who find themselves choosing work over home or self. But the narrative doesn’t end there, for it remains perplexing how work, while constructing livable lives for those ensnared by its allure, simultaneously dismantles their existence.
The addicted seek solace in mythologies that exalt …
I recently listened to the podcast mini-series The Retrievals. It was fascinating and absolutely worth a listen. It’s the story of a Yale infertility clinic where a nurse was stealing fentanyl and replacing it with normal saline. As a result, women ended up getting egg retrievals with only midazolam, no pain control. There were interviews with women who described the horrific pain of the procedures but didn’t feel that they …
According to a report from the U.S. Department of Justice, 37 percent of the people in prison have a history of mental health problems. This was not always the case. The United States at one time had state mental health facilities, where those with mental illness could be treated. From 1870 to 1955, these numbers increased until it peaked at almost 600,000. This was 0.36 percent of the then population …
“When and how much?” I tried to recall the list of questions for intoxicated patients. A middle-aged man, much older than the demographics printed on the documents I hold, was writhing in pain, vomiting, and sobbing. The paper stated: chief complaint – mouse poison pellet ingestion, attempting suicide. “How and why?” I kept asking. I was his first encounter upon entering the emergency room, a terrified fifth-year medical student at …
October 7, much like Pearl Harbor or September 11, 2001, is a day that will forever be etched in infamy for Israel and Jews worldwide. Not since the Holocaust have so many Jewish people been killed in a single day. This was not a random act; it was a meticulously planned and incentivized scheme aimed at obstructing the progress of peace in the Middle East. Brutality, depravity, and inhumanity were …
In my search for ever-obscure rock music from my generation – not the greatest generation but the flower generation – I came across a CD collection of rare songs titled “Brown Acid: The Seventeenth Trip,” appropriately subtitled: “Heavy Rock from the Underground Comedown.” The record review began as follows: “Lucky number 17? You better believe it. We here at Brown Acid have been scouring the highways and byways of America …
Four years ago, I (JEL) had just finished a fellowship and was elated to start my dream job in a physician-owned and operated group practice. The doctors in the group were tight-knit supporters of each other and the local community. Right away, I began building meaningful relationships with the patients and colleagues that I thought would be with me for decades. But without warning, in year two, the group’s senior …
I’m squished in an unnaturally upright seat. My elbows slowly develop pressure sores atop rigid armrests, with my wife on one side and a semi-uncomfortable stranger on the other. I stare at my lopsided gray tray table, sporting a Styrofoam cup of lukewarm coffee, the chalice special of Sky Chefs. My ears have become one with the perpetual background hum of engines, a prelude to the impending orchestra of jet …
We are human and we all make mistakes. It’s an inherent part of our nature. It’s easy to get caught up in the belief that our mistakes define us or determine our worth; however, this couldn’t be further from the truth.
As physicians, mistakes often serve as the uninvited guests in our otherwise meticulously planned professional lives. Yet, it is crucial to recognize that these errors are not stamps of incompetence …
If your conscious mind is asking, “Is this what burnout feels like?” your little voice already has the answer.
One of the things physicians ask me on our coaching discovery call is whether or not I think they are burned out.
They want a second opinion from a fellow doctor. That’s a natural instinct, and yet, my opinion is completely irrelevant in the arc of their life as a physician.
What matters is …
In today’s age, it’s common to encounter a myriad of protocols, often promoted by celebrity doctors or health gurus, each promising solutions for various health concerns, from thyroid and adrenal issues to immune system and gut health. But what exactly is a protocol in this context? It is essentially a set of guidelines or rules designed to address specific health issues or optimize well-being. These protocols often come with dietary …
How did I get here? Heading to the highest place I can find, in contemplation of jumping and falling to my death. I had always feared death before this point, but now it seemed the only logical solution. I seemed to have it all going my way. So why would a medical resident in a coveted training program in one of the most beautiful parts of the country, with a …
I completed a fellowship in quality improvement, making quality metrics an integral part of my career for the past 15 years.
At times, these metrics can be frustrating, especially when reimbursement is tied to constantly shifting targets.
Yet, health systems invest hundreds of thousands of dollars in order to improve quality metrics because Medicare mandates it.
This led me to contemplate:
What if Medicare included burnout as a quality metric?
What if health systems were …
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On October 11th, cardiopulmonary resuscitation was performed on the lifeless body of paramedic Hatem Awad as he was rushed through an ambulance bay in Gaza. Awad and his colleagues from the Palestinian Red Crescent had just been given the green light to head into eastern Gaza to assist victims of airstrikes, not knowing they would become victims themselves.
On October 17th, surgeon Dr. Ghassan Abu Sittah stood in the ruins of …
I was born in Tehran, Iran. I immigrated to the U.S., specifically Houston, Texas, at the age of 10. I completed my undergraduate degree, medical school, and pediatric training, all in Texas. I consider myself a Houstonian. I am a board-certified pediatrician. Additionally, I am an entrepreneur, co-founder, and managing partner at ABC Pediatric Clinic in East Houston, serving the low-income Hispanic community. I have an amazing and supportive husband …
From the Oxford Dictionary: Doctor.
a qualified practitioner of medicine; a physician. (a number of synonyms are listed, including “quack”)
a person who holds a doctorate.
Increasingly, non-physicians are using the term “doctor.” Clearly, a doctorate degree allows the holder to use that term semantically, contextual puffery or not. Nurses can obtain a doctorate degree through a rigorous peer-reviewed process of study. PhDs in various fields likewise. All MDs are doctors. Not all …
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The students entered, chattering among themselves about their recent break. This is their interviewing and communication class, and today’s guest lecturer is a bit different than the usual physician educator. Speaking today is Linda Long-Bellil, JD, PhD, an expert in educating medical professionals about disability. Dr. Long-Bellil is also a person with a disability herself. I am assisting as well, as a physician with a disability and a wheelchair user. …
The majority are wrong.
Is it possible that the growing majority of doctors are mistaken in their decision to choose traditional employment? How is it that the most intelligent group of individuals on earth can be influenced to believe that being confined to traditional employment is in their best interest, especially when the burnout rate is approaching almost 60 percent?
Don’t follow the herd.
In a world where the “herd mentality” often prevails, …
When an animal is shot and bleeds to death, does it “suffer from a bleed out”? No, the hunter shot and killed it – that’s the truth, and that’s the main narrative. “Bleeding out” was a natural consequence. Yet in health care, it feels as though the narrative has been cleverly turned on its head and reflected back to health care workers as “suffering from burnout,” giving the culprit workplace …
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As a medical doctor, I have peered into the lives of many patients who have unique experiences.
When I started practice 40 years ago, some of my patients had parents who lived during the Civil War; a few fought in the Spanish-American War, and more recently, at the Millennium, several of my centenarians could say they lived in three centuries!
One of my first patients in Santa Clarita was a gentleman who …
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