“I want to use the art of medicine to meet the individual needs of my patients.” These words emanated from the computer as I stared at the Zoom screen. Two large, soft brown eyes, accompanied by a toothy smile, stared straight at me, all framed within a silk hijab, one which was ocean blue with a wisp of pink at the edge. My heart skipped a beat as the reflected …
Doing residency interviews while tired on a Friday afternoon
In the silence of a rural village, where dreams were often tethered to survival, I first learned the language of resilience. Life’s trials were as persistent as the dusty winds, shaping every step of my journey from those humble beginnings to becoming a surgeon. My story, like that of many others in the medical field, is one of quiet perseverance—a journey marked not by loud victories but by the soft …
Resilience whispers: the silent triumph through a surgeon’s lens
As a pain management specialist, I have often found that the course of treatment for a patient requires a careful balance of many factors before making a recommendation. But sometimes, the best course seems obvious. That was the case with Mr. Bautista (name replaced to protect identity). He was an older gentleman, and his imaging scans showed spinal stenosis that was likely to lead to nerve pain. And what was …
Physical exams: the life-saving tool doctors must reclaim in modern medicine
“Just take a deep breath.”
It’s the first thing we say when we see someone upset or overwhelmed, and generally, it’s good advice. There is a wealth of evidence supporting the benefits of deep breathing, and it is not uncommon for me to pull out a handout during a patient visit to walk someone through a breathing technique. I’m a family physician—anxiety, asthma, COPD, cancer—it’s all relevant; it’s all primary care. …
How a physician’s COVID-19 scare revealed a hidden health condition
I’ve heard this question asked in interviews, and I’ve been asked it myself.
Over the past year and a half, I’ve become involved with several organizations that are working hard and taking positive action in this regard. I’m a proud ambassador for the Dr. Lorna Breen Heroes’ Foundation, I’m on the traction team for Medicine Forward (MF), and I’m a strong collaborator and supporter of the Health Care Reinvention Collaborative (HRC).
As …
Do you think the needle is moving in health care?
Regardless of how one might have voted in the election, the aftermath now includes a dizzying array of proposed cabinet and other health-related appointments and rumors about what they and the new administration might do. How do we in medicine navigate all of this? The answer may not be intuitive: gratitude. We’re not talking here about insincere gratitude, …
The answer is gratitude and it puts you in a good place
“If everyone is moving forward together, then success takes care of itself.”
– Henry Ford.
The changing landscape of health care, along with a rising trend among patients for more affordable, manageable, and specialized solutions, has made ambulatory surgery centers (ASCs) gain noticeable traction as a preferred surgical option. The value ASCs provide to patients, providers, and insurers is a perfect combination of convenience, safety, and cost savings. Here are ten data- …
Reasons why you should consider having your surgery at an ASC
The landscape of orthopedic care is undergoing a significant transformation, driven by rising health care costs, patient demand for convenience, and the increasing popularity of ambulatory surgery centers (ASCs). As an orthopedic surgeon dedicated to advancing minimally invasive techniques and maximizing patient outcomes, I believe the key to navigating this evolving landscape lies in prioritizing patient access to the appropriate clinician via seamless care delivery. Simply put, “the right clinician …
The future of orthopedic care: Embracing the ASC-urgent care model
In a post-election fog on the morning of November 6, I attended my third-grade daughter’s Veteran’s Day assembly. It was deeply moving and full of the trust, hope, and optimism that we want all children to have. They enthusiastically sang “Proud to Be an American” and a less well-known song, “American Tears.” The lyrics hit hard that morning in the auditorium, and many of the audience members were shedding them. …
American tears and allyship: Who is at your table?
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 …
What the death of UnitedHealth CEO reveals about our broken health care system
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 …
The U.S. Food and Drug Administration is talking when they should be listening
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 …
Why every physician craves a break from daily chaos
“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 …
The heartbreaking lesson about life, love, and the “doctor hustle”
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 …
Why rudeness and AI are pushing doctors to rethink their approach
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 …
A doctor’s life-saving instinct reveals the hidden danger in a patient’s crisis
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; …
Heartbreaking stories of famous lives lost to suicide and a community’s fight for awareness
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 …
You don’t need to be a doctor to save lives and make a difference
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 …
How physicians can get started in digital health and health care innovation
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 …
Hero’s journey: Letting go of self-hate and choosing love instead
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 …
18 words in medical records that restore principles in a medical malpractice lawsuit
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