Physician

How doctors lost their freedom and what it means for health care today

Physician
February 3, 2025

It is presently fair to ask the question, do doctors participate in our society as individuals being free? If this is no longer the case, why and what are the consequences? If a doctor is employed, he answers to an employer. If there is participation with Medicaid and Medicare, the rules must be followed. These are rules, mandates, and regulations created by the administrative state, politicians, and faceless bureaucrats. If …

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When it comes to medical malpractice lawsuits, forewarned is forearmed

Physician
January 30, 2025

Medical malpractice is a subject about which I am passionate. I am an obstetrician-gynecologist; I have been sued five times (one case ends in a mistrial, two in settlements of convenience, and two are dismissed with prejudice); I paid over $1 million in medical malpractice premiums over a career, and I abandoned my specialty because of threats of medical malpractice. These are reasons enough to be passionate.

There are 85,000 medical …

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Why creativity in medicine can inspire the next generation of doctors

Physician
January 30, 2025

It was like being struck by lightning during the chorus, the recognition that Paul Simon was singing directly to me. “Medicine is magical, and magical is art,” he sang, and I turned up the radio, convinced that I was supposed to hear these lyrics—a tender moment in which I was vulnerable to possibility. The hair on my neck stood up and warmth washed over me, the telltale signs that this …

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Here’s what the NFL could learn from ancient Rome and the gladiators

Physician
January 29, 2025

It seems unlikely that Paramount Studios released Gladiator Part 2 immediately after the presidential election to diffuse political rancor. They didn’t intend to provide a cathartic release for the nation’s pent-up frustrations. The goal wasn’t to help remove the hissing American tea kettle from such a divisive political flame.

Hollywood made the film to entertain us and make some money in the process. The studio probably released it during the holiday …

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The criminal enforcement of HIPAA

Physician
January 29, 2025

Congress passed the Health Information Portability and Accountability Act (HIPAA) in 1996. This federal regulation was aimed at maintaining the privacy of medical records while ensuring the smooth flow of medical information pertinent to patient care. Penalties assessed for violations of the HIPAA Act mostly involve financial penalties (between $25,000 per violation up to $100,000 per violation). Congress also included criminal penalties for violations of HIPAA rules enacted under 42 …

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As Robert F. Kennedy Jr. faces confirmation, a look at his vaccine stance

Physician
January 29, 2025

The nomination of Robert F. Kennedy Jr. as Secretary of Health and Human Services raises concerns about the potential impact on public health policy. As hearings on his candidacy take place, it is important for senators to consider how his views and public statements have influenced physicians, children, and the broader health care system.

Kennedy has been a prominent figure in the discussion around vaccines, often promoting claims that contradict established …

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The emotional toll of a broken health care system

Physician
January 28, 2025

As a physician and health care leader, I initially declined to comment on the killing of UnitedHealthcare CEO Brian Thompson. I felt that speculating about the shooter’s intent would only sensationalize a terrible act.

Regardless of the circumstances, vigilante violence has no place in a free and just society.

But now, more than a month later, I feel compelled to address one aspect of the story that has been widely misunderstood: the …

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Medspa madness: How illegal practices are putting patients in peril

Physician
January 28, 2025

An excerpt from Med Spa Mayhem: The Good, The Bad and the Ugly Secrets of the Aesthetics Industry.

Over the last 20 years, the medical aesthetics industry has grown from infancy to a $20 billion industry. Botox was approved for cosmetic use in 2003, giving birth to a new Wild West of medicine. It may have started in the offices of plastic surgeons and dermatologists, but now there are med …

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How motivational interviewing transforms patient care and outcomes

Physician
January 27, 2025

Dr. Steven Pearce, Dr. Bruce Berger, and I had an inspiring discussion about motivational interviewing. Bruce offered specific and practical suggestions for clinicians to help patients explore their motivation for treatment adherence. Steven responded, “I’m thrilled. I’m sitting here saying I can’t wait for him to give me more examples because I’m going to go use them in about an hour!”

Dr. Steven Pearce is a practicing gastroenterologist and creator of …

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The lie destroying medical careers: How lack of business education is ruining physicians

Physician
January 27, 2025

Most physicians subconsciously know there are many significant and persistent challenges to their ability to reach their ultimate medical practice potential. Coupled with the intense pressure all physicians are increasingly being forced to tolerate over decades of independent medical practice, they gradually become indentured servants of the medical-industrial complex.

The three sources of administrative manipulation of medical careers stem from the overriding desire for government control, not just of health care, …

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How a quiet Sunday in the ER turned into a powerful lesson in female resilience

Physician
January 26, 2025

It was a Sunday, and the day was bright and sunny. I was the only doctor on duty in the emergency room that day. On Sundays, our hospital typically has only a few staff members present, as most are off for the holiday except for those who are on call.

Interestingly, there were only two patients in the ward that day. All the other patients had been discharged. For the first …

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Medical malpractice lawsuits: the hidden cost of social bias

Physician
January 26, 2025

I write these words after a full week of jury deliberation in the Daniel Penny trial. I now realize that what I have been describing about medical malpractice litigation is a signal of a much more serious problem infecting the social order of the entire country. It goes far beyond 85,000 medical malpractice lawsuits filed per year and even the inability, or the unwillingness, of finders-of-fact to discriminate between a …

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How the patriarchy shaped medicine and why it’s time for change

Physician
January 24, 2025

Journalist Te-Ping Chen wrote about the nature of a physician’s career in a recent featured article in The Wall Street Journal where older physicians criticize the younger generation as being less committed to their patients. The article is titled: “Young Doctors Want Work-Life Balance. Older Doctors Say That’s Not the Job.”

The major point of discussion was the definition of a career in medicine as a “calling” versus a “job,” …

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How to thrive as a physician during the U.S. health care collapse

Physician
January 24, 2025

Yes, I said it. Health care is a dumpster fire—a meme-worthy catastrophe of epic proportions. It’s the chaos that future comedians and historians will roast with gusto, leaving us shaking our heads in embarrassed agreement. My somewhat cynical sense of humor is helping me mentally process the dumpster fire that is the current U.S. health care system. But as bleak as it feels, there’s a glimmer of hope. When health …

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Why being mistaken for a student is my secret weapon in medicine

Physician
January 24, 2025

“Are you the medical student?” the resident asked me in between bites of his vegetable lo mein. We were in the hospital conference room, and I was sitting at the table by the projection screen while he was scarfing down a quick meal before the noon lecture. “Actually, I’m the attending,” I replied. He paused with fork in hand and turned beet red. “Sorry,” he murmured.

I couldn’t blame him for …

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How belief and prayer uncover the hidden power of healing

Physician
January 23, 2025

Have you ever thought of someone, and then a few minutes later, they called or texted you?

Have you ever felt or had a whole conversation in your mind to later be told that is exactly what someone was saying about you at the same time, even though you were physically in a different place?

How can that be? Is it merely a “coincidence,” or are these beautiful hints from the universe …

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How America’s health care system depends on international doctors

Physician
January 23, 2025

The current U.S. medical education and health care systems undeniably benefit from the immigration of talented international medical graduates (IMGs). Many of my favorite teachers, residents, and colleagues have been IMGs. However, the longstanding U.S. reliance on immigrant physicians raises questions about what policies best support both domestic and international priorities moving forward.

Beyond medicine, the immigration of talented scientists and engineers has also sparked recent public debate. Elon Musk recently …

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Grief and climate change: a year of lessons we can’t ignore

Physician
January 22, 2025

This wasn’t the article I had initially planned to publish. I had intended to discuss the health care system, calling it a “proverbial dumpster fire.” But in a year marked by relentless challenges, the metaphor feels too raw, too real, so I will save that for a later date. Parts of the country are literally on fire, with Los Angeles and nearby areas battling raging infernos that have torn families …

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How natural disasters reveal resilience and the power of community

Physician
January 21, 2025

Watching the images of fires burning in and around Los Angeles is very triggering. I’m sure it is the same for other Western North Carolinians. It has not been that long since Hurricane Helene caused catastrophic flooding that devastated our communities, and it is not over for us.

At first, you are energized to do what needs to be done in the moment. But then, you are left with emptiness, exhaustion, …

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