Physician

The nurse who walked a million miles

Physician
July 28, 2022

Nurses are notoriously tough, resilient, and caring. Their ability to deliver health care with a mindful spirit is uncanny. Multitasking is soon ingrained in even the greenest of this kind.

Go ahead, inundate them with requests, some admittedly regretful, and you will witness amazing things being accomplished with few exceptions. They can be mischievous as well. After all, they’re human, right? Surely the new haughty unsuspecting intern deserves a 2:45 a.m. …

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I’m a physician, not a provider

Physician
July 27, 2022

Your parents likely spent months searching through baby name books, polling the family, and looking through the photo albums of ancestors to pick the perfect name for you.

Maybe your parents had to see your face before they could pick the perfect one. Names have history, they have power, and they embody your personality.

My daughter was officially named Daniela, yet we called her Bimbi months before she was born. That is …

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Health care takes its toll. Look for the moments that remind you why you’re in it.

Physician
July 27, 2022

Completing my second year as an attending during a pandemic has been, well, interesting. It has brought up a variety of emotions. It’s all you’ve dreamt about for the past 7+ years of training, finally making it — the ability to “call the shots.” It is exhilarating yet mortifying, all wrapped in one!

You have those occasional cases you have never been exposed to during training. You lean on colleagues for …

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What no one tells you about being a new doctor

Physician
July 26, 2022

We’ve all heard the tired cliché about July being the most dangerous time of the year to go to a hospital. All new interns — freshly minted doctors straight out of medical school — are on the loose. And you better watch out, the tale goes. That’s demonstrably false, and July is as safe as any month for medical care.

But there is still a big reason to worry — not …

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Perfectionism is a myth: Are you ready to hear the truths about perfectionism?

Physician
July 25, 2022

Are you a perfectionist?

Did you know that perfectionists are actually some of the biggest procrastinators? Yes, really.

In theory, perfectionism sounds like a good thing. Who doesn’t want to do and be their best? It can even seem like a harmless way to motivate yourself.

But the reality is, nothing is perfect.

What does “perfect” even mean? What does it look like? Who has the instruction manual?

It’s different for everyone. What’s “perfect” in …

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Ergonomics: How to live pain-free and have a long surgical career 

Physician
July 24, 2022

Ergonomics is the study of how humans and machines interact. More specifically, it addresses the interplay between humans and machines through an examination of optimal positioning of equipment and personnel to allow for the most efficient work play and use of time and space. With its study and importance growing in scope following the invention of the assembly line by Henry Ford in 1913, ergonomics has now found itself as …

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The importance of non-judgmental empathy

Physician
July 24, 2022

It has always been difficult for medical professionals to balance the time needed for personal care, both physical and emotional, against the overwhelming demands of their time. This is particularly true today, given the extraordinary pressures created by health challenges generated through external factors, such as the pandemic and those caused by genetics or lifestyle choices. However, focusing on this balance is critical for the welfare of both the doctors …

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A new kind of metric in medicine

Physician
July 23, 2022

Today, I propose a new kind of metric in medicine.

I know. I know. (I hear the uncomfortable clearing of your throats.)

On one side of the room: Of course we are human, are we not?

On the other: Here we go again, Doctor Touchy-Feely. Let’s get on with it. I’ve got work to do.

But what if …

We rewarded a “chief complaint,” written as a patient concern or a family observation, features fleshed …

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Post-Roe, miscarriage is more dangerous

Physician
July 23, 2022

If guilt were an Olympic sport, mothers would win every medal. We worry we should have prevented our children’s problems or might have even caused them. Mothers tiptoe through a minefield of complex personal, family, and societal expectations that no one escapes unscathed.

As an OB/GYN resident, I sought extra training to care for mothers experiencing miscarriage and stillbirth. Miscarriage occurs in 1 in 4 pregnancies due to early genetic Read more…

Why are women leaving medicine? Gaslighting.

Physician
July 22, 2022

Not a week goes by that I don’t have a conversation with an amazingly successful women physician who states: “I’m thinking of quitting.” They are succeeding in all their goals: leadership, family, practice improvement, the highest level of patient care, contributing meaningful research and/or teaching, and even getting some homemade muffins or a bottle of cherry wine from patients on occasion.

Why would someone in this situation feel so dissatisfied to …

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How doctors should organize

Physician
July 22, 2022

Eric Topol wrote an excellent op-ed in the New Yorker titled “Why Doctors Should Organize.” I’m going to spell out exactly how they should organize.

Doctors should form a nationwide class-action lawsuit against the major EHR companies for cognitive repetitive-strain injury. They can easily prove lost wages and mental strain from technical debt in the software interfaces they are being forced to use.

They should demand …

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A cancer patient’s last wish

Physician
July 22, 2022

It’s not a good feeling when you cannot do too much for your patient as a doctor. That’s how I felt when I walked into the room to see Valerie for the first time.

She was in her 60’s. She was flanked by her two adult granddaughters, who were very close to their grandma. You could tell that at some point in her life when she was younger, she may have …

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A child psychiatrist on Sarah Silverman’s The Bedwetter

Physician
July 21, 2022

As a child psychiatrist, it was such a pleasure to see a play about a child who suffers psychologically and finds a way to heal that does not require an epic quest, a magical ability,  becoming a princess, or even fixing the problem itself.

Sarah Silverman’s delightfully witty, dirty, and wordy musical, The Bedwetter, which ends its run today, features a spunky and irreverent 10-year-old girl with typical tween issues. A …

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Stop bashing physician-entrepreneurs

Physician
July 17, 2022

I see your comments on social media, and I wonder: Why are you upset? How do the negative comments towards physician colleagues serve you?

This is not an attack (that would be hypocritical). Rather, I invite you to genuinely ask yourself these questions as I sense something familiar — a projection of frustration and pain, perhaps? And I wonder how we may stop projecting and, instead, indeed start healing together?

While I’ll …

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Health care’s band of brothers and sisters

Physician
July 17, 2022

Recently, I was sitting in the DFW airport after my son’s soccer tournament witnessing multiple flight cancellations. Travelers became upset because their plans were ruined due to “staff shortages.” I felt lucky as my flight was just delayed, and I had patients scheduled the next day. I needed to be there for them. Because of the increasing frequency of cancellations noted in the news, I had plans to rent a …

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Activism is a part of medicine and we cannot remain neutral

Physician
July 16, 2022

From a new attending and the former resident and fellow physician union president, congratulations on starting your residency! You’ve dedicated decades of your life to medicine, and your years of studying and extracurricular achievement have brought you to this moment.

As you are well aware, residency will be tough. You will likely work long hours while being exploited by your employer as cheap labor, but you’ll be expected to drink from …

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What is the narrative that you hear when faced with uncertainty?

Physician
July 15, 2022

The first week of my big attending job, I saw a patient with fever, sore throat, no cough, and tonsillar exudates. Well-trained to manage septic shock, but having no idea how to practice in a primary care clinic, I crafted a vast array of infectious and inflammatory diagnoses. With a quick glance, my senior partner said, “You don’t know that this is strep?” Flushed and wanting to hide, I thought, …

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A hard lesson for new attending physicians

Physician
July 13, 2022

It is the time of the year in which freshly graduated residents and fellows finally enter the health care systems as an attending after years of hard work and training. A time of celebrating and reflection, and a time to stop and think of what you have done and what lies ahead of you. I am sorry, this may not be what you want to hear, but I am tired …

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