I still remember the day I opened my acceptance letter to medical school. It felt surreal—a rush of excitement and pride that had me packing my bags months before classes began. As a kid, I was always a dreamer. My dolls weren’t just toys; they were part of elaborate stories where every character had a purpose and a world of possibilities ahead of them. Medicine represented the ultimate story—a chance …
My father wanted me to get an MBA from the Harvard Business School, but I wanted to be a doctor, so I am more attuned to the MBA’s excellence in many areas but differences in ethical principles from medicine. Nowhere does maximizing returns for stockholders or returns for nonprofits also include the principles of beneficence and nonmaleficence for our patients. But this principle is foundational in medicine and has been …
My mom won’t be home that weekend
Since it was a Sunday, I told my dad that I needed to wake up early for work, so he should wake me up in the morning.
My mom and dad have very different approaches to waking up their children.
My mom’s approach is more aggressive. She shouts at the top of her lungs, turns on the light, and snatches the quilt from us. Sometimes, she …
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Join emergency physician Maureen Gibbons as they explore the concept of rethinking shift work in health care. They discuss how distributing shifts among multiple physicians can reduce burnout, enhance job satisfaction, and improve …
Of note, today, of all days, when the Supreme Court of the United States is to consider state bans on treatments for gender-affirming care of transsexual youths, virtually every internet site on the subject is blocked.
Nevertheless, I am a medical student in 1967. I do not need the internet; I lived through the beginning of gender-affirming care. My memory is clear.
I am reminded of the story of Dr. John Money, …
An excerpt from Yankee Doctor in the Bible Belt: A Memoir.
We work in high-pressure environments, where Dr. Death is often lurking. We can be superstitious. We can protect ourselves with a sense of humor. We can use words as a smokescreen to protect our sanity. See below.
I was a resident working in the NICU. The shifts were long—sometimes as long as thirty hours in …
In order to develop good speech and conversation skills, a child must pay attention to the speaker and respond back when spoken to. The importance of sustained attention, listening to, and focusing on another person by the young child is often overlooked and not recognized by parents and therapists alike. Many children with a speech delay and those with suspected autism show decreased attention along with their speech delay. Many …
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We dive into the critical yet often overlooked topic of wealth-building for physicians. Guest Amir Baluch, an anesthesiologist and financial expert, shares actionable strategies for diversifying investments, creating passive income streams, and leveraging …
More than any other discipline of medicine, the specialty of pathology has an image problem. This is ironic for a field whose basic premise centers around images. This is also most unfortunate for medicine at large, as pathology constitutes a highly important component of modern medical care. It is estimated that 70 percent to 80 percent of all medical decisions are based either totally or partially on pathologic and/or laboratory-produced …
The cries of a newborn baby are usually a sign of life and hope, but for many families in low and middle-income countries, these cries can signal the beginning of a long and arduous journey. Congenital heart diseases (CHDs) are a significant health burden, particularly in these regions, where they account for the highest years of disability. Despite advancements in medical science, the incidence of CHDs remains constant or may …
At the beginning of 2024, the nation continued to experience the impact of three declared public health emergencies with significant behavioral health implications: COVID-19, Mpox, and the opioid crisis. At the same time, three major national associations continued to highlight what they first described in 2021 as a “youth mental health crisis.” As we enter 2025, emergency declarations for two of these — Mpox and COVID-19 — have …
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Join us as we explore the emotional toll of high-stakes health care with physician, speaker, and thought leader Pamela Buchanan. Discover her insights on the “emotional flatline,” a defense mechanism that shields health …
Our nation and the health care industry have been in shock following the assassination of the CEO of one of the largest insurance companies in the U.S. The brazen killing of Brian Thompson and the suspected shooter Luigi Mangione has captured America’s attention. The assassination has focused public outrage toward the health care insurance industry and revealed a lack of empathy for the victim and his family. A recent survey …
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Emergency medicine is a career defined by its urgency, unpredictability, and intense human connection. But for those of us who work in the emergency department, it’s also a career shaped by the weight of the people we’ve cared for—the ones we’ve saved, the ones we’ve lost, and the ones whose stories stay with us long after our shifts end.
When I talk with colleagues about stepping back from clinical responsibilities, one …
In the fall of 2004, everything changed. I became a father for the first time. I had completed four years as a practicing primary care doctor at Kaiser Permanente in Northern California in the Department of Adult Medicine. I had my first op-ed piece published – “How to make your health insurance count as if your life depended on it” – as I was working hard on a book …
Every year, medical trainee hopefuls submit the dreaded personal statement. Most follow a familiar formula based on advice from mentors, peers, or online guides: “Don’t stick out,” “Tell a story about a patient,” and so on. While this approach isn’t wrong, it leaves little room for the “personal” aspect—the only part of the ERAS application that truly allows insight into the individual behind the resume. Before submitting mine, I was …
Last September, NBC News aired a one-sided report on the arrangement between a county coroner and a medical school apropos the transfer of unclaimed corpses with reportedly inadequate effort to find family. In addition to a grieving family, an academic bioethicist was interviewed who expressed horror at the transfer procedure. The report did a disservice both to bioethics and to necessary medical training and research.
In a similar incident, a coroner …
As an emergency room physician with 20 years of experience, I’ve witnessed countless moments where patients come to the ER not because their symptoms demand urgent care, but because they lack understanding about their own medical conditions. These are not isolated incidents—they’re a systemic failure in communication that contributes to patient distress, health care inefficiency, and physician burnout.
This week alone, I had two particularly heart-wrenching encounters:
A 65-year-old man with metastatic …
It’s capitalism, it’s greed, it’s the hospitals, it’s all those things, but for me, it’s sadness, it’s loss, it’s crying myself to sleep. Lest I sound ungrateful, I am appreciative of the income and career it has afforded me. I am not the victim but also not the perpetrator. In reality, we are all both at one time or another.
It’s the hushed calls to let me know a dear patient …
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