“Take two and call me in the morning,” I say as I hand two handmade matzahs to my longtime patients, Isaac and Joelle Zimbalist. They laugh, understanding the deeper message.
For me, being a doctor isn’t just about treating symptoms — it’s about nurturing the whole person, body and soul.
For over twenty years, I’ve been blessed to serve the Miami Beach community …
The geriatrician who prescribes matzah and meaning in Miami Beach
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Pediatric neurologist Paige Kalika discusses her article, “Why ADHD kids struggle and how we can truly help,” sharing insights from her perspective as a pediatric neurologist and parent of a child with …
Understanding the ADHD brain: support, empowerment, and managing challenges [PODCAST]
The American public has lost its faith in the traditional U.S. health care system. Ultimate Fighting Championship (UFC) President Dana White’s statement is representative: “Do not talk to a doctor about your general health.”
This is not a fringe sentiment.
A 2022 survey of 4,208 adults in the U.S. revealed that only 54 percent of respondents placed “a great deal” of trust in doctors as sources of information.
I have patients who tell …
Why it’s time for doctors to become performance coaches
She hadn’t realized how long she’d been running—until the moment she couldn’t.
The day had unfolded like any other. The pager buzzed. The notes piled up. Her voice moved on autopilot, delivering information, comfort, instructions. Beneath the rhythm of her routine was a quiet discomfort she’d been ignoring for weeks—maybe longer. She told herself it was nothing. There was always something more urgent, someone else to care for. That’s the thing …
You have nothing to prove: a bold message for every overwhelmed doctor
Hospitals are facing unprecedented financial pressures, with staffing shortages and shrinking margins. Revenue cycle teams are stretched thin, and hospital leaders and health care professionals must continue to find ways to reduce costs and improve financial health.
One often overlooked opportunity to improve financial stability is denials management, which includes prevention strategies. Although hospital leaders and revenue cycle managers recognize denials as a significant issue, their lack of visibility to the …
The hidden impact of denials on health care systems
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Research scientist Nichole Cubbage discusses her article, “The silent grief of vanishing twin syndrome: Why words matter in health care.” She explains that Vanishing Twin Syndrome (VTS), the loss of one fetus …
Acknowledging the silent grief of vanishing twin syndrome [PODCAST]
I am currently working as a senior registrar in the oncology unit of a trust hospital. We admit both oncology and hematology patients in the same ward, meaning we care for patients with solid tumors as well as those with blood cancers. Our hospital has only one oncology ward, which has ten beds. Since it is a trust hospital, most treatments are provided completely free of charge. I love working …
A doctor’s emotional struggle with a young leukemia patient
The mental health crisis clinicians face but won’t talk about this May
Ask anyone about health care reform, and you’ll likely get passionate responses. Single-payer versus market-driven. Universal coverage versus cost-containment. Clinicians, though, usually have simpler wishes: fewer hours spent charting, more time spent actually caring.
But there’s a quieter, deeper conversation that’s rarely included when we talk about health care’s problems: moral distress.
DSM-5 doesn’t name it, but moral distress is everywhere in medicine
Critical to success in the restaurant industry is the practice of preparation, referred to as mise en place, a French term meaning “putting in place.” In a culinary context, mise en place signifies preparing all utensils and ingredients before you start cooking. Mise en place is required in culinary schools and high-end restaurant kitchens.
Mise en place is a guiding principle in any field, increasing productivity and improving workflow.
Here are three …
How a restaurant principle can transform your patient care
I hated so much of medical school.
Not all of it.
I started eager,
positive and bright.
I was excited.
But I struggled to belong.
There was unwritten, informal
segregation.
Fresher’s week:
I was stoked to try out new things…
Hockey and rowing turned me away—
lack of experience.
I tried something more familiar:
Hindu society.
I was shocked—
they asked me what caste I was from.
It was even in the lecture theatre:
white rugby at the back,
serious Asians at the front,
party Asians in the middle,
cool …
The quiet segregation no one talks about in medical school
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Historian and ethicist Nigel Cameron discusses his article, “C. Everett Koop’s fearless fight against the tobacco industry,” drawn from his biography of the former U.S. surgeon general. He recounts how C. Everett …
C. Everett Koop’s defining stand against the tobacco industry [PODCAST]
In medicine, heroism is often framed in dramatic, high-stakes terms: the code blue that saves a life, the pediatric cancer patient who returns to their family disease-free, or the impossible aneurysm that is successfully clipped by the neurosurgeon. But not all heroics come with a life-altering intervention. Sometimes, the most courageous act in a physician’s day happens in a conference room, during a faculty meeting, or after rounds—when someone chooses …
Not all heroes wear capes: Sometimes they just speak up in meetings
Hypothetically, imagine you complete three years of internal medicine residency; working nights, managing complex cases, making real decisions. Then you’re told: To work in the hospital, in the in-patient setting, you must complete additional years of fellowship training.
At that point, a reasonable person might ask: Wait, what was residency for? If three years of supervised, graduated responsibility isn’t sufficient preparation, then either the residency is flawed, or the requirement is …
Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam
An excerpt from Wealth Strategies for Today’s Physician: A Multi-Media Playbook.
Physicians of all specialties are different from the average U.S. investor in several important ways. This statement reflects data in key areas that impact fundamental aspects of investing and wealth management. It is important for physicians to realize these differences because most financial news, whether in print, online, or on television, is geared to the average investor. Therefore, media …
Why physicians are unlike the “average” investor
As a health care writer and data analyst, I hear frequently from patients who are being denied safe and effective pain care due to unscientific bias on the part of U.S. health care agencies—and sometimes on the part of otherwise once-reputable medical journals. These are among millions of U.S. citizens who are now being deserted by the medical profession.
Thousands, overcome by their pain and depression, have already …
The hidden bias in how we treat chronic pain
In January 2022, the United States Medical Licensing Examination (USMLE) Step 1 transitioned to a pass/fail format, sparking debate over how best to assess physician competence in an era where medical misinformation proliferates online. Although medical students loathe any mention of exams, we cannot deny that licensing exams are an important barrier to ensure baseline knowledge, and to prevent quacks and snake-oil salesmen from harming the public. This article explores …
The origin of medical licensing exams
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Physician executive Grace E. Terrell discusses her article, “Physicians must innovate and focus on medicine’s core, not chores.” She introduces the concept of “core vs. chore,” urging health care workers to distinguish …
Focusing on medicine’s core, not administrative chores [PODCAST]
On the 20th of January 2025, President Donald Trump signed an executive order that initiated a freeze on foreign aid, including the President’s Emergency Plan for AIDS Relief (PEPFAR). This abrupt suspension of funding has triggered a global health crisis, undermining decades of progress in combating HIV/AIDS and endangering millions of lives across the globe.
PEPFAR and its global success
Launched in 2003 under …
When America sneezes, the world catches a cold: Trump’s freeze on HIV/AIDS funding
Ah, burnout! That word is used so often in medicine that it now has its own ICD-10 code.
Medical professionals are no strangers to pushing beyond exhaustion, running on fumes, and convincing ourselves that a steady IV drip of caffeine and sheer willpower is an appropriate substitute for sleep.
I should know—I lived it. I was running a busy medical practice, managing over a dozen staff …
Burnout isn’t ironclad—and neither are we
“Once it’s in your body, there’s no taking it back.”
That’s what the infusion nurse told a friend of mine after administering the injection.
She had just started a biologic medication for an autoimmune condition. Immediately, her body reacted: nausea, then hives, then a terrifying tightening of her throat. She rushed back to the clinic. The IV steroids and Benadryl may have stopped the immediate effects, …
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