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Developmental pediatrician Fiorella Castillo discusses her article, “Advocating for immigrant children: a doctor’s perspective.” Fiorella shares her firsthand experiences supporting immigrant families as they navigate developmental disabilities like autism and ADHD in …
Protecting immigrant families: a pediatrician’s call to action [PODCAST]
In her KevinMD article, Janet Constance Coleman-Belin describes the overwhelming difficulties increasingly being seen by many during their medical education and now facing many more of our young, bright minds as they choose and migrate into their future life’s work.
I suggest that a majority of these difficulties are pressures witnessed and felt as these students begin to enter clinical workplaces—the same pressures being experienced by …
The hidden cost of a medical career: Is it still worth it?
An excerpt from Your Body, Your Health Care.
Tens of millions of American women—more than four out of five women who have had sexual intercourse—have used oral contraceptives, which are crucial for reducing unwanted pregnancies and the incidence of abortion. Obtaining a physician’s prescription can add up to $200 plus time and inconvenience to the cost of “the pill.” Nearly a third of American women who seek prescriptions for oral …
The FDA’s outdated prescription rules are failing women and opioid users
Everyone seems so scared of the word government regulation when it comes to health care. Why? In part, this is because those against regulations (everyone making money off health care) make sure to scare laypeople into equating such action with socialism. Fear of concept is not a good argument against regulating monopolies that are bankrupting millions of Americans. Pretty sure most Americans would be happy to have limitations placed on …
Big pharma’s grip on health care: time for change
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Gastroenterologist Steven Pearce, health care consultant Bruce A. Berger, and physician advocate Kim Downey discuss their article, “How motivational interviewing transforms patient care and outcomes.” They explore the transformative power of motivational …
Transforming patient care with motivational interviewing [PODCAST]
Just imagine when you felt hurt or betrayed by a colleague, patient, staff member, friend, or family member. Now, picture life if you could somehow free yourself of that hurt, pain, or discomfort. This article will discuss the concept of forgiveness and how it applies to our medical practice.
Examples of forgiveness
A white male racist burned down a predominantly African American church. The arsonist was convicted and sentenced to prison. He …
The power of forgiveness: How letting go transforms your life
Practicing medicine is an incredible privilege. Our rigorous training allows us to combine science and compassion to heal and support patients through both challenging and healthy times. However, this privilege often comes with significant challenges, such as burnout and other struggles. Many doctors feel burdened by the time spent on electronic health records, drowning in documentation for nearly six hours …
Beyond resilience: Confronting physician burnout as a chronic condition
Rare diseases were not something I studied in any depth in medical school or residency.
It was my aunt, Dr. Vivian Shih, who first raised my awareness of this area of medicine. A nationally renowned researcher studying inborn errors of metabolism, her work reminded me of the biochemical pathways I had studied as an undergraduate. Though I trained at the same medical school where she worked, these conditions were …
The hidden struggle of women with rare diseases
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Health care executive Susannah Eastwick discusses her article, “Advancing health care through physician leadership: 5 skills for changing health care.” Susannah explores the evolving health care landscape in 2025, where physicians face …
Essential skills for physician leaders in health care [PODCAST]
I’ve witnessed what’s possible when we rethink pain management. By implementing a multimodal assessment approach at my hospital, I achieved a 50 percent reduction in inpatient opioid use, measured in morphine milligram equivalents (MMEs). The Numeric Pain Scale (NPS)—that 0-10 score we’ve leaned on too much—drives overuse when it’s the only guide, and with the U.S. consuming 80 percent of the world’s opioids as just 4.4 percent of its population, …
Cutting opioid use in half: a hospital’s pain management breakthrough
Cancer is a disease that demands long-term, resource-intensive treatment, posing an especially heavy burden in low- and middle-income countries (LMICs). In nations like India, where a significant portion of the population comprises daily wage earners, farmers, and small shop owners living in villages, the challenges are even more pronounced. For these individuals, a cancer diagnosis can feel like a death sentence—not just due to the disease itself but because of …
Why cancer care remains inaccessible for India’s poor
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Physician Stacey Funt discusses her article, “The healing power of travel: How adventure transforms mind, body, and spirit.” Stacey explores how travel serves as a potent remedy for physical, emotional, and spiritual …
Adventure as medicine: the wellness benefits of travel [PODCAST]
Long ago, before I started practicing medicine, I worked in the retail sector. I was 15 years old when I earned my first real paycheck. Surely, I worked other odd and end jobs before that first “real job.” I mowed neighborhood lawns, shoveled snow off neighbors’ driveways, delivered newspapers—anything I could do to make a dollar or two. But those odd jobs were not “real jobs” with tangible or steady …
From retail to medicine: a doctor’s journey through burnout and bureaucracy
If I were to bet that the majority of physicians are familiar with that pit in their stomach—that sinking feeling of dread that comes with recognizing things aren’t going well—I’d probably win that bet. Contrary to collective wisdom, Wu (2000) first formalized recognition that doctors involved in critical incidents need help too. Now, twenty-five years later, doctors are still held to a standard that eschews the idea of making mistakes. …
Confronting the silent struggle: Physicians and the emotional toll of medical errors
As social media’s influence has surged, so too has the debate over its effects on psychological well-being. Once envisioned as a means to connect communities and amplify self-expression, these platforms are now under scrutiny for their potential long-term impact on mental health—especially among adolescents.
During this critical stage of development, social interactions play a pivotal role in helping adolescents shape identity, influencing their sense of self and belonging. This …
How social media is shaping teen mental health and what we can do about it
Before a discussion of entitlements and welfare programs is started, a primer on the fiscal situation of the country seems appropriate. Service on the national debt is now second only to Social Security as a government expenditure. The debt is now about $36 trillion. Government revenues are 18 percent of GDP. Spending is 25 percent of GDP. Seventy-six percent of spending has been mandatory, leaving 24 percent as discretionary. The …
The hidden cost of health care: How rising debt threatens your access to care
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Janet A. Jokela, an infectious disease physician, discusses her article, “Match Day 2025: Protecting our students’ futures.” She explores the unprecedented challenges facing medical students, including a U.S. measles outbreak, censorship at …
Match Day 2025: Safeguarding the future of medical students amid crisis [PODCAST]
I had two bunnies over a year ago. Unfortunately, I didn’t have a proper environment for them, just a large cage in the courtyard. During the day, they would roam freely, and I would lock them in the cage at night for their safety.
They were very dear to me. I talked to them, cuddled them, and let them eat whatever I ate. They loved eating from my hands. …
When caring for pets becomes a life lesson
On August 6, 2021, a medical malpractice lawsuit was filed against me. The case involved care I provided between June 29, 2018, and August 3, 2018, while I was an employee at a medical weight loss clinic in Bethesda, Maryland. I resigned from that clinic in November 2018 due to concerns I had about my employer.
The complaint alleged that the patient was defrauded, hospitalized, sustained liver damage, suffered …
Riding out a frivolous lawsuit: a physician’s experience with medical malpractice claims
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Osteopathic physician Amelia L. Bueche discusses her article, “From skin to soul: What pain reveals about our health.” In this episode, Amelia delves into the skin’s role as the body’s largest organ …
Pain as a messenger: What your skin is telling you [PODCAST]
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