The fine line between childhood illnesses and Munchausen syndrome by proxy
“Fine lines” in medicine often refer to situations where decisions are not clear-cut and require careful judgment. Perhaps the most tenuous of lines is the one between “real” childhood illnesses and those caused by Munchausen syndrome by proxy.
Munchausen syndrome by proxy (MSBP), also known as factitious disorder imposed on another (FDIA), refers to a specific form of child abuse in which a caregiver, typically a parent or guardian, fabricates, exaggerates, …
Adolescent exposure to alcohol may predispose to addiction
Have you ever wondered why some people always seem to be in pain? Or why someone can receive a prescription for a minor procedure and immediately feel drawn to drug use?
Scientists may have recently figured out one of the reasons for these behaviors, and they may start early in life. The developing neuron is remarkably similar to a tree. The branches are the dendrites that receive electrochemical signals from the …
Why physicians need financial independence and how to achieve it
In the modern world, physicians are respected and highly regarded for their compassion, dedication, skill, and knowledge. People value the effort physicians put into taking care of others often before taking care of themselves. While this noble profession was once lucrative, many now find it challenging to make ends meet, given falling reimbursements, lack of independence, and exorbitant student loans. Achieving financial independence is not just a personal goal; it …
Genetics, opioids, and addiction [PODCAST]
The crisis of physician burnout and the promise of technology
“I am no longer a physician. I have become the typist.”
This is a sentiment echoing in the hallways of medical practices across the nation. This transformation encapsulates the growing disillusionment among doctors, particularly those in primary care. As a resident physician in family medicine, I am acutely aware of the escalating rates of physician burnout, exacerbated by the expectation to see between 18 and 24 patients daily. One must …
Volunteering near the Dead Sea: compassion amid refugees
A mere week following the events of October 7, I heeded the call to volunteer at a medical facility nestled on the shores of the Dead Sea. As a medical practitioner, my sense of duty compelled me to extend my expertise to those in need. What made this mission truly distinctive was the presence of my 15-year-old daughter, Hadar, who had taken on the role of clinic administrator. An exceptional …
Meditation: the ancient practice with science-backed benefits
Meditation is a hot topic with deep roots, but sometimes it feels like it’s being pushed as a modern-day version of snake oil for what ails the spirit. Often touted as an antidote to burnout, many of us know that a meditation app won’t solve the systemic issues plaguing health care today, leading some physicians to be skeptical.
I was introduced to mindfulness meditation years ago while practicing yoga. Initially, making …
Will GLP-1s allow our society to eschew its responsibility to create a healthy environment?
Since Ozempic entered the cultural zeitgeist, I have been overwhelmed with requests from my patients – both those who meet criteria to start the medication and those who do not – for this new class of “miracle” drug. While it does work like a miracle for some, there are also those for whom the promise rings hollow – those who are unable to tolerate the medications due to side effects, …
Digital innovation in oncology [PODCAST]
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We’re joined by Andrew Norden, a physician executive, to dive into the world of digital transformation in oncology. We explore why oncology has been slower to adopt digital innovations compared to other health care fields, debunking myths …
The significance of Mental Health First Aid in communities: a comprehensive exploration
In recent years, there has been an exponential growth in global awareness surrounding the subject of mental health. As it becomes increasingly evident that mental well-being is just as crucial as physical health, community interventions such as Mental Health First Aid (MHFA) have gained prominence. Originally conceived in Australia in 2000, MHFA has since been adopted in various countries and tailored to meet the specific mental health needs of different …
Navigating the new minefield of ER medical practice
The practice of medicine has always been difficult. In the best of times, physicians must make fast decisions under very stressful conditions. Every time a doctor navigates a crisis, they reflect on what decisions they made and how they might improve. At least the good ones do. This soul-searching often involves discussions with colleagues and staff on the events and decisions made.
Mortality and morbidity discussions, M&M as we say, are …
Confirmation bias can lead to wrong conclusions
I met Dr. David Zylneck through a mutual friend when he was in the final year of his pediatrics residency. Even as a trainee, he was heavily involved in international relief work and had made several trips to Southern Africa. Over time, Dr. Zylneck and I lost contact as our careers took us in different directions. Several years later, as I was about to move to a new location to …
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Improving medical specialty selection with pre-training examinations
Considering that the United States Medical Licensing Examination (USMLE) primarily evaluates candidates’ general medical knowledge, there is a growing need to introduce specialty-specific pre-training examinations (PTEs). This is because the USMLE’s focus on overall medical knowledge may not accurately predict the performance of applicants in their specialty-specific in-training examinations (ITEs). The introduction of PTEs could serve as a more reliable indicator of applicants’ commitment and aptitude for their chosen specialties. …
Understanding and addressing intimate partner violence in health care
October is recognized as Domestic Violence Awareness Month in the United States. According to the National Coalition Against Domestic Violence, nearly 20 people in the United States are physically abused by an intimate partner per minute.
It is important to remember the vital role that health care practitioners can play in raising awareness about this issue and contributing to efforts to prevent it and care for patients impacted by intimate partner …
A doctor’s perspective on blood cancer
This article is sponsored by Loxo@Lilly, the oncology unit of Eli Lilly and Company.
In this special sponsored episode from Loxo@Lilly, I’m joined by Dr. John Pagel, senior vice president of clinical development and global head of hematology at Loxo@Lilly, to discuss blood cancer — what it is, advancements in research …
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Bridging law and medicine [PODCAST]
The search for a caring physician
I much prefer to be called “doctor,” to be on the side listening and examining, and hopefully to help find a solution. Finding myself on the converse side; trying to explain my perspective and trying to find an explanation and solution to my own medical issue has been an illuminating experience.
Recently, I crossed over to the other side as a patient. As I waited for my health issue to go …
4 questions every doctor must ask their financial advisor
Hiring a financial advisor can be a strategic move to ensure your financial health aligns with your professional success. However, the effectiveness of this partnership depends on asking the right questions. In this article, we’ll explore four essential questions doctors should pose to their financial advisors to pave the way for a secure and prosperous financial future.
“What is your experience working with medical professionals?”
Doctors face unique financial challenges, from managing …
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The physician of the future may not be a clinician
In a recent essay, I marveled at the qualities that will set apart tomorrow’s physicians from previous generations. And while everything I wrote I believed to be true, I suppose I neglected a major concern, a big blind spot as it were. In order to become clinicians, medical students must first enter practice. That seems obvious, but a recent report gives reason to pause and reflect on medical students’ …
Past Week
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What’s driving medical students away from primary care?
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A faster path to becoming a doctor is possible—here’s how
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A world without antidepressants: What could possibly go wrong?
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Make cognitive testing as routine as a blood pressure check
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Venous leak syndrome: a silent challenge faced by all men
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Why the words doctors use matter more than they think
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Past 6 Months
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What’s driving medical students away from primary care?
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Internal Medicine 2025: inspiration at the annual meeting
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The silent crisis hurting pain patients and their doctors
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What happened to real care in health care?
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How the CDC’s opioid rules created a crisis for chronic pain patients
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Are quotas a solution to physician shortages?
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Recent Posts
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Venous leak syndrome: a silent challenge faced by all men
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Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]
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The dreaded question: Do you have boys or girls?
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Make cognitive testing as routine as a blood pressure check
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Reimagining diabetes care with nutrition, not prescriptions
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Why funding cuts to academic medical centers impact all of us [PODCAST]
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Past Week
-
What’s driving medical students away from primary care?
-
A faster path to becoming a doctor is possible—here’s how
-
A world without antidepressants: What could possibly go wrong?
-
Make cognitive testing as routine as a blood pressure check
-
Venous leak syndrome: a silent challenge faced by all men
-
Why the words doctors use matter more than they think
-
Past 6 Months
-
What’s driving medical students away from primary care?
-
Internal Medicine 2025: inspiration at the annual meeting
-
The silent crisis hurting pain patients and their doctors
-
What happened to real care in health care?
-
How the CDC’s opioid rules created a crisis for chronic pain patients
-
Are quotas a solution to physician shortages?
-
Recent Posts
-
Venous leak syndrome: a silent challenge faced by all men
-
Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]
-
The dreaded question: Do you have boys or girls?
-
Make cognitive testing as routine as a blood pressure check
-
Reimagining diabetes care with nutrition, not prescriptions
-
Why funding cuts to academic medical centers impact all of us [PODCAST]
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