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Join us in this episode as we explore the story of a medical student who redefined her career path after a pivotal moment of self-discovery and patient insight. Our guest, Janet A. Jokela, …
Patient insights can shape your career in unexpected ways [PODCAST]
American health care is broken. There are decades of literature detailing the physician shortage, burnout, moral injury, administrative bloat, devaluing of physicians, the shift from fee-for-service to real value unit (RVU)–based compensation, as well as the challenges of electronic medical records. No discernible and substantive changes have been made.
Coming from a health care family, I was familiar with the challenges I would face as a physician. My father, John Denman, …
How one health care family is using fiction to inspire real change in medicine
As someone working in the health care field, I have become all too familiar with the need for early intervention and how important it can be for a child’s overall progress.
There are parents who travel to larger states in search of better medical care and services, of which early intervention is a significant one. One particular case comes to mind, where Spanish-speaking parents sought early intervention for their daughter, but …
The urgent need for better early intervention programs
As I lay abandoned on a stretcher in the hallway of my university hospital’s emergency room, I felt powerless in my ability to improve the quality of my care. Nurses bustled back and forth between patient rooms, too busy to give me the attention I deserved. My bladder was getting painfully full, but I was too weak to get up to use the restroom and unable to find anyone I …
Top-down hierarchies in health care harm patients and health care workers alike
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We sit down with psychiatrist Morgan Hardy to explore the complex rise in adult ADHD diagnoses. Morgan shares insights on the growing demand for ADHD evaluations, the impact of social and environmental factors, …
Diagnosing ADHD in adults: Understanding the risks and rewards of treatment [PODCAST]
A patient came to see me recently (all my stories start like this: “A patient walked into the room…,” akin to “A guy walked into a bar…”), and she was so embarrassed to be there. That’s not uncommon for me. What was unusual was that she refused to talk about her bowel habits. She couldn’t say what her symptoms were or what her poop looked like. To her, it was …
Why your doctor wants you to talk about poop — and it could save your life
Disclaimer: This is a broad generalization meant to spark reflection. While no one perfectly fits into generational boxes, these insights are designed to explore how each age group navigates the evolving world of artificial intelligence (AI).
Generation Z (born 1997–2012): the digital natives
How they see AI: AI is like oxygen for Gen Z—essential, omnipresent, and often unnoticed. Growing up with smartphones, streaming algorithms, and social media platforms like TikTok and Instagram, …
How each generation sees AI: a reflection on adaptation
The state of mental health care in the U.S. is dire, and with the telehealth prescription waivers projected to expire at the end of the year, it’s only going to get worse. If a temporary extension is granted, we can leverage technology and present data for clearer decisions moving forward, if it is not, we are leaving patients and clinicians without a clear understanding of how to care for their …
How we can safeguard patients without restricting telehealth access
With sixteen years of experience working with dermatology residents, my role as a program coordinator has evolved immensely. Within the auspices of graduate medical education (GME), I manage the dermatology residency program, projects, and program budgets, assist in determining policies and procedures, and work closely with the program director with any and all directives given. I guess you could say that I am the person who makes sure residents “get …
Ways that one can succeed in dermatology residency: words of wisdom from a program coordinator
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We’re joined by Anand Parekh, internal medicine physician and author of Prevention First: Policymaking for a Healthier America. We dive into the lessons of the COVID-19 pandemic, exploring the pivotal role of prevention …
Why prevention is the missing link in health care policy [PODCAST]
People enrolled in Medicare got good news recently. Their annual out-of-pocket costs for Part D prescription drug coverage will be capped at $2,000 next year. That should provide welcome relief to millions of older adults who worry about how they will afford health care now and in the longer term.
Unfortunately, not every person enrolled in Medicare is eligible for the $2,000 cap. A little-known penalty robs some people of the …
Congress must fix the Medicare penalty that’s keeping millions from aging at home
Much has been written about Robert F Kennedy Jr.’s radical health plans to eliminate fluoride from the drinking water and suppress vaccines, among other lame-brain schemes. But relatively few people are aware of his anti-psychiatry views, possibly endangering the health of a large swath of the populace.
Kennedy is pitching the idea that users of illicit drugs be sent to the “wellness farms,” and users of antidepressants and ADHD medications should …
If you are pro-psychiatry, should you be anti-RFK?
It was that bewitching hour. 0300. Behavioral health unit/behavioral health intensive care unit.
She was a small young woman. Her eyes appeared black as coal, as if her soul had been sucked out repeatedly. There were bruises around her eyes, black and blue punch marks up and down her arms. Several superficial cuts on her forearm—self-destruction. She was quiet, almost invisible. She wanted to sit in the corner of her bed, …
Abused and broken: her fight for survival in a behavioral health unit
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Almost three years ago, I was the chief resident of our training program. The chief resident was primarily responsible for designing curricular activities in collaboration with the faculty, attending and representing the department and the residency program at the majority of hospital and administrative meetings, providing regular updates on resident performance, designing the on-call schedule and rotations, and supervising juniors.
It was the most difficult job for me. I found it …
How a chief resident’s battle with stress and toxic politics revealed an untold story of resilience
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We dive into the intricate world of food choices, body image, and the science behind nutrition myths with psychologist and author Charlotte Markey. Charlotte unpacks the sometimes overwhelming dietary information people encounter daily, …
Why body image and food choices are more connected than you think [PODCAST]
In 1948, Claude Shannon revolutionized the world of communication with his theory of information, showing that precision and efficiency could emerge from chaos. Roughly 40 years earlier, Max Planck had done something similar in physics by discovering the rules of quantum mechanics, reducing uncertainty in an unpredictable universe. These two minds, though working in entirely different fields, shared a common vision: to bring order out of entropy. Today, their legacies …
There is something strangely captivating about the RVU (relative value unit) system in medicine. It’s as if it has become our own “precious”—a golden ring that offers power and financial viability, yet comes at a great cost. Just like the One Ring in Tolkien’s The Lord of the Rings, the RVU system exerts a powerful, almost mesmerizing hold on the medical profession. It promises us control—of our practices, our autonomy, …
Why physicians can’t let go of the golden RVU ring
For over twenty years, I’ve had a recurring nightmare: I’m back in medical training, and my patient is crashing. To save them, I must enter my medical orders into the electronic health record (EHR). The only problem is, there are no open computers. I could give a verbal order in a real-life emergency, but those aren’t the rules in this nightmare world. I go from computer to computer, begging for …
The emotional toll doctors face: a book review
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We dive into the powerful story of a physician-mother whose world changed with the onset of COVID-19. Our guest, Arian Nachat, a palliative and emergency medicine physician, shares her journey through the pandemic, …
Mother, doctor, CEO: one woman’s journey to reshape health care [PODCAST]
Primum non nocere, “first, do no harm,” is the prime directive of medical ethics for all physicians. It is also the first thing that comes into question when maleficence by a doctor is suspected.
The standard of care is how any prudent and competent practitioner should exercise their duty to, “first, do no harm,” when managing a specific medical condition. The standard of care is empirical and adjusts to circumstances that …
How doctors can minimize harm: the essential duties of patient care
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