P.K. presents for a medical evaluation to the early intervention program. He is 26 months old. P.K.’s parents self-referred to the early intervention program because of concerns regarding a delay in his development. The mother reports that he is not saying any words and is not following directions. He does not turn to the sound of his name. He appears to be in his own world. When I, the pediatric …
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We bring together three passionate advocates for physician wellness: Michael Foti, an internal medicine physician; Tushar Bhagat, a research assistant professor; and Kim Downey, a physical therapist. Join us as they share their …
They died by suicide—that is the politically correct way to say it. I want to be politically correct, but I am not sure words can dampen the impact. Someone just lost a friend, a son, a partner, a child. Somehow, we believe if we say the words prettily, it takes the sting away—it doesn’t. No matter how you say it, they left the world today, or yesterday, or whatever day …
In December 2019, I reached out to the grief counselors at the hospice organization that cared for my mother as she passed. It had been almost a year since her death, and I was running out of time to seek help. I had spent so much energy ensuring my daughters were OK, believing, as I was taught in medical school, that grief just passes. Back then, I learned grief lasted …
Primary health care is the cornerstone of non-emergency medical services, offering essential support to patients and promoting overall wellness. Even individuals in good health benefit from regular visits to their primary care physician (PCP) to sustain their well-being. However, the primary care sector faces numerous challenges today, ranging from increased patient demand to the complexities of modern health care needs. Addressing these challenges is essential to sustaining the effectiveness and …
Neurosurgery is an exhilarating and rewarding field that combines cutting-edge technology with the intricate art of surgical precision. Yet, despite its allure, many medical students feel intimidated or uncertain about pursuing this path. As a fourth-year medical student applying to neurosurgery, I have noticed several barriers that could be addressed to make the field more accessible and inclusive for future generations.
One of the primary obstacles is the lack of early …
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We explore the unique challenges faced by patients with intellectual and developmental disabilities (IDD) during dental appointments. Our guests, Brian Jones, a health care executive, and Tina Saw, a dentist and health care …
All physicians understand that the gradual disintegration of private medical practice in our nation is already happening and that our government continues to take complete control of health care and the medical profession by any means possible. Physicians in medical practice (both employed and independent) are reaching a level of intolerable strain imposed by fee restrictions and medical practice mandates, among other challenges.
All of these issues result from one core …
Reflections: Day 5
It’s a strange feeling to look down at my phone calendar and realize that nothing will be grayed out because it happened, but only because time keeps ticking.
It’s interesting and beautiful to watch my kids keep moving forward as the community around us is so devastated: playing music, rediscovering the joy that is reading, helping clean up the yard, making a game out of who does which chore …
The floods came and we were not ready. Miles from the ocean, flanked by mountainous sentinels, we never thought to build an ark.
The skies darkened and the deluge commenced. Rapturous winds splintered ancient oaks and rent open the heavens. Barbarous gusts cleaved power lines, fractured telephone poles, brought a power grid to its knees. The lights went out in the west. Feeble candlelights flickered to life as the rivers swelled. …
An excerpt from Get What’s Yours for Medicare: Maximize Your Coverage, Minimize Your Costs.
Carmella Mason has been a caregiver since her husband, Frank, had a heart attack fifty years ago. They were in their 80s when we spoke. Frank likely owes his survival to her efforts. When he developed diabetes, circulatory complications necessitated the amputation of a big toe in 2022. Things did not go well. He underwent more …
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I recently wrote an article about the problems with our broken health care system, ending with a call for doctors to help develop solutions. In follow-up, here are some possible solutions to consider before the system self-implodes. There is concern that, without any changes, Medicare will run out of funding by 2031. Here are a few things that I think could help.
Address physician burnout
It’s real, and COVID-19 made it …
Becoming a physician is hard work. No doubt about it.
Each phase felt like the steepest of learning curves.
Remember your MS-1 anatomy class? So many names and terms to memorize.
How about that first clinical rotation in your third year? It took me at least an hour to get a simple SOAP note written in a patient’s chart (yes, handwritten notes back in those days).
And then there was the dreaded internship year, …
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We are joined by Paul Pender, an ophthalmologist with extensive experience in patient care. We explore the vital role emotional intelligence plays in strengthening the physician-patient bond, particularly in challenging health care environments. …
It is undeniable that the radiologist shortage is here. While reimbursement is declining, free agents are few and far between, and compensation is exploding. Compensation per wRVU in the western region of the U.S. jumped nearly 16 percent from 2022 to 2023, according to MGMA. Job postings show salaries almost double what they were even five years ago, with signing bonuses, accelerated partnership tracks, and 12, 26, 34, or even …
Having worked as a copywriter and creative director at some of the world’s top ad agencies, including McCann Erickson (now McCann Worldgroup), I am vehemently critical of new advertising. Why? I know the tricks and how they manipulate well — think the old TV series Mad Men.
Leading the list of ads that I hate are direct-to-consumer (DTC) drug ads which began in the late 1990s. I am especially critical of …
Did you hear the news from the U.S. Surgeon General recently? Dr. Vivek Murthy issued an advisory called “Parents Under Pressure,” outlining the ways in which the 63 million-plus parents and caregivers in the U.S. are struggling—really struggling. Even as a parent who is a child psychiatrist, I was shocked by some of the data.
An analysis of parents’ responses from the 2023 Stress in America survey, conducted by the American …
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Join us for an episode featuring Lynn McComas, a recognized expert in precepting nurse practitioners and advanced practice provider students. We’ll discuss the critical importance of hands-on training in medical education and the …
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