Recent op-eds have questioned medical billing and doctors’ pay, as both seemed high. Medical “greed” has become more apparent in the past two decades and has been well highlighted by two of my Dartmouth MPH Professors, Elliot Fisher, MD and Thom Walsh, PhD, DPT. Dr. Fisher has documented that higher billings compound the U.S. health care crisis, including medical debt, and …
“Ms. Smith is going to the MICU,” the resident on the other end of the line informs me. My stomach tightens as that visceral sense of guilt and frustration sets in, familiar by now but this time with a newfound intensity. It is my second week as an attending physician during my chief residency year, and Ms. Smith will now be the first patient transferred to the intensive care unit …
An excerpt from A Caregiver’s Love Story.
Whether you are the dying or the caregiver, living life to the fullest remains your goal, but somedays it’s just too darn hard. When you are so busy that it doesn’t seem you have time to take a breath, where does living …
Three nurses are at the nurses’ station. Two are talking about managing a patient’s pain, and a third, Donna, is reviewing a patient’s lab results and finding it difficult to concentrate.
Which is Donna’s best statement?
1) Shhh, stop talking!
2) I’m frustrated with your talking. It’s hard to concentrate, and I’d appreciate it if you would quiet down.
Answer: It depends on the relationships and Donna’s preferences. If Donna has a positive history …
In 2022, over 500,000 people in the United States found themselves homeless, without a permanent shelter to offer a sense of stability in their lives. This poses a far-reaching problem for the individuals who find themselves in this situation, but also for our society as a whole.
Homelessness can be caused by a combination of factors, such as poverty, unemployment, lack of affordable housing, mental and substance disorders, trauma,, and violence, …
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Join Lee Scheinbart, a medical oncologist, as he shares his transformative experience during the height of the COVID pandemic. Discover the power of intrinsic motivation, advocacy, and empathy in health care. In this episode, we delve into the lessons learned from a …
I recall a particularly tense interaction on my surgery rotation in medical school. The sub-intern on our team, a dedicated classmate of mine, was instructed to carry the call pager one Friday afternoon, to the undue chagrin of the team’s nurse practitioner. With an irritable toss of her blonde hair, eyes rolling with exasperation, the NP snappily handed off the pager to our sub-intern. “Ugh, this is going to slow …
Let me share a story about Dr. Sarah Mitchell.
Dr. Mitchell, like many of us, started her career with a resident’s salary, which was around $40,000 per year. After completing her residency, she received an enticing offer as an oncologist with an annual salary of $350,000.
However, instead of succumbing to lifestyle inflation, Dr. Mitchell made a financially savvy decision.
She committed to living on an annual budget of $60,000 for the first …
An excerpt from Blue Collar, Blue Scrubs: The Making of a Surgeon.
They drive us. All day long they drive us. They drive us until the heat sears our lungs, and each breath rasps the back of our throats. They drive us until we pant like dogs and our tongues hang …
Navigating the complexities of medical ethics in our modern world can present significant challenges. It’s worth considering a deeper examination of this issue. In the year 2023, the global landscape is rapidly evolving across various spheres. As a former pediatric resident physician in New York City, I had the opportunity to witness an extraordinary range of social diversity. The city is truly a melting pot, embodying a diverse tapestry of …
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We’re joined by Paul Pender, an ophthalmologist and author of Standing Up & Speaking Out for Patients & Doctors. Together, we explore the study’s revelations about physician age, patient outcomes, and the critical role of experience and skill in health care.
The major implications of the Dobbs v. Jackson Women’s Health Organization decision, overturning Roe v. Wade, have centered on state-based rulings to remove a person’s right to abortion, thus preventing clinicians from supplying lifesaving health care and undermining an individual’s autonomy over their body. Further, as states eliminate this essential option in providing reproductive care, another important damaging impact of the Dobbs decision is beginning to be recognized. Namely, where …
Viktor Frankl’s Holocaust memoir, Man’s Search for Meaning, is an extraordinary essay on resilience and spirituality, a reminder that human life, under any circumstances, never ceases to have meaning. At the risk of mentioning Bob Dylan in the same sentence as Viktor Frankl, it was Dylan who said: “When you ain’t got nothing, you got nothing to lose.” I suppose Bob Dylan read the book too, ranked …
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Often in coaching sessions, a client will bring to the session a problem or obstacle in their path forward. In life, challenging situations can make us feel stuck and unable to move. We find ourselves remaining in relationships, jobs, or patterns that no longer fulfill us.
Years ago, I came upon a powerful mantra: “change, accept, or leave.” This wisdom shifted my focus from my problems to the possible solutions for …
In the world of medicine, the challenges faced by BIPOC physicians are multifaceted. Not only do they contend with the rigor and demands of the profession, but they also navigate unique societal pressures and systemic inequalities. Prioritizing mental health, fostering a strong sense of purpose, and nurturing empowerment become essential tools for maintaining well-being. In this blog post, we will explore the distinct challenges encountered by BIPOC physicians and provide …
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Join L. Joseph Parker, a research physician, as we dive into the intricate world of medical practice and legal challenges faced by health care professionals treating patients with pain and addiction. Joseph sheds light on the complexities of opioid prescriptions, the impact …
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Has there ever been a time you judged yourself? Or that one time you resented yourself and repeatedly went over that event, thinking, “Gee, I wish I could’ve changed that one thing.” Has there ever been a time where you’ve said, “I’ll never be able to forgive myself”? Then, you begin to complain incessantly and blame others. “I see too many patients. There’s too much paperwork. Can you believe that …
For most doctors, hiring a financial advisor who understands their needs is important when making investment decisions. We are all busy, and most don’t have the knowledge to make good investment decisions.
However, some have the time, and get educated about investing, and prefer to be more involved in making their investments.
A self-directed brokerage account may be one good option for you if you wish to get more involved in your …
Engaging in medical/legal consulting offers a valuable opportunity to apply your medical training in a non-clinical capacity that genuinely benefits people. Physicians across the nation are increasingly embracing medical/legal consulting as a rewarding part-time endeavor.
Among the array of services that medical/legal consultants offer, one prominent role is that of a liaison between attorneys and treating doctors. Additionally, we occasionally serve as intermediaries between attorneys and families, and more frequently between …
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She walked in with a cane, bent over like a question mark. She was in her seventies and as sweet as people in that age group tend to be. I think most of the cranky ones don’t make it that far. She was something of an emergency because her doctor had just passed away, and it was time to refill her medications. It would not be safe for her to …
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