Prologue: a life forged in resilience
If you had asked me in the early days of my life where I thought I would end up, my answer would have been straightforward—a career in medicine like my mother, a family of my own, and perhaps a path well-traveled. But life rarely follows the lines we draw for it. Instead, it takes unpredictable turns, tests our strength in ways we never expect, and …
Resilient heart: a journey through medicine and life
Robert F. Kennedy Jr. will likely be the next Secretary of Health and Human Services. He has said things that are not true about vaccines, autism, raw milk, and more that we do not have to list here. Furthermore, I do not want to waste time with facts about his opinions. The health professionals who are reading this essay already know that RFK Jr.’s opinions are not supported by facts.
If …
Is the Goldwater Rule hindering us?
Life has a way of teaching us through the most unexpected experiences, often in moments that feel daunting. I reflect on this often, especially when I consider my own journey—a journey shaped by illness, loss, inspiration, and a constant hunger for knowledge. One lifetime can feel too short to absorb everything there is to learn, yet the most meaningful lessons often emerge in this brevity.
As a child, I never imagined …
How life’s biggest lessons shape us: a journey through struggle, loss, and resilience
The withdrawal of Oxbryta (voxelotor) from global markets, announced by Pfizer after a recent data review revealed a rise in deaths and complications, has left sickle cell disease (SCD) patients in a precarious situation. The sudden nature of the announcement caught the patient and physician community off guard, as there was no prewarning. For an already narrow world of options available to people with sickle cell disease, this came as …
Navigating patient transitions following the withdrawal of Oxbryta
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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
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 …
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