Understanding migraine symptoms in children
If you’ve experienced a migraine headache before, the sensation is often very distinct: throbbing pain, sensitivity to light and loud noise, and sometimes nausea and vomiting. Migraine symptoms can be uncomfortable and distressing.
Equally concerning is when a migraine sufferer recognizes these symptoms in their child. Migraines typically emerge during early adolescence, particularly when females reach menarche (their first menstrual period). However, as many as half of the children can experience …
Bully nurse in ICU: a shattered moment for a dying patient
She was oil, and I was vinegar. We didn’t mix. Ever. Even though we wanted the best outcome for our ICU patients, we stood on opposite poles of the earth. Sometimes, there’s only room for one alpha dog, one ultimate bully. And that person wasn’t me.
Mr. Williams, 68 years old, received the tragic news from his physician. He was experiencing strange and unusual symptoms: slurred speech, muscle weakness, lack of …
Heart disease in the shadows: a closer look at cardiac sarcoidosis
My new internist began my annual checkup with a nervous confession: “You are my first patient with cardiac sarcoidosis.” Even during an urgent care visit for potential cellulitis, I was met with raised eyebrows from the treating physician who reviewed my chart: “Very interesting, I’ve never seen a case of this heart disease.” With over 7000 rare diseases affecting more than 25 million people in the United States alone, patients …
Exploring the neuroprotective power of spirituality [PODCAST]
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Join clinical psychologist Lisa Miller and neurosurgeon Philip E. Stieg as he discusses how the human brain is hard-wired for connection and the neuroprotective effects of spirituality. Discover practical ways to cultivate a sense of community, enhance …
Embrace an expanded identity: Become more than just a doctor
You have undoubtedly invested countless hours in honing your medical expertise to become great at helping others. Your commitment to the well-being of your patients is commendable, but sometimes, when you give too much of yourself, you can experience that dreaded burnout. That overwhelming sinking feeling, like you’re constantly spinning your wheels but not going anywhere. So today, I want to emphasize the importance of embracing your expanded identity and …
Equitable health care guidelines for minority populations
Health care data analysis has shed light on significant disparities in health care across various locations. To address these inequalities, institutions, payers, and regulators have distinct options at their disposal, both socially and economically. Concurrently, individual health care providers can take their own initiatives while collaborative efforts are made to establish checks and balances to tackle these disparities. Exploring the potential avenues available to providers in resolving these issues is …
Medical residencies: Balancing high stress and low compensation
Exhausted. This is the word that comes to mind when asked how I am. Instead, it’s the usual “Good!” with a smile on my face. Not that this is unique per se. Many others work long hours. A friend who is an accountant will work 80-hour weeks in the month up to the tax filing deadline. Another who works in automotive design will sometimes work 60 to 80-hour weeks to …
A surgeon’s inspiring journey [PODCAST]
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Join Maria Iliakova, a bariatric and general surgeon, as she shares her challenging yet transformative journey through surgical residency, where she faced overwhelming pressures and doubts. Discover how she found solace and fulfillment in the operating room, …
Navigating mental health challenges in medical education
Medical education is a rigorous journey that demands dedication, resilience, and compassion. However, as medical students, we often find ourselves navigating through the pressures of this journey while silently grappling with our mental health. By sharing personal experiences and insights, I aim to initiate a candid conversation about mental health and advocate for positive changes within the medical community.
The weight of the white coat
The iconic white coat symbolizes not only …
How to build a financial safety net without sacrificing your lifestyle
Do your friends assume you are a “rich doctor,” and thus you feel pressure to meet that expectation?
Do you want to reward yourself after all the years of training and stress with some nice luxury toys?
Doctors often find themselves caught between two choices: living a luxury lifestyle and securing their financial future. It’s a delicate balance that requires careful planning and strategic decisions. But it doesn’t have to be an …
The future of medicine: Advancements and greed collide
In the future, I foresee a world without pandemics, cancer becoming a thing of the past, and advancements that enable bionic adaptations to our bodies, leading to a life expectancy of easily over one hundred years.
While some of these advancements may seem distant, we are on the cusp of making them a reality within the next few decades. However, it’s essential to question whether human greed could hinder technological progress, …
Teaching moments in medicine: Balancing autonomy and comfort
Late last year, I decided I needed to get my health checked up on. I went through the motions, trying to make an appointment with the doctor that was assigned to me. Nothing was available for months. I called every other day, asking about cancellations that would fit into my schedule for days I already had off. It was a pain and difficult as well to switch a single workday …
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Empowering physicians: the benefits of personalized coaching [PODCAST]
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Join Kim Downey, a physical therapist, and Michael Hersh, a gastroenterologist, and discover how coaching can help physicians navigate challenges, change their lives, and find personal and professional growth. Don’t miss their insights on finding the right …
Lessons from Momma: the power of being present
An excerpt from My Grief is Not Like Yours.
In March of 2018, I took Momma to a women’s conference in Dallas. We didn’t get great seats, but we were in the middle section, halfway back in a group with about 2,300 other people. I was hoping there would be a …
Personalized hypertension care in pregnancy: Beyond evidence-based thresholds
There has always been a research bias against the case of one. A success story that isn’t part of a research pool is called “anecdotal.” The implication is that no doctor should base treatment on a story of one. Then we devised the term “evidence-based” to reinforce the notion that physician decisions should be based entirely on numbers in research studies. However, the physician’s prerogative has always been to read …
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Iranian doctors’ bravery: Upholding medical ethics amidst oppression
According to Sir William Osler, “The practice of medicine is an art, not a trade; a calling, not a business …” This calling inherently involves sacrifices. How many of us would sacrifice our freedom, livelihood, or even lives for this calling as the clinicians in Iran have been doing? Iranian doctors demonstrated their bravery in September 2022 when 800 members of the Iranian Medical Council denounced the authorities’ attempt to …
“YES AND”: a vital, versatile, and visionary leadership tool
Patient safety, patient experience, workforce health, and cost-effectiveness are critical outcomes that share important common roots. They are all impacted by our ability to communicate effectively and respectfully. This can be challenging, in part, because communication involves underlying emotional intelligence, which is hard to develop and practice, especially in high-stakes, high-stress work environments or toxic cultures.
Furthermore, our ability to communicate affects our capacity to establish healthy professional relationships, collaborate in …
Disparities in DO vs. MD applicants to subspecialties: Identifying challenges and bridging the gap
In recent years, the disparities between doctor of osteopathy (DO) and doctor of medicine (MD) applicants in securing coveted residency slots across various medical subspecialties have garnered increased attention. Despite the acceptance of DO-trained physicians within the broader medical community, there remains a significant discrepancy in match rates between DO and MD applicants in highly competitive specialties. This disparity is complex and multifaceted, requiring efforts from every level of the …
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The Little Mermaid’s impact on storytelling [PODCAST]
Past Week
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What’s driving medical students away from primary care?
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Past Week
-
What’s driving medical students away from primary care?
-
Make cognitive testing as routine as a blood pressure check
-
How scales of justice saved a doctor-patient relationship
-
The hidden cost of delaying back surgery
-
Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]
-
The broken health care system doesn’t have to break you
-
Past 6 Months
-
What’s driving medical students away from primary care?
-
What happened to real care in health care?
-
Internal Medicine 2025: inspiration at the annual meeting
-
The hidden bias in how we treat chronic pain
-
A faster path to becoming a doctor is possible—here’s how
-
Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam
-
Recent Posts
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The hidden cost of malpractice: Why doctors are losing control
-
How scales of justice saved a doctor-patient relationship
-
Rediscovering the soul of medicine in the quiet of a Sunday morning
-
An introduction to occupational and environmental medicine [PODCAST]
-
Does silence as a faculty retention strategy in academic medicine and health sciences work?
-
Why personal responsibility is not enough in the fight against nicotine addiction
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