My question to all the health care workers is, “Have you ever kept pets or tried to keep them?” If the answer is “yes,” then you are indeed very lucky. I think there are only two sources that can bring utter joy to humans in this life. One of them is children, and the other is pets. After a hectic day at work, when you reach home, the innocent laughter …
If it ain’t Boeing, I ain’t going—at one time, public opinion of an engineering company run by engineers. Today, perception is a little different. The multinational conglomerate and defense contractor owns some staggering recent mishaps—safety systems, door plugs, unclear technical issues. A disconnect between senior management and hands-on employees is reported. Analysts consider recent events symptoms of longer-standing organizational pathology, finally coming to light.
In American business, executives win leadership positions …
Do you remember times when your dreams, hopes, and aspirations were crushed by teachers and other authority figures? We’ve all encountered such times. These experiences shape our character in negative ways and can lead to devastating psychological effects. This kind of negative influence can greatly impact our self-esteem and self-worth, instilling a deep-seated fear of failure. It can cause us to question our abilities and potential, leading to imposter syndrome.
Repeated …
A splashy headline in The Washington Post caught my attention: “Breast cancer death rate dropped 58 percent over 44 years in U.S.” A Stanford Medicine news story reports that this victorious conclusion is based on “a new multicenter study led by Stanford Medicine clinicians and biomedical data scientists.” Using observational data, clinical trial data, and simulation modeling, the researchers found that approximately 25 percent of the reduction in …
Are advance directives any better than they were four years ago when COVID was surging? Are patients still comfortable with being placed on ventilators? Do physicians better understand how to treat COVID as a serious illness?
Physicians provide emergency measures unless there’s an advance directive to the contrary. Only one-third of Americans have advance directives when “down for the count” with serious illness.
Most people prefer to die at …
With the elegant gowns, stylized hair, carefully applied makeup, and moments in the spotlight, beauty pageants have attracted longstanding criticism for being allegedly superficial competitions that foster narcissism. But beneath the surface lies a wealth of opportunities for personal growth and skill development. Most modern pageants have moved away from being modeling competitions that assess superficial beauty. Instead, they have been reframed as personality competitions, evaluating qualities such as communication …
A non-compliant patient arrives at the ER for evaluation of high blood pressure. Why isn’t she taking her medication? It costs $300 per month, and she can’t afford it. Has she talked to her doctor about a less expensive alternative? No.
Unfortunately, this type of interaction occurs far too frequently. The doctor would be happy to prescribe a cheaper alternative if requested, and the patient would love a cheaper option but …
It’s Wednesday, March 6th, 2024. The day after Super Tuesday. I am sitting in the library, taking a break from writing a final paper for my health economics class, when I see a Politico article: “San Francisco’s Proposition F passed.”
3,000 miles away from my hometown and my medical school, all I can think about are the patients I served in the hospital who were barely …
Gene therapy has been used recently to cure previously incurable diseases, including sickle cell anemia. It is a horrible disease that I have seen so many times in the ER that it haunts me at night, especially one patient. He was a sweet man with a loving and patient demeanor who tolerated the agony he suffered on a weekly basis with saintly patience. My daughter was helping out in the …
Is it time to reconsider the age of medical consent for teens? This is a question I have been asking myself as my children are approaching 18. For many years, I’ve dreaded the thought of my medically challenging child turning 18 and suddenly being thrust into the not-so-warm and fuzzy adult world. I have nightmares about her navigating insurance. I cannot visualize my very passive and indecisive child on the …
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We sit down with Kim Downey, a physical therapist, and Frances Mei Hardin, an otolaryngologist, to dive into the nuances of navigating difficult discussions in the medical field. From delivering challenging diagnoses to …
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The McLaughlin 360 Evaluation: preparation (part one)
Have you ever heard the expression, “The truth will set you free”? Well, it might. But before it sets you free, it’s probably going to piss you off.
If you are seriously interested in self-improvement, you have to ask hard questions. And then listen!
About a year ago, I embarked on a personal exercise to learn how to be a better leader and person. I began …
In medicine, we are taught to be professional and, at all times, to keep our emotions at bay. While this approach may work for some professionals, it is particularly challenging in medicine, especially in primary care. As a family physician, I have witnessed the journey of my patients over the years—sometimes spanning generations within a single family. I have seen my teenage patients grow into responsible adults and parents. I …
I am a pediatrician who trained in a residency program that taught us insurance companies were evil entities intent on profits over patient care. As ICD codes and CPT codes expanded, my colleagues complained that these were ways insurers could deny care and keep them from making a living. When electronic medical records (EMR) entered the scene, many doctors complained again about the tyranny of spending all their time typing …
It was November 2014. I was leaving the parking structure of my local children’s hospital when I realized, “They don’t believe us.”
I didn’t know it at the time, but it would take seven more months to find the cause of my eight-year-old daughter’s unremitting abdominal pain. An ultrasound ultimately revealed a malignant mass on the adrenal gland. Ultrasound is a rudimentary imaging technique, so why did it take …
Most women, about 60 percent of us, have a biological child. And while the birth of a child is often eagerly anticipated at the end of pregnancy, there are common concerns about the impact and process of delivery. Women worry about all kinds of things. We worry about poor pain control, long labor, deviating from a carefully crafted birth plan, vaginal tearing, and pooping on the floor. Obstetricians have …
As an allergy, immunology, and autoimmune disease specialist, I frequently see patients whose stories are a harsh indictment of our medical system. They’ve been dismissed, misdiagnosed, and forced to navigate a maze designed for quick fixes, not the complexities they endure. These unseen patients fight multi-system illnesses that defy textbooks. Their journeys highlight just how broken our approach to chronic disease truly is.
Playing “medical hot potato,” they bounce between specialists …
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