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 …
Refill your cup to pull yourself back from the ledge
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Join us in this episode as we sit down with Janet A. Jokela, an internal medicine and infectious disease physician. Janet reflects on her transformative residency at Boston City Hospital, where the “city …
From residency to leadership: the evolution of internal medicine [PODCAST]
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 …
Why your primary care doctor is overwhelmed
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 …
How can we make neurosurgery more accessible to future generations?
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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 …
How technology is changing dental appointments for patients with intellectual disabilities [PODCAST]
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 …
Physicians: What you don’t know about money and practice success will shock you
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 …
A pediatrician’s reflections on resilience and rebuilding in Asheville after the hurricane
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. …
After Hurricane Helene: How Asheville rose from the floodwaters stronger than ever
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 …
How in-home care gave this couple a new lease on life
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We sit down with Patrick Hunt, a physician executive, to explore one of the most pressing challenges in U.S. health care—the growing physician shortage. With projections indicating a shortfall of up to 86,000 …
Is tech the answer to America’s growing doctor shortage? [PODCAST]
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 …
Why doctors must take charge to save our failing health care system
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, …
PGY-22 has a steep learning curve
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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. …
How empathy and emotional intelligence transform patient care [PODCAST]
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 …
Radiologists need to be realistic about the job market
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 …
How drug and soap commercials are manipulating you
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 …
Parents in crisis: How physicians can help
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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 …
How lack of hands-on experience could endanger patient safety [PODCAST]
When considering the diseases that United States veterans are burdened with, you might think of COPD, Type 2 Diabetes, certain cancers, post-traumatic stress disorder, and depression. However, there is another disease diagnosed at twice the rate in veterans compared to the general population: amyotrophic lateral sclerosis (ALS). ALS is one of the only diseases known to occur at an increased rate in all veterans, regardless of when or how long …
What U.S. veterans with ALS deserve to know
The COVID-19 pandemic has left an indelible mark on every aspect of health care, including neurosurgery. As a fourth-year medical student navigating my neurosurgical rotations during this unprecedented time, I experienced firsthand how the pandemic reshaped our approach to medical education, patient care, and surgical practice. This period has been transformative, challenging my understanding of neurosurgery and reinforcing the need for adaptability and resilience in the face of unforeseen challenges.
Before …
How COVID-19 shaped my view on neurosurgery: a medical student’s insight
He is 75 years old, and I am 30. Wondering how we met? It was a very casual meeting in a park.
I live in a four-story building with numerous flats. There is a long walking and jogging track and a playground in front of my building.
On the opposite side of this ground, there are huge bungalows and fancy houses.
People from both sides of the road come here to walk and …
The unlikely friendship between a young doctor and an elderly scholar
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