On this particular day, my heart rolled off my arm and crashed on the cold exam room floor. I summoned the strength—from where? I don’t know. Ginny cried, and between sobs, she described a brain tumor, the one that left him in a bed for a year. I handed her two tissues (one was never enough) and heaved my stool forward. I wrapped my entire arm around her as tears …
When a doctor’s heart falls: Witnessing raw emotion in medicine
I am now in the twilight of my psychiatric career. Yes, I can write that without wincing now, almost, well, maybe just a little. I have made decisions in the last twelve months that have changed my daily schedule, my work life, and my relationships profoundly. Everyone around me, including friends, family members, and even some of my coworkers, thought that I was retiring. It’s not working any longer. Quitting. …
Lessons learned in psychiatry: How experience shapes your career
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Join us as we delve into the intricate web of discrepancies surrounding pain medication availability and governmental oversight. Our guest, L. Joseph Parker, a research physician, sheds light on recent revelations regarding the …
DEA vs. doctors: Who’s really breaking the law on controlled substances? [PODCAST]
The application of palliative care to intractable psychiatric disorders has been debated at least since 2010, when a journal article reported that a patient with severe anorexia nervosa died in hospice after being referred there by her psychiatrist. The New York Times published a thought-provoking article earlier this year on the same topic: whether we should ever deem severe, treatment-refractory anorexia incurable and terminal.
Are there incurable psychiatric patients?
Proponents …
Incurable psychiatric disorders: Should we offer palliative care or medical aid in dying?
The news is rife with articles about younger people getting cancer, heart attacks, high blood pressure, atrial fibrillation, and arthritis. We used to think of these as diseases of aging, but now we are finding high blood pressure and atherosclerosis in people as young as 20. The guidelines for colon cancer screening have been lowered to age 45 for people at normal risk. Experts can’t explain why this is happening. …
Don’t wait until you’re old: Diseases hitting younger generations now
Hemophilia and other bleeding disorders are rare genetic conditions that affect the body’s ability to properly form blood clots. People with these conditions often face challenges in accessing appropriate care and treatment. This is true not only in developed countries but also in low- and middle-income countries around the world.
One of the biggest access to care issues for people with hemophilia and bleeding disorders is the availability of specialized treatment …
Hemophilia treatment: new hope with gene therapy and other advancements
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Today, we are joined by James Champion, a psychiatrist and author of Adventures of an American Medical Student. With his extensive experience in mental health and addiction, James brings a unique perspective to our discussion, …
From medicine to fictional memoir: an author-psychiatrist explores opioids [PODCAST]
I was 31 when I learned I had a pelvic floor: the set of muscles, ligaments, and tissues that stretch like a hammock across the pelvis. Like many women, my pelvic awakening came far too late in life. The phrase was never uttered in high school sex ed, never brought up by my gynecologist, and — despite spending most of my 20s shuttling around the health care system trying to …
Why my doctor never mentioned pelvic floor dysfunction (and why it matters)
“You know how to scrub, right?” The short story is no, I did not yet know how to scrub.
As a premedical student, the operating room is different from anywhere else I have been. Just as with any new environment—whether it’s a friend’s home, a workplace, or a place of worship—there are customs to learn. These unspoken rules become second nature to those accustomed to the surroundings. As a newcomer, it’s …
Operating room etiquette: tips for pre-med students
Reflecting on a recent meeting about upcoming audits by regulatory agencies, I couldn’t help but notice a significant shift. As the lone male leader and the second eldest person present, surrounded by a dynamic group of younger women, I couldn’t deny the passage of time since I embarked on my journey in administrative and public psychiatry. Far from lamenting, I welcomed this change, recognizing its necessity and long-overdue arrival. Witnessing …
Bridging the gap: When experience meets innovation in health care
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Join us for a discussion on the complexities of the U.S. health care system with orthopedic surgeon Alejandro Badia. We’ll delve into the evolving perceptions surrounding health care, exploring factors contributing to its …
Health care costs: Looking in the mirror for solutions [PODCAST]
Physicians are often seen as pillars of strength, guiding patients through their most vulnerable moments. However, behind the white coats and the stethoscopes lies a troubling reality: an alarming rise in physician burnout.
In the U.S., data from the American Medical Association and the Mayo Clinic found that physician burnout has reached 54 percent, compared to the 45 percent reported in a similar study conducted in 2011; this translates to an …
Burned out doctors, compromised care: a doctor’s story
I have been writing for a while about how the DEA will run out of targets for opioid prosecutions because most doctors are too terrified to treat pain, and now it looks like it has happened. Three doctors in Tennessee were recently convicted of prescribing controlled medications “outside the usual practice of medicine” and “not for a legitimate medical purpose.” The interesting thing is that these doctors weren’t treating pain; …
The DEA’s latest targets: doctors treating addiction instead of pain
In 1950, newly trained physicians may have gone the entire lengths of their careers without experiencing a doubling in medical knowledge. In 2011, Densen predicted that medical knowledge would have a doubling time of approximately 73 days – or 0.2 years – by 2020. “What was learned in the first three years of medical school,” according to Densen, “will be just 6 percent of what is known …
Modernize medical education or face failure
In mainstream media, physicians are often depicted wearing a white coat, stethoscope, and name badge with the letters “MD.” In contrast, television and news coverage of doctors of osteopathic medicine (DOs) is notably absent or skewed. As a result, osteopathic medicine is not as well-recognized or well-known as allopathic medicine. One example was seen recently on ABC’s The View, where host Sunny Hostin described DOs as not being medical doctors. …
Examining the coverage of DOs in the mainstream media
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Join Nessa Meshkaty, an internal medicine, pediatrics, and infectious disease physician, as she explores the profound intersections of empathy, human connection, and societal challenges in this thought-provoking podcast. Drawing on insights from her …
Broken but beautiful: Healing ourselves and the world [PODCAST]
“The patient is a 59-year-old male presenting with fatigue on exertion, pallor, and mild numbness and tingling in both feet. No family history of anemia or diabetes, but I still want to rule them out with a blood test. Does that sound reasonable?”
This is the 6th or 7th question I’ve asked in today’s session, but my tutor doesn’t mind the repetitiveness.
“Yes, performing blood work is a reasonable approach to help …
How AI became my medical tutor
May is AANHPI Heritage Month so it’s a good time to share again my journey from nonsmoker to lung cancer survivor. It is such an important issue to bring awareness to this little-known and potentially deadly health disparity because, according to the 2020 census, 6.2 percent or 20.6 million people identify as AANHPI (Asian American Native Hawaiian Pacific Islander).
Wait. How can you have lung cancer? You’re not a …
Lung cancer in Asian American women: Don’t be a statistic (never smoked)
I always said yes, taking on numerous tasks and roles, but now I question the value of unpaid work in my career trajectory as a colorectal surgeon. I always said yes. That’s what you’re supposed to do, right? Always say yes because you don’t know which opportunity will be “the one” that launches your career into orbit. So I said yes to organizing the lunch orders when the drug reps …
The unseen work of women surgeons
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In this episode, family physician and author of Burden of Pain: A Physician’s Journey through the Opioid Epidemic, Jay K. Joshi, with his extensive experience defending physicians, illuminates the pressing need for compliance …
Legal risks for doctors and compliance solutions [PODCAST]
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