“When and how much?” I tried to recall the list of questions for intoxicated patients. A middle-aged man, much older than the demographics printed on the documents I hold, was writhing in pain, vomiting, and sobbing. The paper stated: chief complaint – mouse poison pellet ingestion, attempting suicide. “How and why?” I kept asking. I was his first encounter upon entering the emergency room, a terrified fifth-year medical student at …
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Join Dike Drummond, a family practice physician, burnout survivor, and executive coach. In this episode, we’ll delve into the future of health care in the United States, discussing workforce demographics, the impact of burnout, the role of …
We are in the midst of an alarming global mental health crisis. Its impact is felt most acutely by our youth. Nearly 20 percent of children ages 3-17 in the U.S. have a mental health issue, and suicidal behaviors among high school students increased more than 40 percent in the decade before 2019. As for 2020 and beyond, the isolation and sudden changes brought on by COVID exacerbated …
Understanding and implementing effective tax planning strategies can make a significant difference in your financial health. Doctors often face unique tax challenges due to their high-income nature, and this article will explore key tax planning strategies tailored to the needs of medical practitioners.
1. Choose the right business structure. One of the initial steps in tax planning for doctors is selecting the most advantageous business structure for your practice. The most …
My decade-long struggle began with a tiny piece of popcorn hull stuck under my gum, which led to a visit to the dentist and an antibiotic, prescribed just in case that persistent irritation behind a tooth was an infection. The antibiotic, clindamycin, cleared my gut of healthy microbes to make way for a dangerous outbreak of Clostridioides (formerly Clostridium) difficile, leaving me with severe diarrhea that nearly killed me.
I suffered …
It was the final hour of my shift, and I was cleaning up for my colleague who would be taking over. Glancing at the clock, I decided I could see one of the “easy” fast-track patients just to help offload the board a bit. I figured he wasn’t going to take long, as his complaint on the board was “sore throat.” What I came to find out was that he …
October 7, much like Pearl Harbor or September 11, 2001, is a day that will forever be etched in infamy for Israel and Jews worldwide. Not since the Holocaust have so many Jewish people been killed in a single day. This was not a random act; it was a meticulously planned and incentivized scheme aimed at obstructing the progress of peace in the Middle East. Brutality, depravity, and inhumanity were …
I have typically managed my mild case of acne rosacea (AR) with affordable over-the-counter (OTC) medications, but there has always been a residual redness that bothered me.
Recently, while reading about Demodex, microscopic mites that live on the faces of many of us in our hair follicles and sebaceous glands, I became interested in their potential connection to AR. I wondered if a topical mitocidal treatment might be helpful. Some research …
An excerpt from The Unexpected Gift of Trauma. Copyright © 2023 by Edith Shiro. Reprinted by permission of Harvest, an imprint of HarperCollins.
When a traumatic experience shatters our world and we’re left to pick up the pieces, the idea that we can heal, and actually transform as a result of …
In my search for ever-obscure rock music from my generation – not the greatest generation but the flower generation – I came across a CD collection of rare songs titled “Brown Acid: The Seventeenth Trip,” appropriately subtitled: “Heavy Rock from the Underground Comedown.” The record review began as follows: “Lucky number 17? You better believe it. We here at Brown Acid have been scouring the highways and byways of America …
As doctors, we are highly skilled in our respective specialties, but when it comes to managing our finances and investments, we may encounter unique challenges. One common pitfall is the tendency to invest heavily in medical stocks or health care-related assets due to familiarity and overconfidence. Just because we know a disease or drug doesn’t mean we can make a good decision on the stock of a company. Even if …
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Four years ago, I (JEL) had just finished a fellowship and was elated to start my dream job in a physician-owned and operated group practice. The doctors in the group were tight-knit supporters of each other and the local community. Right away, I began building meaningful relationships with the patients and colleagues that I thought would be with me for decades. But without warning, in year two, the group’s senior …
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Join Thaís Salles Araujo, an internal medicine resident. Discover the potential benefits, challenges, and the need for greater awareness and education in integrating these therapies into modern medicine. Gain insights into the evolving landscape of patient care, with a …
I’m squished in an unnaturally upright seat. My elbows slowly develop pressure sores atop rigid armrests, with my wife on one side and a semi-uncomfortable stranger on the other. I stare at my lopsided gray tray table, sporting a Styrofoam cup of lukewarm coffee, the chalice special of Sky Chefs. My ears have become one with the perpetual background hum of engines, a prelude to the impending orchestra of jet …
I have been representing physicians for over 40 years, and the vast majority of the people I work with are genuinely nice. Overworked, stressed, sometimes distracted – yes, but most physicians entered the profession because they were sincerely concerned about people and wanted to help. Medicine can be a truly thankless job, and the vast majority of physicians don’t pursue it solely for the money.
Unfortunately, this characterization of physicians is …
Nurse practitioner (NP) burnout is at an all-time high. Many nurse practitioners (and health care providers in general) are struggling right now, feeling mentally, physically, and emotionally exhausted. Many are contemplating leaving health care altogether. The factors contributing to nurse practitioner burnout are multifactorial, stemming from various personal and work-related causes. However, for APRNs, there is a leading cause of burnout.
Signs and symptoms of nurse practitioner burnout:
Before we delve into …
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Join L. Joseph Parker, a research physician, as we delve into the evolving definitions of addiction, particularly in the context of chronic pain management. Explore the historical shifts in diagnostic criteria, the challenges faced by chronic pain …
We are human and we all make mistakes. It’s an inherent part of our nature. It’s easy to get caught up in the belief that our mistakes define us or determine our worth; however, this couldn’t be further from the truth.
As physicians, mistakes often serve as the uninvited guests in our otherwise meticulously planned professional lives. Yet, it is crucial to recognize that these errors are not stamps of incompetence …
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