My first clinical rotation as a nursing student was on the same floor where my mother died of cancer. And my very first patient was a young Hispanic man with four children. I was asked to tell him that he had pancreatic cancer and very little time left. I was 21 years old and the only Spanish speaker on the floor – back in those days, interpretive services were rarely …
America’s nurses have PTSD: Will anyone listen to them?
“When are you expecting?” Eighteen months after my third child was born, I was tired of hearing this question. In addition to the embarrassment I felt, I became increasingly worried that something was wrong with me as my body stubbornly held its postpartum shape.
Within a year of delivering each of my first two children, I was able to lose most of the weight I had gained and maintain a normal …
A surgeon said no: the catalyst for my evolution
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Join ophthalmologist Paul Pender delves into the results of the annual KFF survey, focusing on employer attitudes towards employee satisfaction, the increasing costs of healthcare, and the emerging trends reshaping the landscape of …
Health benefits under the microscope: What employers aren’t telling you [PODCAST]
I recognize your anguish. Long COVID is new, and I will do my best to support you through this new and confusing illness. This is all I wanted to hear in my countless doctor’s visits. Some came close. The rest were baffled, given how healthy I was prior to a “mild COVID” infection.
I felt patronized by my own colleagues for trying experimental therapy. When activities of daily living are a …
Critical care physician battles long COVID with hope and grit
Chance meeting
In the fast-paced world of medicine, characterized by long hours, administrative burdens, and burnout, I’d like to share a story about an OB/GYN physician who discovered a path to professional freedom that revolutionized his career. Dr. B.A. had spent almost a decade working as a W-2 employee after finishing his residency. However, just before committing to a new contract with a substantial $500,000 annual salary, he came across an …
Physician employment 2.0: Unveiling the secret world of employment lite
“I could have saved him,” the intensivist murmured, reflecting on a recent patient’s death. His silhouette was framed against the fading evening light that spilled into the ICU. His words, heavy with regret and resignation, floated over the hum of life-sustaining machines, recounting the tale of Caleb Stratford.
When Caleb Stratford (not real name), 61, was rushed to the hospital last June, the shock trauma team at the University of Maryland …
The burden of choice: Navigating the complexities of surrogate decision-making in medicine
“Shideh joon, can you talk to this woman? We met her at a party, and her kid is sick.”
This request from my father exemplifies the blurred lines between personal and professional life many physicians experience. He had met a mother at a party whose child, after being diagnosed with a virus and prescribed rest and ibuprofen, was still feeling unwell. She had, however, thought it a good idea to drive …
Physician work-life balance: How boundaries protect you and your patients
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In this thought-provoking panel discussion, orthopedic surgeon Yoshihiro Katsuura and premedical students Kie Shidara, Maria Llose, and James Schmidt come together to examine the growing influence of artificial intelligence in the health care …
Putting patients first: Safeguarding health care from AI risks [PODCAST]
A little anecdote
The year was 2022, and it marked the first month of my initial rotation at one of the largest tertiary care hospitals in Punjab, Pakistan. After having assisted with several procedures in the ENT operating room one morning, I found myself on call for the next 18 hours in the emergency department as the new intern.
As soon as the shift changed, a young boy landed in the ED …
From intern to witness: Working in a resource-limited health care system
As winter chill thaws and the spring flowers begin to bloom, many of us find ourselves grappling with the unwelcome return of sneezing, itching, and congestion that signals spring allergy season. This year, like nearly every in the last decade, seems to have arrived earlier—a trend that’s becoming increasingly common. As a physician specializing in allergy and immunology, I’ve observed firsthand the impact of climate change and air pollution on …
Navigating spring allergies in the era of climate change
It is well known that today there is significant variability in surgical outcomes – not only in different parts of the world, but even within the hospital. And, little understanding as to why. While video is becoming a key component of surgery, up until now, it has gone largely uncaptured, making it impossible for surgeons to surface how different techniques and surgical practices impact quality and efficiency. Compounding the problem …
If surgery is so precise, why are we leaving outcomes up to chance?
An excerpt from Push, Then Breathe: Trauma, Triumph, and the Making of an American Doctor.
Suzette purred and slid her soft body across my shins as I sat in the shade of the oak tree, a book splayed open on my belly and my eyes closed. I breathed deeply. In, out. In, out.
The late-afternoon air was beginning to cool. I sat …
Sunbeams of hope: one woman’s journey to heal and dream
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We sit down with clinical psychologist Faust Ruggiero to delve into the transformative insights from his book, The Fix Your Depression Handbook. Faust offers practical guidance on achieving internal balance and breaking free …
Achieving internal balance and overcoming depression [PODCAST]
An excerpt from Releasing the Butterfly: A Love Affair in Four Acts.
Imagine there must be thousands, if not millions, of family members and caregivers who wonder what it must be like to be the one who has Alzheimer’s. Genie and I have always shared our thoughts and experiences with each other. Often, I would imagine telling her about something that had happened to me and could hear her voice …
Inside the mind of Alzheimer’s: a caregiver’s haunting nightmare
A recent study published in PhysicsWorld documented a possible new treatment for pain. Something most physicians would be surprised to hear. Ultrasound. That’s right, low-frequency ultrasound waves, when directed to a specific area of the brain called the insula, have been shown to give some pain relief to persons who were being subjected to a standard contact heat evoked potential (CHEP). In this test, brief pulses of heat are …
Ultrasound shows promise as new pain treatment, targeting a specific brain region
Over the years, I’ve fervently professed my love to my wife of 18 years, believing her to be the most beautiful soul in my life and our bond unbreakable. While this holds true, recent experiences have prompted me to reconsider the notion that love alone sustains a marriage.
This reflection stemmed from a couple we encountered in Upstate New York years ago. Obi (not his real name) and his wife seemed …
Reconsidering love: a multifaceted approach to marriage
“Airports have seen more sincere kisses than wedding halls and the walls of hospitals have heard more prayers than the walls of churches.” – Anonymous
It’s 1 a.m. in the night. I am on call duty, which starts at 8:30 a.m. in the morning and ends at 10 a.m. the next day. I finished entering the labs and doing my final tasks at approximately 12:30 a.m. Then I ordered some food …
Inside the heart of a hospital: love, loss, and resilience
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We sit down with Marita McCahill, founder of a consulting firm specializing in health care growth strategy. We delve into the importance of managing your online presence as a health care provider, particularly …
Claiming and managing doctor listings: Avoid patient loss after job change [PODCAST]
Nobody can question the fact that the world has a mental health problem. Nowhere is this more pronounced than in the medical health profession. American Medical Association statistics show that in 2021, physician burnout rates were 63 percent, which was almost double the rates in 2020. The CDC reports that 1 out of every five adults suffer from a mental health disease. If medications and psychotherapy are standard treatments, we …
Why you (and your patients) should have a mindfulness practice
Residency program directors and preceptors are responsible for shaping the next wave of medical professionals. Beyond ensuring adequate clinical training, they must equip future doctors with the skills to navigate the complexities of modern medicine. Coaching has recently emerged as a prominent method of supporting trainees. As a physician interested in evidence-based leadership practices, my search brought me to integrated coaching as a noteworthy approach.
Integrated coaching is a comprehensive toolkit …
Integrated coaching for medical residents
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