Technology disparities during cardiopulmonary cerebral resuscitation (CPCR)
When we talk about health disparities, we talk about socially disadvantaged populations. The disadvantages can be defined locally if we are talking about local communities, regionally if we are talking about regional populations, nationally if we are talking about national residents, and globally if we are talking about global humans. Local, regional, national, and global economic disparities may define corresponding health disparities.
One among economic disparities can be technology disparities during …
Leading an organizational culture change? Consider an apology first.
Leading an organization from a culture of bullying or blaming to a culture of safety is a daunting initiative. Unhealthy alignments are deeply embedded in toxic cultures, and informal power dynamics may influence how people behave. Instead of respectful communication where giving and receiving constructive feedback is ongoing, common behaviors include:
- gossip
- exclusion
- humiliation
- sabotage
- withholding
All of which perpetuate a cycle of broken trust and poor conduct.
While patients, the workforce, …
5 things I learned from Nepali health care
You must be thinking, what on Earth can the U.S. health care system learn from a poor, developing country like Nepal? Isn’t the U.S. known across the globe for its latest innovation and advanced procedures? Well, I was thinking the same thing. Until my seven-week trip this summer to rural Nepal. As a Nepali-American Emergency Medical Technician-Basic (EMT-B) studying medicine in the U.S., I learned more than I could imagine …
Want to improve telehealth? Ask people with disabilities. [PODCAST]
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“The tech industry needs to invest in developing platforms and devices with active, consistent, and frequent input from the disability community. This input must reflect a range of individuals with disabilities. A variety of identities exist beyond …
Falling in love with the heart
An excerpt from Saving Grace: What Patients Teach Their Doctors about Life, Death, and the Balance in Between.
In my third year at LSU Medical School, we dove headfirst into full-time patient care, taking required nine-week rotations on internal medicine, pediatrics, obstetrics and gynecology, and general surgery. In the fourth year …
Medical malpractice is a lot like running a marathon
A medical malpractice process is a lot like running a marathon.
The analogy makes it easy to understand why physicians are emotionally unready to go through years of litigation and often find themselves struggling.
To successfully make it through the grueling 26.2 miles, a runner has to be well-prepared.
It’s common for runners to join a running group. Sometimes, engage a coach who can help to train smart.
Runners will spend months building up …
Giving medical advice with moral values is deeply personal and takes courage
Imagine delivering testimony to practicing emergency medicine for 30 years on the TEDx stage and my “Real Serious Illness Conversations with Parents” being condemned with this NOTE FROM TED: Please do not look to this talk as a substitute for health advice. This talk only reflects the speaker’s personal views and beliefs. It’s as if to say, “Beware of the doc”… who lets individuals decide how they’ll die …
Meet the primary care doctor who’s happy with his job [PODCAST]
Coronavirus and the duty to treat
For the first time since graduation from medical school, stirred by the courage of my colleagues in the ICUs and emergency rooms during the COVID pandemic, I looked back at the Hippocratic oath to reassess its charge to physicians. My wife and I, both doctors, studied and trained for a long time, and we considered the years spent and the effort put forth to be a calculated sacrifice. But amidst …
Let’s meet in child’s pose and welcome the day
Anyone who has ever practiced yoga knows what that means. Child’s pose. Kneeling with toes untucked. Upper body hinged over the hips with arms outstretched and forehead resting against the mat. Breathing. In and out. In. And. Out. We are told it’s a recovery position, a safe place.
Whenever we are feeling overwhelmed with another position, or even if the position is not just clicking, we can find rest in something …
Amazon, CVS, and Walmart are playing health care’s long game
In recent months, three of the nation’s largest retailers have stirred up a frenzy on Wall Street with a string of high-profile health care deals.
Amazon bought primary-care company One Medical in early August for $3.9 billion. That was a month before CVS spent $8 billion to acquire Signify Health and its network of 10,000 clinicians who make home visits (both virtually and IRL). A day later, Walmart inked a 10-year …
Habits of highly effective interns [PODCAST]
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It’s not brain surgery: People with Parkinson’s need better care in the hospital
One year ago, I had brain surgery. The surgery was a success, and the hospital stay almost killed me.
I am one in a million; one of the 1 million people in the U.S. diagnosed with Parkinson’s disease (PD), a degenerative neurological disorder that currently has no cure. It is the fastest-growing neurological disorder in the world, with the prevalence Read more…
Overcoming the trauma of a fatherless childhood
An excerpt from Absent-Father Syndrome: Overcoming the Trauma of a Fatherless Childhood.
“I’ve sat face to face in front of many adults who were crying their eyes out,” says Rachel Norman, founder of A Mother Far from Home. “They needed healing tools and positive coping mechanisms. They had low self-worth, nonexistent …
On my hard days, my patients are my heroes
I was standing outside the patient room, feeling slightly restless that day. A few days ago, I had just received some news from my doctor that I was not expecting. My mind sifted through the various possibilities and directions this could take me. When will I get to see my doctor to discuss this? What does this mean? As my brain was walking through the various unknowns, my physical body …
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A cancer patient’s last wish [PODCAST]
Adverse childhood experiences: Can government policy reduce trauma?
One of the most radical implications of the literature on early childhood trauma is that abuse needs to be eliminated from all of our relationships: our families, teachers, colleagues, and government. When government leaders create a new policy, they can proceed in a way that disempowers constituents, or they can proceed in a way that fosters dialogue and shared decision-making. Ironically, the development and implementation of California’s policy …
Institutionalized racism in psychiatry: a doctor’s experience
I was sitting in front of a panel of six people for my psychiatry training interview in Wellington, New Zealand. Two community members, two psychiatry consultants, and a senior psychiatry registrar, all of which were of Caucasian ethnicity.
I can recall talking about cultural differences in my upbringing and how that has helped me to connect to some of the most vulnerable people in our community. Samoan culture is adherently based …
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Making it work when you’re married to a medical student
My husband’s medical school offered a “key supporters” session during his first-year orientation week. Each student’s family or significant other was invited to attend a two-hour session to learn the schedule of a student doctor and for a panel discussion from current students and their key supporters.
Most people walking out of the room afterward were really nervous. It sounded like students were studying 15 hours a day with no more …
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Past Week
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A world without antidepressants: What could possibly go wrong?
-
Why no medical malpractice firm responded to my scientific protocol
-
Navigating physician non-competes: a strategy for staying put [PODCAST]
-
When doctors die in silence: Confronting the epidemic of violence against physicians
-
Doctors speak out: Why we’re saying no to burnout
-
Avoiding leadership pitfalls: strategies for success in health care [PODCAST]
-
Past 6 Months
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Internal Medicine 2025: inspiration at the annual meeting
-
What happened to real care in health care?
-
The silent crisis hurting pain patients and their doctors
-
How to build a culture where physicians feel valued [PODCAST]
-
How the CDC’s opioid rules created a crisis for chronic pain patients
-
Are quotas a solution to physician shortages?
-
Recent Posts
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Navigating physician non-competes: a strategy for staying put [PODCAST]
-
In the absence of physician mentorship, who will train the next generation of primary care clinicians?
-
Fear of other people’s opinions nearly killed me. Here’s what freed me.
-
What independent and locum tenens doctors need to know about fair market value
-
Health care’s data problem: the real obstacle to AI success
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What ChatGPT’s tone reveals about our cultural values
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