You’re not being frivolous. You’re being fabulously human.
[Frivolous: not having any serious purpose or value]
For years, I’ve noticed something that’s bothered me. I see it almost daily within social media women’s physician groups. The post starts with, “I know this is a frivolous question, but …” What follows are questions about topics ranging from cosmetic recommendations to travel advice.
Questions like:
“Where can I find concert tickets?”
“What color should I paint my bedroom?”
What do you all think of this …
We need trauma-informed care in long-term care homes
Canada needs trauma-informed aged care, training, and strategies in long-term care homes across the country.
“Trauma” is a heavy word, but it’s the right word.
“Trauma” describes what has been happening in long-term care facilities across Canada during the pandemic, where the majority of COVID-19 deaths have occurred and where highly restrictive visitor policies and short staffing have meant extreme isolation and deprivation for the residents who live there.
But there are often …
Aesthetics and the physician’s eye
The fall sunlight calls my eye to notice little things: the veins on a yellowing maple leaf. The askew feather on a chicken’s wing. The faintest breeze tricking the pond into patterned sin waves around a lone white duck.
What do we owe this world but our ability to parse and observe, to interpret, to be filled enough by moments of abject beauty to return to the ugliness and try to …
What you need to know about sensory processing disorders [PODCAST]
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“Understanding and recognizing sensory processing issues may help improve functioning and quality of life for many individuals, starting with children in school. While many are preparing for back to school, it is important for parents, teachers, health …
A theological answer to our health care crisis
With the Christmas holiday rapidly approaching, it has me thinking about what the family of faith should think about health care in America. As a physician, I’ve spent over a decade of my life trying to use my faith in science and evidence to inform people about an optimal way to practice medicine and, as someone trained in health policy and management, how to structure the United States’ health care …
Medicare “Advantage” for my indigent patients
Despite the aggressive marketing, Medicare Advantage plans offer little benefit for poor and vulnerable patients.
Consider my patient C, who was in pain from her knee arthritis. She was often in pain, but now her new pain medication helped her less than her previous one. She also wanted her old asthma inhaler back as the new one was harder to use. We had changed all her medications since her new Medicare …
7 things I’ve learned after 12 years of private relationship-based direct care in Canada
I’m a hand surgeon. After six years of academic practice, I opted out of the public and universal health care system my country is famous for to create the first private hand surgery practice in Montreal, Canada. That was 12 years ago.
Opting out of the system means that I do not get any payment or reimbursement from the government in a country where private insurance does not pay for private …
Don’t blame Big Pharma for insulin’s problems
For diabetics, insulin matters as much as H2O. Unfortunately, insulin’s a hell of a lot more expensive than bottled water. High insulin prices force approximately nine million Americans to balance their wallet and well-being.
The American Action Forum reported that a type-one diabetic’s average yearly expense for insulin was $~6000 (i.e., $500/month). It’s easy to lambast Big Pharma companies for the current state of insulin’s affairs, but history and market behavior …
Bulletproof backpacks: There’s more we can do [PODCAST]
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“As a parent of elementary school children, every mass shooting, particularly ones killing school children like in Uvalde, jolts my doing-the-mom-thing-just-keep-busy-can’t-stop denial. On the last day of school before summer vacation, when the bus doors squeaked open, …
The unstoppable momentum of a medical “fact” with no source
When I started my company in 2009, personal experience was a driving force in identifying the problem I wanted to help solve. As a neurosurgeon, I often treated patients who were neurologically devastated by acute bleeding in the brain after years’ worth of poorly controlled high blood pressure. In many cases, when I asked the family why the patient quit taking their hypertension medication, they described the patient as “not …
Bring the real You to your workplace
Life is short, so make yours extraordinary. Capitalize on what makes you, YOU, and be your own unapologetic self.
The Almighty designed us as unique but imperfect and flawed individuals, prone to sin and blundering error. But that’s the great part of being human; we’re expected to sin, blunder, and make mistakes. We’re made to err for the sake of learning and growth; otherwise, we’d wither into uninspiring nothingness. Keep this …
Migrants need and deserve access to healthy lives in the U.S.
Anti-immigrant rhetoric was at an all-time high during the midterm election season, and now as the 2024 presidential election gathers momentum, it is urgent to note how it fosters violence against immigrant communities and creates a chilling effect.
Texas Gov. Greg Abbott continues busing immigrants to sanctuary cities from Texas, including new arrivals in Philadelphia, and Florida Gov. Ron DeSantis defends his practice of sending immigrants to …
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Preventing prostate cancer with simple, proactive choices [PODCAST]
A case against real estate syndications
If you like real estate, you may have heard the term “real estate syndications.” This is a fancy term for group investment, where several people get together to acquire a big asset (like an apartment complex), they form an LLC, and there are active investors who manage the property and passive investors who help with the capital for the down payment, and they get to share the profits with the …
From Uber driver to Harvard Medical School
“What happens to a dream deferred?
Does it dry up
like a raisin in the sun?
Or fester like a sore—
And then run?
Does it stink like rotten meat?
Or crust and sugar over—
like a syrupy sweet?
Maybe it just sags
like a heavy load.
Or does it explode?”
– “Harlem” by Langston Hughes
“$23.46,” the Walmart cashier distractedly mentioned to me as I got ready for my first ride. I had signed up and passed the background check. My …
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Much more than simple white coat syndrome
Ongoing consultations with a new-to-me internist have raised attention to my in-office blood pressure measurements. In preparation for my next appointment, I regularly record my BP, sometimes several times a day. In other office visits, for cancer talks and such, I simply explain I regularly home and grocery store measure my BP, which always seems to be in the established normal range. I am confident that these in-office rises are …
Time constraints in physical therapy [PODCAST]
We get what we incentivize
We get what we incentivize.
This is a basic rule. I’d love to say it’s a basic rule of humanity, but unfortunately, I have a background in psychology, so I know it goes a lot deeper than that—it’s a basic rule of every living creature. Humans are, in many ways, just very big pigeons. We reliably prioritize certain rewards. We prefer smaller sooner rewards to larger later rewards; we push the …
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The immediate impact of the transition to a pass/fail Step 1 exam
Historically, students’ three-digit scores on the United States Medical Licensing Exam (USMLE) Step 1 were a main factor in determining competitiveness for residency programs. In February 2020, the world of medical education shifted drastically when it was announced that the USMLE Step 1 would transition to a pass/fail scoring system. One of the main factors driving this change was that medical students and residency programs were attributing too much …
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Past Week
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Why flashy AI tools won’t fix health care without real infrastructure
-
Key strategies for smooth EHR transitions in health care
-
2 hours to decide my future: How the SOAP residency match traps future doctors
-
Reassessing the impact of CDC’s opioid guidelines on chronic pain care [PODCAST]
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When the diagnosis is personal: What my mother’s Alzheimer’s taught me about healing
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Why Medicaid cuts should alarm every doctor
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Past 6 Months
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Why tracking cognitive load could save doctors and patients
-
What the world must learn from the life and death of Hind Rajab
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How scales of justice saved a doctor-patient relationship
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The silent toll of ICE raids on U.S. patient care
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My journey from misdiagnosis to living fully with APBD
-
“Think twice, heal once”: Why medical decision-making needs a second opinion from your slower brain (and AI)
-
Recent Posts
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Why some doctors age gracefully—and others grow bitter
-
Why removing fluoride from water is a public health disaster
-
What the research really says about infrared saunas
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How the cycle of rage is affecting physicians—and how to break free
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Why ADHD in adults is often missed—and why it matters [PODCAST]
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Dedicated hypermobility clinics can transform patient care
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