Improving access to care in rural America: Keeping rural hospitals in the game
Almost 20 percent of America’s population lives in rural areas of the country, where accessing health care facilities and services can be challenging. The patient-to-primary care physician ratio in rural areas is only 39.8 physicians per 100,000 residents, compared to 53.3 physicians in urban areas.
Rural hospitals work diligently to meet the health needs of the populations they serve, but they have long struggled with staffing shortages, inconsistent patient volumes, …
“How is it being back?” Truthfully, it’s much harder than before.
I am an anesthesiologist, a physician with a specialization in anesthesia. I chose this profession, with its difficulties and its rewards. I knew there would be sacrifices and I have gladly made them. I didn’t expect this, yet here I am, doing what has to be done, if for no other reason than it is what I do.
I want to share with you something I wrote in the summer of …
10 tips for smoothing the transition from resident to academic emergency medicine attending
Congratulations! You made it through residency. On to the next stage of your emergency medicine career – attending-hood (and for some fellowship)!
Here are ten tips we learned during our first year as attendings at an academic emergency medicine department.
1. Efficiency comes with time. Start off making sure you are methodical. Unlike residency, you will no longer have an attending re-ordering hemolyzed labs or ensuring a negative HCG prior to obtaining …
Antibodies are the future of cancer treatment [PODCAST]
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“Since President Nixon declared war on cancer in 1971, and despite some great victories and many losses, there continues to be a never-ending battle in this long-fought war that seems never-ending. The convergence of great intellect and …
Bulletproof backpacks: There’s more we can do
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, and my kids hopped off, I experienced a momentary sense of relief. They were safe for one more day, at least from school shootings. I hugged my kindergartener and patted the head (that’s …
Do we need to temper our expectations of Paxlovid?
The twice-vaxxed, twice-boosted First Lady, Dr. Jill Biden, tested negative for COVID after taking Paxlovid. And then she rebounded, just like her husband did weeks ago or like Director of the National Institute of Allergy and Infectious Diseases (NIAID) and Chief Medical Advisor to the president Anthony Fauci did in June or like the 1 to Read more…
What anticipatory grief feels like
An excerpt from A Caregiver’s Love Story.
After Bill was given his terminal diagnosis of idiopathic pulmonary fibrosis and the bloody nose scare, I began to worry about the future. It was like “waiting for the other shoe to drop,” wondering when and how his death would happen. I …
How you can donate effectively after tragedy [PODCAST]
We need to get real about chronic pain solutions
For all the time and attention that’s placed on whether opioids should be prescribed or even removed from the market, we must put equal – if not greater – emphasis on enhancing access to non-opioid pain treatments. Not prescribing opioids doesn’t solve or eliminate the root issue and reason many people are on painkillers to begin with—chronic pain.
Fifty million Americans live in chronic, debilitating pain. For many, their pain …
How to stay off my operating table
Health isn’t about luck — it’s about intentionality. But even if you’re doing and saying all the right things, you might not be any closer to your goals.
I know because I was there.
As a heart surgeon, I was very good at following the rules.
But I was still morbidly obese.
I followed the food pyramid to a T.
I exercised for the recommended amount of time each day.
I thought I was doing everything …
What I loved about radiology was the magic
An excerpt from Balance, Pedal, Breathe: A Journey Through Medical School.
What I loved about radiology was the magic. Invisible beams revealed mysteries no one could see on the surface of a person. Each of us harbors a secret life. This might be a simple quirk of anatomy: a liver lobe …
Racism in nursing: a story
I could give you several examples of racism I have witnessed in my lifetime of nursing. But there is one incident that always comes up: Olisa.
Her name was passed down to her from her great-great-grandmother. Her name meant “God’s promise.”
Olisa came from a long line of nurses. Her great-great-grandmother was a nurse, nanny, and an enslaved person owned by some wealthy folks on their Southern plantation.
But the torch was passed …
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Contractual issues for female physicians [PODCAST]
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“All physicians need to be concerned about issues such as potential delays in the start date, restrictive covenants, potential ownership in a private practice, malpractice tail coverage, employee benefits, etc. Unfortunately, until discrimination against female physicians ends, …
Physicians did not go to provider school
“If both of you are the same, then one of you is unnecessary.”
That’s one of my brother-in-law’s favorite quotes, and I think it’s applicable to the ongoing debate for physicians to be called “physicians” instead of “providers.”
When you think about what’s been happening in health care, physicians, physician assistants, and nurse practitioners are advertised as equivalent.
How is this equivalence being promoted? By lumping us all into the same category called …
My job security relies on another woman taking care of my children
“I’m taking another job,” said our nanny after my husband and I returned home from a rare date night.
My immediate numbness was a sign that my mind, body, and soul knew what was about to change in my life.
I had thrived over the past three years as a mother and a physician, despite the many expected challenges of early parenthood. I had started a new job as I found out …
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Human touch and scientific veracity are missing in health care technology
Working remotely during the coronavirus pandemic has immersed physicians in technology, perhaps accelerating its integration with medical practice – but not necessarily its acceptance or authenticity.
I tend to doubt the veracity of much of what I read in electronic health care records. I also question reports based on data gleaned from large medical databases – for example, summaries about physician compensation and practice trends.
Many reports that profile physicians are generated …
Preventing prostate cancer with simple, proactive choices
An excerpt from Preventing Prostate Cancer: Reduce Your Risk With Simple, Proactive Choices.
Prostate cancer is the second most frequently diagnosed cancer and the fifth leading cause of cancer deaths in men globally. Within the United States, the American Cancer Society found that one in eight men are diagnosed …
Automatically invest and capture the upside while protecting your downside
This article is sponsored by Composer. Composer’s powerful platform lets you automatically invest through strategies that react to the market and capture the upside while protecting your downside.
Markets have boomed in the last decade. When markets were on their way up, physicians didn’t need to carefully consider whether their financial advisor …
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5 things this allergist-immunologist will never do [PODCAST]
Past Week
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The silent crisis hurting pain patients and their doctors
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What happened to real care in health care?
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How doctors can thrive despite declining reimbursements
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Pope Francis dies at 88. What his care reveals about America’s failing hospitals.
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Medical school admissions are racing toward an AI-driven disaster
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Taking a break from medicine: a physician assistant’s journey from burnout to world travel [PODCAST]
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Past 6 Months
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How trade wars could destroy the U.S. health care system
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The hidden bias young female physicians face every day
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How hospitals are quietly taking control of physicians
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How to advocate for your transgender child’s health care
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Doctors don’t need yoga, they need time to smoke
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How the system hunts physicians who refuse to kneel
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Recent Posts
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Taking a break from medicine: a physician assistant’s journey from burnout to world travel [PODCAST]
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Gen Z is already transforming mental health care—are we listening?
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Why nurses are the true heroes of my 25-year medical journey
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What independent bookstores and private practice doctors teach us about human connection
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How fake news about transgender mice is hurting real patients
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The preceptor paradox: PAs get the nod while NPs are sidelined
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Past Week
-
The silent crisis hurting pain patients and their doctors
-
What happened to real care in health care?
-
How doctors can thrive despite declining reimbursements
-
Pope Francis dies at 88. What his care reveals about America’s failing hospitals.
-
Medical school admissions are racing toward an AI-driven disaster
-
Taking a break from medicine: a physician assistant’s journey from burnout to world travel [PODCAST]
-
Past 6 Months
-
How trade wars could destroy the U.S. health care system
-
The hidden bias young female physicians face every day
-
How hospitals are quietly taking control of physicians
-
How to advocate for your transgender child’s health care
-
Doctors don’t need yoga, they need time to smoke
-
How the system hunts physicians who refuse to kneel
-
Recent Posts
-
Taking a break from medicine: a physician assistant’s journey from burnout to world travel [PODCAST]
-
Gen Z is already transforming mental health care—are we listening?
-
Why nurses are the true heroes of my 25-year medical journey
-
What independent bookstores and private practice doctors teach us about human connection
-
How fake news about transgender mice is hurting real patients
-
The preceptor paradox: PAs get the nod while NPs are sidelined
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