Eleven years ago, I escaped the drudgery of the corporate medicine hamster wheel to set up a solo family practice where I could be my own boss and practice medicine my way.
After 38 wonderful years as a family doctor, I am ready to retire. I hope to gift my practice to a doctor eager to be independent, well compensated, and enjoy a balance between work and life.
Who might be the …
The CDC has updated its COVID masking and quarantine guidelines as children return to school and more adults return to work at the end of summer.
Unfortunately, the new, less restrictive guidelines are premature.
As most people know, the current COVID variant is extremely contagious. Many argue that since a majority of the public has already been exposed to COVID either by vaccination or infection, we can relax into less vigilance.
However, it …
As he was being wheeled in for surgery, President Reagan joked, “I hope you are Republicans.” The surgeon, a liberal Democrat, replied, “Today, Mr. President, we are all Republicans.”
All very appropriate and from another era. As a usually intelligent and intellectual segment of society, it is not surprising that physicians should have opinions, including politics. As citizens, they are entitled to them too.
In fact, one would hope that physicians participate …
Poiesis is a Greek term that evolved into the word poetry in English. According to Wikipedia, in philosophy, poiesis is “the activity in which a person brings something into being which did not exist before. Etymologically derived from the ancient Greek term which means to make.” The word is used as a suffix, as in the biological term hematopoiesis, the formation of blood cells.
In the book All Things Shining, Hubert …
In medical practice today, we have all types of providers in charge of birth control counseling and treatment: medical doctors, nurse practitioners, registered nurses, licensed vocational nurses, and even medical assistants who report to their licensed providers. Having a standardized questionnaire that all providers can easily use and incorporate into their practice would help safeguard against regretful avoidable mistakes. Taking a good history is cheap. Health care costs for strokes …
Patients with myalgic encephalomyelitis (ME) and their allies will rally in DC, London, and Edinburgh this September to “demand bold, urgent governmental action” for the millions of people living with ME, long COVID, and other infection-associated, chronic diseases.
As researchers continue to find many similarities between ME and long COVID, the history of ME offers crucial lessons for approaching long COVID and some pathways toward more effective research …
Medical school, residency, and fellowship taught me pathophysiology, diagnosis, and the most advanced treatments for autoimmune diseases like rheumatoid arthritis. As an attending physician, seeing my own patients, I noticed that targeted therapy is not able to control the disease in all patients with rheumatoid arthritis. The results varied. I could not stop asking myself, why is it so different?
In my previous article, I wrote about one of my patient’s …
As I looked around the hot, humid room at the male doctors in their white coats, I couldn’t believe I was actually participating in a medical training mission in Rwanda. After months of planning and securing equipment, I was actually in Africa. I watched as the medical residents listened intently to the lectures United States physician volunteers provided.
Forty-two Rwandan OB/GYN residents came to the University Hospital in Kigali for a …
The medical landscape for practicing physicians is changing. Seemingly the option of “hanging one’s shingle,” being your own boss, setting your schedule, and providing personalized care in a warm and cozy environment, “Marcus Welby style,” isn’t a viable option anymore.
Rather, graduating physicians are choosing between the options of becoming a hospital-employed physician, hospitalist, employed physician in a large multispecialty group, joining the faculty at an academic institution, or, sadly, electing …
“He knew it was his time a month ago. We were sitting at the kitchen table, and he told me he couldn’t feel half his face. He kept tapping the left side and saying he couldn’t feel anything. I knew he had a stroke because my daughter had one. He was stubborn, didn’t want to go to the doctor.”
One week ago, I saw Mr. Samson for the first time in …
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Boom! Crash! Ow!
That was the feeling of many pediatricians nationwide as we were hit in the face with the bomb of the COVID pandemic and all of the challenges it would bring, notably in the demands for mental health care. This skyrocketing demand led to the declaration of a state of emergency by the American Academy of Pediatrics in 2021 and a call for pediatricians to do more to address …
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“There are two valuable reasons why all physicians, especially medical students, should obtain or demand from their medical school academic business education.
About 98 percent of physicians and medical students have never had an academic business education. About …
The six to ten percent of women in the U.S. who are living with endometriosis have to deal with not only the pain and complications the disease causes, but often also with exceptionally long delays before receiving a diagnosis—an average of 8.5 years from first seeking care to diagnosis. One study revealed that more than 75 percent of the women who participated in the study were first …
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Maternal health has been a trending topic in the news due to increased maternal mortality rates due to challenges in accessing care during the COVID-19 pandemic. The Supreme Court’s Dobbs v. Jackson ruling overturning Roe v. Wade is deepening concerns surrounding this issue. The U.S. has the highest maternal mortality rate of undeveloped countries, with an alarming 23.8 deaths per 100,000 live births. My wife, Parissa, could have been part …
“By God’s grace, Dr. Sal!”
“Yes, T.J.! What’s the good news?”
“Guess what Mr. Thompson’s potassium is now?”
“3.1 …”
“Wrong! 4.1!”
We high-fived each other immediately and breathed a huge sigh of relief. For six days straight, we’ve been giving Mr. T potassium through an IV and by mouth with little to no change in his potassium level.
He came to the hospital after being found passed out in his home. Very low initial blood …
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I am a physician.
We are always taught to see our patients as more than their state of illness or diagnosis. “Speak to the patient,” “listen,” “look them in the eye,” “do not put one foot out the door,” the list of do’s and don’ts, while self-explanatory, is long. A good doctor is considered one who is able to view the person behind the symptoms and offer a shoulder, not just …
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