How did I get here? Heading to the highest place I can find, in contemplation of jumping and falling to my death. I had always feared death before this point, but now it seemed the only logical solution. I seemed to have it all going my way. So why would a medical resident in a coveted training program in one of the most beautiful parts of the country, with a …
Overcoming depression: a medical resident’s journey
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We are joined by Bayo Curry-Winchell, a family physician, as we delve into the alarming maternal mortality crisis among Black women in the U.S. Join us as we discuss the complex factors contributing to this issue, the …
Maternal mortality disparities [PODCAST]
I completed a fellowship in quality improvement, making quality metrics an integral part of my career for the past 15 years.
At times, these metrics can be frustrating, especially when reimbursement is tied to constantly shifting targets.
Yet, health systems invest hundreds of thousands of dollars in order to improve quality metrics because Medicare mandates it.
This led me to contemplate:
What if Medicare included burnout as a quality metric?
What if health systems were …
It’s time for burnout to become a quality metric
The current landscape of AI in medicine. Integrating artificial intelligence (AI) into health care is a complex yet transformative journey. As AI becomes increasingly indispensable, the medical community faces a paradigm shift—from being accountable for using AI to potentially being liable for not using it. In this article, we will explore the multifaceted implications of AI in medicine, from technical aspects to …
Navigating the AI revolution in medicine: from liability and technicalities to ethics and policy
On October 11th, cardiopulmonary resuscitation was performed on the lifeless body of paramedic Hatem Awad as he was rushed through an ambulance bay in Gaza. Awad and his colleagues from the Palestinian Red Crescent had just been given the green light to head into eastern Gaza to assist victims of airstrikes, not knowing they would become victims themselves.
On October 17th, surgeon Dr. Ghassan Abu Sittah stood in the ruins of …
I was born in Tehran, Iran. I immigrated to the U.S., specifically Houston, Texas, at the age of 10. I completed my undergraduate degree, medical school, and pediatric training, all in Texas. I consider myself a Houstonian. I am a board-certified pediatrician. Additionally, I am an entrepreneur, co-founder, and managing partner at ABC Pediatric Clinic in East Houston, serving the low-income Hispanic community. I have an amazing and supportive husband …
From immigrant to pediatrician: a midlife transformation
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Join Susan J. Baumgaertel, an internal medicine physician. In this conversation, we dive into her book, The Menopause Menu, as Susan sheds light on navigating the complex intersection of menopause and chronic diseases.
Menopause and chronic disease [PODCAST]
Have you ever wondered what it’s like to have a heart attack? Or maybe you’ve had one. What about that same heart attack on a single-lane, pitted road flanked by cornfields on both sides, two hours from the nearest city? This is the reality for rural Americans, and it becomes more extreme by the day. Rural hospitals are sometimes the only tertiary care centers for hundreds of miles, and they’re …
The alarming problem for rural medicine
In a recent study published in the Journal of Bone and Mineral Research, it was found that two compounds found in cannabis, cannabidiol, and cannabigerol, may not just ease the pain of fractures but also speed up fracture healing. The study, titled “Cannabidiol (CBD) and Cannabigerol (CBG), Nonpsychotropic Cannabinoids, as Analgesics that Effectively Manage Bone Fracture Pain and Promote Healing in Mice,” is …
Cannabis compounds in fracture pain relief and healing
From the Oxford Dictionary: Doctor.
a qualified practitioner of medicine; a physician. (a number of synonyms are listed, including “quack”)
a person who holds a doctorate.
Increasingly, non-physicians are using the term “doctor.” Clearly, a doctorate degree allows the holder to use that term semantically, contextual puffery or not. Nurses can obtain a doctorate degree through a rigorous peer-reviewed process of study. PhDs in various fields likewise. All MDs are doctors. Not all …
What does the term “doctor” mean, who can use it, and does it matter?
Americans are suffering from an unequal health care system in which some people have resources and receive excellent care while others lack access to basic and essential services. Despite the entrenched and systemic nature of some of these barriers, there are vehicles for change on the horizon.
Nearly 80 percent of health outcomes are directly impacted by social determinants of health (SDoH) which is a term that encompasses social factors …
Health equity: Social workers are the answer
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Join Drew Remignanti, an emergency physician, as he delves into the fascinating world of medicine and discusses his book, The Healing Connection: A Partnership for Your Health. Get ready to explore the insights and experiences of a …
An emergency physician’s insights on health partnerships [PODCAST]
The students entered, chattering among themselves about their recent break. This is their interviewing and communication class, and today’s guest lecturer is a bit different than the usual physician educator. Speaking today is Linda Long-Bellil, JD, PhD, an expert in educating medical professionals about disability. Dr. Long-Bellil is also a person with a disability herself. I am assisting as well, as a physician with a disability and a wheelchair user. …
Empathetic patient care: Addressing disability in education
The majority are wrong.
Is it possible that the growing majority of doctors are mistaken in their decision to choose traditional employment? How is it that the most intelligent group of individuals on earth can be influenced to believe that being confined to traditional employment is in their best interest, especially when the burnout rate is approaching almost 60 percent?
Don’t follow the herd.
In a world where the “herd mentality” often prevails, …
20 reasons every resident should form a micro-corporation
Finishing up a consultation in the ICU, the nurses approached me to see how it went. “Did you get the DNR?” I explained that I enter these conversations without an agenda. My first goal is to develop rapport, reading the room to gauge how far I can take this conversation. What are they ready to hear? This phase of the consult is akin to preparing the soil for planting. The …
The power of listening in palliative care consultations
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Join Ken Blaker, a health care and technology consultant, and Cuong Do, a health care executive, as they shed light on the latest developments in combating these challenging conditions. From the recent FDA approval of Leqembi to …
Exploring promising breakthroughs in Alzheimer’s research [PODCAST]
When an animal is shot and bleeds to death, does it “suffer from a bleed out”? No, the hunter shot and killed it – that’s the truth, and that’s the main narrative. “Bleeding out” was a natural consequence. Yet in health care, it feels as though the narrative has been cleverly turned on its head and reflected back to health care workers as “suffering from burnout,” giving the culprit workplace …
Are health care workers being gaslit about burnout?
It can be difficult for patients with substance use disorders, depression, anxiety, or obsessive-compulsive disorder to seek care and commit to a regular schedule of behavioral health care visits. However, telehealth and telepsychiatry have vastly enabled both access and compliance with care. That being said, medication should not be prescribed without proper oversight and care, regardless of whether the doctor is assessing the patient online or in person.
During the …
Coupling behavioral health prescriptions with measurement-based care
As a medical doctor, I have peered into the lives of many patients who have unique experiences.
When I started practice 40 years ago, some of my patients had parents who lived during the Civil War; a few fought in the Spanish-American War, and more recently, at the Millennium, several of my centenarians could say they lived in three centuries!
One of my first patients in Santa Clarita was a gentleman who …
Holocaust survivor’s hidden past: a doctor’s discovery
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Join us for an engaging podcast conversation with Kim Downey, a physical therapist, and Stephen Lewellis, a dermatologist. They share their unique professional journeys, discussing the challenges and insights they’ve gained in their respective fields. From navigating …
Balancing life and medicine [PODCAST]
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