CMS Medicare fee cuts: The altruism of physicians is used against them
It’s hard to concisely put into words how frustrated physicians are right now. How many other professional groups out there have to fight to not have their compensation cut multiple times a year? Recently, CMS released its proposed physician fee schedule for Medicare for 2023, which reduces the conversion factor by 4.42%. This compounds upon additional cuts such as the resumption …
We’re reacting to medical errors the wrong way
Medical mistakes are as old as the practice of medicine itself, but it wasn’t until 1999 that the United States started paying more attention to them.
Over twenty years later, we may be reducing medical errors — a recent study published in the Journal of the American Medical Association found significant decreases in mistakes in cases of pneumonia, acute myocardial infarction, heart …
Opioid-free orthopedic surgery: Why (and how) my patients go opioid free after surgery
Primum non nocere. First, do no harm.
All doctors are familiar with this credo. From ancient precepts such as the Hippocratic Oath promising to abstain from doing harm to the modern bioethics principle of nonmaleficence, the calling of physicians involves striving to help alleviate suffering and avoid making it worse. In our increasingly complex health care and data environment, avoiding inadvertent harm can be more difficult than one might expect.
Less resiliency may heal burnout [PODCAST]
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The word “resiliency” has been lauded, applauded, and buzzed about in talks about physician burnout. When I hear it, I tune out. My stomach churns. I feel sick. Why?
Because physicians are resilient. We are, in fact, the walking, talking, …
We must disrupt harm
In the mid-1980s, with the AIDS epidemic on the horizon, austere conservative Margaret Thatcher sanctioned the first needle exchanges in the U.K. to prevent the budgetary burden that HIV might otherwise have become on the National Health Service. Nearly forty years later, New York City opened its first supervised injection sites in November of 2021, where intravenous drug users inject their substances of choice under the watchful eye …
As we live in fear, there is still hope
Fear. It means something different to each person, but collectively we can all agree that fear can be something that drives us to succeed (fearing failure), causes us to take care of ourselves (fear of poor health), and can even promote experiences that wouldn’t otherwise be pursued (fear of missing out, affectionately known by the acronym FOMO). This isn’t the kind of fear I had this past Sunday sitting in …
My “dig deep button” is officially out of service
I started my hospitalist shift like any other day. I arrived at 5:30 a.m. for shift hand-off at 7 a.m. A full hospitalist load and endless administrative tasks to complete, the duality of both roles punctured me like a venomous snake bite. I had two full-time jobs to complete in 12 hours. Impossible! Or was it? I added one and one-half hours to my shift at the beginning–time hidden behind …
What it takes to build a pediatric weight management program [PODCAST]
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“Amazing pediatricians are back where I was years ago, with their C-suite asking for business plans for the medical side of their adolescent bariatric surgery programs. The reality is corporate health care has infiltrated pediatric health systems, …
Student advocacy through the Student Osteopathic Medical Association (SOMA)
“Nerves ablaze, my voice cracked as I ended my remarks outlining the need for equitable data collection. I leaned towards the screen, adjusted my eyeline to make eye contact, and asked Representative Thomas Suozzi to support The Equitable Data Collection and Disclosure on COVID-19 Act. Representative Suozzi paused for a second, appeared to think over, or perhaps through the points of my argument–and then responded resolutely with, ‘I will cosign …
Physician success is a team sport, so why are you on the field alone?
Get off the field.
Go back to the dugout and rally your team.
Create your rules of engagement.
The structure and hierarchy of medicine teach doctors to compete with one another. From the beginning, we’re told there are a finite number of acceptance letters sent to aspiring physicians. In medical school, we compete for one of a limited number of slots in highly selective and competitive training programs. And as attendings, we have …
Why doctors should write poetry
It’s been two and a half years post-pandemic, and I still don’t feel normal.
There’s a dark veil hanging over my life. I feel oppressed, unable to practice the way I want, unable to live and think in ways other than this abnormal new biological pseudoscience I’m not expected to question so that I’m more inclusive.
There’s a sense of lost purpose like I no longer work to feel fulfilled. Instead, I …
Patient-initiated collaborative texting [PODCAST]
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People behaving badly: 4 steps to de-escalate hostile people
Imagine that you are a brand-new attending in a hospital. You have your new starched white coat and stethoscope around your neck. Before you enter your patient’s room, the nurse says, “Whew! Good luck! The patient’s dad is really angry! He’s been yelling for the last ten minutes!”
Are you prepared? Do you know what to do?
The boundaries of unacceptable behavior have eroded in the past few years. Politicians, law enforcement, …
We are all responsible for women physicians’ pay discrepancy
A recent JAMA article showed that starting salaries for female physicians were lower than that of their male counterparts in most subspecialties.
New physicians are not expected to have many differentiating factors besides gender, yet the starting salaries differ. It is important to note that specialties with a higher percentage of women also have lower salaries for bother men and women. As the percentage of women physicians in a given …
The New Zealand health system in crisis: We need to look after our clinicians
I lay on an examination table while a plastic surgeon surveyed my skin to determine if a suspicious mole should be excised. I joked with him that I had once considered plastic surgery as a career. I knew he still worked at the hospital and fired a rhetorical question at him, enquiring if the hospital was still as busy as it was two years ago when I had worked there? …
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A breast cancer story from an Asian perspective [PODCAST]
The patient I cannot help and a gun
“You’re my last hope.”
The words come from a patient I have no prayer of helping. He has had decades of back pain. He has had several surgeries, injections, hardware in, hardware out, but nothing has helped. He is unable to work. His struggle with back pain has ruined relationships, ruined his financial stability, ruined his mental health. His goals and mine are aligned. We both want to make his life …
Cancer of the future: diagnosis, treatment, and impact on the health care system and patients
While cancer has been around for decades, the fight for survival and treatment options are still very top of mind. Treatment is simply playing catch up. We continue to try and get rid of the disease that has already infiltrated one’s body rather than catching it before it develops. We need to shift the focus from therapeutics that fight the disease to ways we can catch it before the deterioration …
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What it takes to build a pediatric weight management program
What they want is power, control, and to take all the credit. In short, they want what you have.
Vision. Even more so, the ability to manifest a vison. Even more so, they want your energy. Your passion.
“Candy Everybody Wants” by 10,000 Maniacs is an epic song. I know every word.
Hey hey give ‘em what they want
If lust and hate is the candy
If blood and love taste so sweet
Then we give …
Past Week
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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.
-
Calling for a heart surgeon: a plea for change
-
Customer relationship management tools to beat physician burnout and regain practice control [PODCAST]
-
Why prescribing medicine to kids scares even experienced doctors
-
Past 6 Months
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How trade wars could destroy the U.S. health care system
-
How hospitals are quietly taking control of physicians
-
The hidden bias young female physicians face every day
-
How the system hunts physicians who refuse to kneel
-
Doctors don’t need yoga, they need time to smoke
-
How to advocate for your transgender child’s health care
-
Recent Posts
-
Customer relationship management tools to beat physician burnout and regain practice control [PODCAST]
-
Rural hospitals are vanishing—and lives are vanishing with them
-
Medical gaslighting has emerged as a troubling issue for both patients and health care providers
-
Third-party litigation funding threatens access to health care
-
Fat guy in a little coat: Preventing childhood obesity
-
Taking a break from medicine: a physician assistant’s journey from burnout to world travel [PODCAST]
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Past Week
-
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.
-
Calling for a heart surgeon: a plea for change
-
Customer relationship management tools to beat physician burnout and regain practice control [PODCAST]
-
Why prescribing medicine to kids scares even experienced doctors
-
Past 6 Months
-
How trade wars could destroy the U.S. health care system
-
How hospitals are quietly taking control of physicians
-
The hidden bias young female physicians face every day
-
How the system hunts physicians who refuse to kneel
-
Doctors don’t need yoga, they need time to smoke
-
How to advocate for your transgender child’s health care
-
Recent Posts
-
Customer relationship management tools to beat physician burnout and regain practice control [PODCAST]
-
Rural hospitals are vanishing—and lives are vanishing with them
-
Medical gaslighting has emerged as a troubling issue for both patients and health care providers
-
Third-party litigation funding threatens access to health care
-
Fat guy in a little coat: Preventing childhood obesity
-
Taking a break from medicine: a physician assistant’s journey from burnout to world travel [PODCAST]
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