As we get older and the world changes, it’s not always an easy task to say “where”
“Where does it hurt?”
As a child, I can remember this ubiquitous question being frequently asked of me. Having grown up on a farm, there was always some trouble for me to get into. A common hazard was my older sister’s 26-inch bicycle, which had no training wheels.
At age 5, if I was to be a “big kid,” I had to master the art of riding the “big” bike on our …
When medicine surrenders to the body
I still get chills thinking about the moment I decided to go to medical school. I was bored in my college physiology class, watching the minute hand on the round lecture hall clock.
There were just a few minutes remaining in the class, and students were starting to pack up. The professor, Dr. Adams, said, “I want to talk about hemorrhage before you go.” His voice was getting lost in the …
Improving communication requires tough soft skill development
If we are going to take on the challenge of improving communication and related behavior, a.k.a. “soft” skills among health care professionals, we should be realistic. As nurses, doctors, and other health care professionals, we are keenly aware of how difficult changing behavior can be. We see it daily in our patients’ efforts regarding healthy choices and lifestyles. For example, it can be hard to lose weight, exercise regularly, or …
Who gets to go to medical school?
I knew I wanted to be a doctor when I was seven years old. I excelled in school, attended a good college, scored well on the MCAT, and was accepted into medical school just as I always knew I would be. It was only as I progressed in my career as a physician that I realized that being a white, middle-class individual had given me an advantage—I had access that …
Why you need to care about oral health [PODCAST]
Putting on the mask of professionalism causes burnout
In medical school, we are not just taught the scientific information that doctors should know, we are also taught how doctors should look and behave.
I remember being shown a video on “professionalism” during our first day of orientation. It was meant to be humorous, demonstrating more extreme examples of dress code and behavioral violations.
Medical students walk into exam rooms with their bra straps hanging out.
Smacking on gum and blowing bubbles …
Releasing survivor’s guilt
Wednesday, August 10, 2016. You called to check-in. You knew I was struggling.
Months before, I shared with you that I developed suicidal ideation and was not sure I should continue residency. The forced sleeplessness and self-doubt were getting to me.
Did I deserve to be a surgical resident? I felt worthless.
I was so damn tired.
You knew I was afraid to leave the surgery and what that would mean for my military …
Withdrawing life-sustaining treatment over family objections
“We can keep your loved one alive. but we won’t. Even though you think their life is worth living, we do not.”
The first time I helped a hospital convey this type of offensive message to a patient’s family, it deeply humbled me. My service on a hospital medical appropriateness review committee forged charitable respect for alternative viewpoints that now pervades my work to protect patient rights.
Hospital review committees adjudicate medical …
When should you consider surgery for scoliosis?
Most people with scoliosis will never require surgery. But who does need surgery, and how do you know?
Often diagnosed in childhood, scoliosis is characterized by an abnormal curve in the spine that can range from as small as 10 degrees to more than 100 degrees. In pediatric patients, this can result in pulmonary problems if the curve is severe.
However, pediatric patients’ complaints are mostly centered around their appearance due to …
Contract advice for physicians leaving the military [PODCAST]
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“Military physicians should also realize that not all employers are equal or treat their physicians equally.
Military physicians entering the civilian job market are in a ‘seller’s market.’ They should get a reasonable employment agreement. It is important …
Advancing health equity conversations through cultural humility
In 1998, Drs. Tervalon and Murray-Garcia created the concept of “cultural humility” as a way to transcend the prevailing but limiting concept of cultural competence in teaching medical students and trainees how to respectfully deliver health care to the increasingly diverse populations of the U.S. The cultural competence paradigm leads health care professionals to assign patient group traits or labels. On the other hand, cultural humility incorporates a lifelong commitment …
How hearing is connected to well-being
As an audiologist, treating hearing loss is a part of my everyday life. Even still, I’m sometimes amazed at the difference hearing aids can make in patients’ lives. For example, recently, when an older patient with longstanding hearing loss was fitted with a pair of hearing aids, he was suddenly able to participate in conversation with his son again. The smile across his face said everything.
Hearing well can slow cognitive …
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Management of acute postoperative pain reveals systemic flaws in health care policy
Medical care in the United States is broken. The pandemic contributed, but we were well along this misdirected journey. There is a pathological push/pull between financial pressures applied by payors and health care systems to decrease costs, thereby generating profits versus the desire of providers to deliver outstanding care to patients. This is ingrained into our system as it is designed. The dynamic is further muddled by our unique medicolegal …
Melting the iron triangle: health equity in innovative health care landscapes [PODCAST]
Let’s address the needs of millions of students with sensory processing disorders
As public and private schools around the country gear up for opening their doors to in-person learning later this month, it is important to acknowledge and accommodate the millions of children who deal with sensory processing disorders.
An estimated 5 to 16 percent of school-aged children have difficulties processing the senses either by overreacting or underreacting to sensory information. This includes not only the five senses of touch, …
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Patients who are openly skeptical of a physician’s science-backed advice
I’ve just passed the 15-year milestone of practicing family medicine in a small farm town in the Midwest. Knowing my patients and their multi-generational families deeply and enjoying their trust is a major part of my job satisfaction.
Unfortunately, the last two years have put a serious dent in both the trust and the satisfaction.
No one ever takes all the advice their physician gives them, at least in my experience. Until …
Keep us safe: Stop the violence against health care workers
Violence against health care workers has escalated to unprecedented levels in the last decade. The pandemic seems to have accelerated outbursts against health care providers online, in print, and in person.
A man from Tulsa, Oklahoma, recently angry over back pain, killed his surgeon and other health care workers before ending his own life.
Many health care workers report they are used to working in environments that are …
Non-judgmental empathy in the exam room [PODCAST]
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Not a cheater? Let’s count the ways.
Sexual infidelity is the headline grabber when most people think about betrayals in love relationships. But, everyday breaches of trust slide under the radar and can erode even the strongest of relationships.
A small lie about a purchase, a slight exaggeration about a job promotion, a cover-up about a forgotten birthday—each takes a bite out of trust and is a form of cheating. Most of us are disappointed by a love …
Past Week
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Why no medical malpractice firm responded to my scientific protocol
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A world without antidepressants: What could possibly go wrong?
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The hidden impact of denials on health care systems
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DSM-5 doesn’t name it, but moral distress is everywhere in medicine
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Understanding therapy beyond crisis management [PODCAST]
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Acknowledging the silent grief of vanishing twin syndrome [PODCAST]
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Past 6 Months
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What happened to real care in health care?
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Internal Medicine 2025: inspiration at the annual meeting
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The silent crisis hurting pain patients and their doctors
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Flatline: Our nation is dying, and we’re ignoring the signs
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How to build a culture where physicians feel valued [PODCAST]
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How the CDC’s opioid rules created a crisis for chronic pain patients
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Recent Posts
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Understanding therapy beyond crisis management [PODCAST]
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Health workers deserve care too: How to protect their mental health
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A world without antidepressants: What could possibly go wrong?
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The truth about GLP-1 medications for weight loss: What every patient should know
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The moment I knew medicine needed more than science
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A faster path to becoming a doctor is possible—here’s how
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Past Week
-
Why no medical malpractice firm responded to my scientific protocol
-
A world without antidepressants: What could possibly go wrong?
-
The hidden impact of denials on health care systems
-
DSM-5 doesn’t name it, but moral distress is everywhere in medicine
-
Understanding therapy beyond crisis management [PODCAST]
-
Acknowledging the silent grief of vanishing twin syndrome [PODCAST]
-
Past 6 Months
-
What happened to real care in health care?
-
Internal Medicine 2025: inspiration at the annual meeting
-
The silent crisis hurting pain patients and their doctors
-
Flatline: Our nation is dying, and we’re ignoring the signs
-
How to build a culture where physicians feel valued [PODCAST]
-
How the CDC’s opioid rules created a crisis for chronic pain patients
-
Recent Posts
-
Understanding therapy beyond crisis management [PODCAST]
-
Health workers deserve care too: How to protect their mental health
-
A world without antidepressants: What could possibly go wrong?
-
The truth about GLP-1 medications for weight loss: What every patient should know
-
The moment I knew medicine needed more than science
-
A faster path to becoming a doctor is possible—here’s how
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