Shame not on us: Diagnoses and treatments need to be transparent
In Australia recently, a woman successfully sued a hospital for $2.4 million for a series of misdiagnoses that left her quadriplegic. A London woman was recently misdiagnosed four times before doctors discovered she had cervical cancer.
A Canadian woman recently filed a $3.5 million lawsuit claiming she was misdiagnosed and ignored when relaying her symptoms to doctors; she could have died. A 26-year-old woman nearly died after a …
Making death conversations fun!
“Arriving at an acceptance of one’s mortality is a process, not an epiphany.”
– Atul Gawande
Imagine a group of old (mature) friends gathered for a “girls” weekend in balmy Florida. The friendships started in grammar school and have continued for the better part of 50 years. These women have met at least once a year for more than 25 years and shared life’s ups and downs. On this trip, one of …
The nicest patient I’ve ever met
The nicest patient I’ve ever met was Mr. Harris.
I first met him in the ED with his son and daughter by his side, noticing a foley bag filled with bright red blood.
He was an elderly gentleman with ALS and was brought by his children for hematuria and blood clots overnight. Never happened before, and we were all unsure of the cause. Urinalysis soon showed likely UTI, so we started antibiotics. …
Myalgic encephalomyelitis/chronic fatigue syndrome and long COVID [PODCAST]
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“ME/CFS is a complex multi-system illness that destroys lives (essentially killing the person yet leaving them alive). It leaves patients with unimaginable fatigue, post-exertional malaise (meaning that minor exertion makes them feel worse), cognitive deficits, cardiovascular dysfunction, …
Is your smartwatch smart about your health?
Your smartwatch talks a lot but may not say as much as you believe with regard to health. Constant data collection from wearables claims to improve medicine at large. Is the “quantified self” the next evolution or a gimmick for patients?
Imagine your sleep and heart data beamed straight to your medical record. Your care team might notice a red flag and schedule a virtual appointment immediately. Health care wearables, meaning …
Don’t let vindictiveness creep into medicine like it has in politics
The callous and inhumane dislocation of migrants recently perpetrated by governors of the states of Florida and Texas reminded me of an equally disdainful and appalling tactic utilized by health care workers since the 1960s: “Greyhound therapy.”
Greyhound therapy refers to attempts by health care workers and administrators to remove undesirable patients from emergency rooms, hospitals, and other types of facilities by providing them one-way tickets on a Greyhound Lines …
Giving up the knife: Saying goodbye to surgery
This year, I stopped doing surgery — giving up the knife, so to speak. It wasn’t an easy decision to make. I’ve been a surgeon for 32 years since graduating from medical school. It’s been a distinct part of who I am for most of my life.
This doesn’t mean I’ve retired. I’m still practicing in a clinic-based setting and still do procedures in the office. I just no longer operate …
Emotional eating: Why you always want food
An excerpt from How to Lose Weight for the Last Time: Brain-Based Solutions for Permanent Weight Loss. Copyright © 2022 by Katrina Ubell. Reprinted with permission of Balance Publishing. All rights reserved.
“I just really like food.”
“Eating at a beautiful restaurant or tasting something different and special while traveling is one …
What is ambient clinical intelligence – and how is it transforming health care?
This article is sponsored by the Nuance Dragon Ambient eXperience. AI-driven ambient clinical intelligence (ACI) promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself.
For decades, researchers have been working toward a vision of ambient intelligence, finding ways to harness cloud, advanced AI, and the Internet of Things to create more intelligent spaces that help …
4 steps to de-escalate hostile people [PODCAST]
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“The boundaries of unacceptable behavior have eroded in the past few years. Politicians, law enforcement, movie stars, health care providers, the health care system, and society, in general, are all acting badly occasionally. I’m amazed but no …
Football pervades our society so we must be prepared to deal with it
It’s not that I hate football; truly I don’t. I try hard to get into it. I scan the sports page to become familiar with names, rivalries, predictions, and opinions. I tune in to Sports Extra on Sunday nights for the weekend analysis and wrap-up. I watch the introduction to televised games for the opening excitement and colorful background of the teams. I’ve enjoyed a few episodes of Hard Knocks.
Why …
The most important tool a medical student can have is the ability to reflect on experiences
Throughout my life, I have been trained by Jesuit institutions. I have loved all of what they have prescribed – to “find God in all things,” to “care for the entire person,” to “be a woman with and for others.” But the most important pillar that I have gained from these educational institutions is to have a reflective mind – the ability to ask why and dig deeper into a …
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Should all health professionals be teetotalers?
I recently published “Avoid ‘Shots in the Dark’ to Maintain Pristine Professional Boundaries” in Psychiatric Times to demonstrate how drinking alcohol in public may lead well-meaning licensed health professionals onto the slippery slope of boundary violations and costly career jeopardy. Across the United States, millions of doctors, nurses, and other licensed health professionals are permitted to perform the sacred work of healing others because we have been authorized to …
Lessons from Radonda Vaught: Nurses need to raise their voices [PODCAST]
Top 4 burning questions doctors ask health care attorneys
Being a transactional lawyer for physicians is never dull because the more the regulations, guidance, and laws change, the more questions everyone has. But it’s more than just getting an answer to a question and being in compliance. Doctors are feeling overly worn down and out of control, and the risks that face their practice are real. It contributes to burnout and apathy, as it’s hard enough to keep track …
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How this primary care doctor found his dream practice
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 consequences of unmasking and ending quarantines
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 …
A neurosurgeon puts down the knife [PODCAST]
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Patients come to you for treatment, not your politics
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 …
Past Week
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Why tracking cognitive load could save doctors and patients
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Physician patriots: the forgotten founders who lit the torch of liberty
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The hidden cost of becoming a doctor: a South Asian perspective
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How the 10th Apple Effect is stealing your joy in medicine
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Past 6 Months
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What’s driving medical students away from primary care?
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Make cognitive testing as routine as a blood pressure check
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Why tracking cognitive load could save doctors and patients
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How scales of justice saved a doctor-patient relationship
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The silent toll of ICE raids on U.S. patient care
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The broken health care system doesn’t have to break you
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Recent Posts
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Bridging the rural surgical care gap with rotating health care teams
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Understanding the ethical injury of moral distress in clinicians [PODCAST]
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Why real growth in psychotherapy takes time, courage, and teamwork
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What a dying patient’s handshake taught me about life and love
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The hidden war on doctors: Understanding administrative violence
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HHS at rock bottom: Could the current crisis be a blessing for U.S. health? [PODCAST]
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Past Week
-
Why tracking cognitive load could save doctors and patients
-
Physician patriots: the forgotten founders who lit the torch of liberty
-
The hidden cost of becoming a doctor: a South Asian perspective
-
How medical culture hides burnout in plain sight
-
Why fixing health care’s data quality is crucial for AI success [PODCAST]
-
How the 10th Apple Effect is stealing your joy in medicine
-
Past 6 Months
-
What’s driving medical students away from primary care?
-
Make cognitive testing as routine as a blood pressure check
-
Why tracking cognitive load could save doctors and patients
-
How scales of justice saved a doctor-patient relationship
-
The silent toll of ICE raids on U.S. patient care
-
The broken health care system doesn’t have to break you
-
Recent Posts
-
Bridging the rural surgical care gap with rotating health care teams
-
Understanding the ethical injury of moral distress in clinicians [PODCAST]
-
Why real growth in psychotherapy takes time, courage, and teamwork
-
What a dying patient’s handshake taught me about life and love
-
The hidden war on doctors: Understanding administrative violence
-
HHS at rock bottom: Could the current crisis be a blessing for U.S. health? [PODCAST]
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