In April of 2022, I decided to leave medicine after 18 years of practice, 13 of which were spent working with electronic medical records. During my final visit with a patient and her husband, as I informed them of my decision to retire from medicine, I noticed a peculiar look on the husband’s face. He was a quiet man who rarely said much during their visits, but I could tell …
Leaving medicine behind: a quest for purpose and well-being
“There’s no such thing as postpartum depression.”
These were the unsolicited words from my obstetrician in the third trimester of my first pregnancy.
“It’s only sleep deprivation,” she explained.
As an MD, I’d been taught there was indeed such a thing as postpartum depression. But as the patient in that interaction, a pregnant woman, I didn’t feel in any position to challenge her words. They would, however, stick in my brain forever. Even …
The harm of the “just do it” culture in medicine: a story of postpartum depression
A recent study in Annals of Family Medicine confirms what many providers have long believed: stronger patient-provider relationships can yield better patient health outcomes.
It only stands to reason. Patients and providers can better understand and manage health conditions when communicating regularly and sharing information openly. This is especially beneficial when patients have multiple chronic conditions.
Enhanced relationships and communication also help providers identify barriers to care, so they can serve …
It takes a village to strengthen patient-provider relationships
It was at the very beginning of the fourth year of medical school that Kristen and I had our first kid. So, we decided to get life insurance. I didn’t know who to turn to at first, but then I was directed to an insurance agent at a well-known mutual fund company who happened to be my friend’s brother. As I sat down, he asked if I was healthy. To …
The reason every resident must get disability insurance during training
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Join Wendy L. Hunter, a pediatrician, as she shares a powerful story about a teenage girl found alone, having a seizure outside her clinic’s front door. This incident prompted Wendy to explore trauma-informed care in her practice. …
Trauma-informed care in pediatrics [PODCAST]
If you’ve experienced a migraine headache before, the sensation is often very distinct: throbbing pain, sensitivity to light and loud noise, and sometimes nausea and vomiting. Migraine symptoms can be uncomfortable and distressing.
Equally concerning is when a migraine sufferer recognizes these symptoms in their child. Migraines typically emerge during early adolescence, particularly when females reach menarche (their first menstrual period). However, as many as half of the children can experience …
Understanding migraine symptoms in children
She was oil, and I was vinegar. We didn’t mix. Ever. Even though we wanted the best outcome for our ICU patients, we stood on opposite poles of the earth. Sometimes, there’s only room for one alpha dog, one ultimate bully. And that person wasn’t me.
Mr. Williams, 68 years old, received the tragic news from his physician. He was experiencing strange and unusual symptoms: slurred speech, muscle weakness, lack of …
Bully nurse in ICU: a shattered moment for a dying patient
My new internist began my annual checkup with a nervous confession: “You are my first patient with cardiac sarcoidosis.” Even during an urgent care visit for potential cellulitis, I was met with raised eyebrows from the treating physician who reviewed my chart: “Very interesting, I’ve never seen a case of this heart disease.” With over 7000 rare diseases affecting more than 25 million people in the United States alone, patients …
Heart disease in the shadows: a closer look at cardiac sarcoidosis
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Join clinical psychologist Lisa Miller and neurosurgeon Philip E. Stieg as he discusses how the human brain is hard-wired for connection and the neuroprotective effects of spirituality. Discover practical ways to cultivate a sense of community, enhance …
Exploring the neuroprotective power of spirituality [PODCAST]
You have undoubtedly invested countless hours in honing your medical expertise to become great at helping others. Your commitment to the well-being of your patients is commendable, but sometimes, when you give too much of yourself, you can experience that dreaded burnout. That overwhelming sinking feeling, like you’re constantly spinning your wheels but not going anywhere. So today, I want to emphasize the importance of embracing your expanded identity and …
Embrace an expanded identity: Become more than just a doctor
Health care data analysis has shed light on significant disparities in health care across various locations. To address these inequalities, institutions, payers, and regulators have distinct options at their disposal, both socially and economically. Concurrently, individual health care providers can take their own initiatives while collaborative efforts are made to establish checks and balances to tackle these disparities. Exploring the potential avenues available to providers in resolving these issues is …
Equitable health care guidelines for minority populations
Exhausted. This is the word that comes to mind when asked how I am. Instead, it’s the usual “Good!” with a smile on my face. Not that this is unique per se. Many others work long hours. A friend who is an accountant will work 80-hour weeks in the month up to the tax filing deadline. Another who works in automotive design will sometimes work 60 to 80-hour weeks to …
Medical residencies: Balancing high stress and low compensation
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Join Maria Iliakova, a bariatric and general surgeon, as she shares her challenging yet transformative journey through surgical residency, where she faced overwhelming pressures and doubts. Discover how she found solace and fulfillment in the operating room, …
A surgeon’s inspiring journey [PODCAST]
Medical education is a rigorous journey that demands dedication, resilience, and compassion. However, as medical students, we often find ourselves navigating through the pressures of this journey while silently grappling with our mental health. By sharing personal experiences and insights, I aim to initiate a candid conversation about mental health and advocate for positive changes within the medical community.
The weight of the white coat
The iconic white coat symbolizes not only …
Navigating mental health challenges in medical education
Do your friends assume you are a “rich doctor,” and thus you feel pressure to meet that expectation?
Do you want to reward yourself after all the years of training and stress with some nice luxury toys?
Doctors often find themselves caught between two choices: living a luxury lifestyle and securing their financial future. It’s a delicate balance that requires careful planning and strategic decisions. But it doesn’t have to be an …
How to build a financial safety net without sacrificing your lifestyle
In the future, I foresee a world without pandemics, cancer becoming a thing of the past, and advancements that enable bionic adaptations to our bodies, leading to a life expectancy of easily over one hundred years.
While some of these advancements may seem distant, we are on the cusp of making them a reality within the next few decades. However, it’s essential to question whether human greed could hinder technological progress, …
The future of medicine: Advancements and greed collide
Late last year, I decided I needed to get my health checked up on. I went through the motions, trying to make an appointment with the doctor that was assigned to me. Nothing was available for months. I called every other day, asking about cancellations that would fit into my schedule for days I already had off. It was a pain and difficult as well to switch a single workday …
Teaching moments in medicine: Balancing autonomy and comfort
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Join Kim Downey, a physical therapist, and Michael Hersh, a gastroenterologist, and discover how coaching can help physicians navigate challenges, change their lives, and find personal and professional growth. Don’t miss their insights on finding the right …
Empowering physicians: the benefits of personalized coaching [PODCAST]
An excerpt from My Grief is Not Like Yours.
In March of 2018, I took Momma to a women’s conference in Dallas. We didn’t get great seats, but we were in the middle section, halfway back in a group with about 2,300 other people. I was hoping there would be a …
Lessons from Momma: the power of being present
There has always been a research bias against the case of one. A success story that isn’t part of a research pool is called “anecdotal.” The implication is that no doctor should base treatment on a story of one. Then we devised the term “evidence-based” to reinforce the notion that physician decisions should be based entirely on numbers in research studies. However, the physician’s prerogative has always been to read …
Personalized hypertension care in pregnancy: Beyond evidence-based thresholds
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