As an emergency room physician with over 20 years of experience, I’ve faced countless moments of emotional intensity—saving lives, delivering difficult news, and navigating the chaos of a health care system stretched to its limits. Yet, it wasn’t a catastrophic patient case or a bad day at work that led me to my breaking point. It was the slow, relentless erosion of my emotional capacity. I call this state the …
There are one million physicians practicing medicine in the United States. No medical intervention they recommend is immune from a complication. The exact number of complications is unknown. Some are medical errors inherent to the intervention, while others are random errors of nature caused by external factors.
When you add to this the fact that there are more lawyers in the United States today than ever before, something has to give. …
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Join us as we explore the hidden pitfalls of behavioral finance with financial planner Shane Tenny. Discover how cognitive biases like overconfidence, confirmation bias, and loss aversion can derail even the most successful …
An excerpt from The Purpose Code: How to unlock meaning, maximize happiness, and leave a lasting legacy.
Back in middle school, an awkward kid on the cusp of teenagerdom, I met a man who changed my life forever without intending to. He had stumbled upon his own sense of purpose and, because of it, was making his mark on the world—and those around him.
Roman was the picture of …
The peaceful transition of power to the 47th president of the U.S. occurred January 6, 2025. It was the loser of the presidential election who ensured an orderly process and ironically certified the results.
In medicine, transitions of care – whether from inpatient to skilled nursing facility, from hospital to home, or during the passing of responsibility from one practitioner to another – represent pivotal moments in the continuity of patient …
I have worked in clinical oncology in Pakistan. As an oncology physician, I was not supposed to interact with patients in the ER. Recently, I had the opportunity to work with recent medical graduates in an emergency medicine setting. This experience was new for me, as I have been focused on oncology for a long time.
However, that’s the beauty of life—it pushes us to do things we never thought we …
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Join us as we dive into the complexities of autoimmune diseases with family physician Pamela Buchanan. Discover the profound connections between chronic stress, systemic inequities, and immune health, particularly for women and Black …
When it comes to medical breakthroughs, it can be a long journey between discovery and implementation.
Implementing new technologies and therapies for patients is often hindered by slow adoption, inaccurate application, and delays caused by the rapid pace of guideline updates, which providers may struggle to keep up with. These challenges can prevent patients from fully benefiting from medical breakthroughs, leaving their potential only partially realized.
For example, the development of genomic …
I’ve wanted to be a doctor since I was 12. Growing up, I idolized my pediatrician, Dr. Helen Nash, one of the first Black female physicians in St. Louis. Her warmth and competence left a lasting impression on me. Medicine became my calling, my purpose, and my dream. I worked tirelessly through high school, college, medical school, and residency to make that dream a reality. But no one warned me …
Kayla was referred to our addiction clinic after a visit to the emergency department for a skin infection, common in people who use drugs intravenously. Recognizing her fentanyl use was escalating out of her control, she made an appointment to discuss starting buprenorphine, a mainstay of treatment for opioid use disorder (OUD). While our initial office visit with Kayla was straightforward and optimistic, during subsequent visits she continued to experience …
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We discuss the transformative potential of a standardized affiliation agreement (SAA) in nurse practitioner education with Lynn McComas, CEO and founder of PreceptorLink. As a recognized expert in precepting nurse practitioners and advanced …
I was on the phone with my sister when I thought I heard a knock at the door. Then another. My dogs barked, and I told her, “Don’t hang up.” My chest tightened. Nightmares of someone coming for me flashed through my mind—a stranger lurking in the dark.
After more than 40 years as a nurse, transitioning from the chaos of the ER to the intensity of the ICU, I thought …
Abstract
The United States health care system faces escalating costs, access disparities, and significant physician burnout. Direct primary care (DPC) offers a transformative approach by emphasizing patient-centered care, price transparency, and reduced administrative burdens. Yet, federal policy reforms are necessary to scale this model nationally. This article outlines actionable federal policy recommendations, identifying how mechanisms like agency rulemaking and budget reconciliation can be used to drive adoption, expand access, and empower …
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Bitcoin has recently surged past $100,000, marking a pivotal moment in the adoption of cryptocurrency worldwide. Coupled with a regulatory environment under the Trump administration that promises to be more favorable to digital assets, now is the time for medical practices to consider integrating cryptocurrency payments into their operations. This combination of market momentum and policy support offers practices a unique opportunity to attract a broader clientele and improve financial …
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We explore the often-overlooked world of bowel health with colorectal surgeon Carmen Fong. Carmen shares her journey into this specialty, the stigma surrounding bowel habits, and the critical need to normalize conversations about …
As a physician, I have always faced the stigma of being considered a “deep pocket.” What does that mean? Because of my profession, I was considered a high-salaried worker with assets that might have significant financial value, including a private practice and property.
Doctors have sometimes been “targeted” in malpractice lawsuits in past decades because of this stigma. But now, if you live in California and certain parts of the US …
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Inpatient caregiving companions, especially during nights, may hold significant value in enhancing patient recovery and expediting discharge. Hospital nights can be tumultuous not only for inpatients but also for their caregivers, whether professional or personal. This need persists despite humanity’s adaptation to varying chronotypes—lion, bear, wolf, and dolphin—which have enabled people to transcend their diurnal instincts for the collective good. Nevertheless, the challenges of nighttime caregiving remain profound.
A critical issue …
It was rich to watch the TV pundits, who excel at creating storms in a teacup, feigning shock at the public response on social media to UnitedHealthcare’s CEO being gunned down. They were aghast at the over 57,000 laugh emojis on the statement of condolence platitudes put out by UnitedHealthcare. Mr. Smercornish on CNN was properly clutching his pearls and, after some scolding, declared at least the responders on the …
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Can you imagine waking up drunk, or getting drunk in the middle of your workday without having touched a drop of alcohol?! When I first saw my husband Joe having these drunken episodes, I thought he must be secretly drinking or at least sleepwalking to the liquor cabinet.
He’d been having weird episodes for six years and got checked out by a neurologist, an endocrinologist, a cardiologist, and other specialists, but …
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