An excerpt from Why Not Better and Cheaper: Healthcare and Innovation by James B. Rebitzer and Robert S. Rebitzer with permission from Oxford University Press, © 2023 by Oxford University Press.
In a famous essay, Nobel prize-winning economist William Nordhaus studied the evolution of lighting. From medieval times until the …
The evolution of lighting vs. cholesterol treatments: a tale of innovation and value
A recent conversation about a young man’s reluctance to seek help made me reflect on society’s attitude regarding expectations for men and their impact on their mental health.
Lately, there has been growing recognition of the importance of mental health and well-being. However, despite the progress made in understanding and addressing mental health issues, there still persists a significant disparity in how men approach and perceive mental health. Men’s attitudes towards …
How masculinity expectations impact men’s mental health
Clinician burnout is one of the most tenacious problems facing the contemporary health system. Recent years have seen a plethora of guidance on reducing burnout and improving health care workers’ well-being following the pandemic, but little evidence of improvement. Seeing the problem through an occupational health lens can reveal different solutions.
Occupational health is a subfield of public health concerned with promoting workers’ health, safety, and well-being. From …
What an occupational health lens reveals about clinician burnout
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Nicole Rochester is a pediatrician and advocate for improving the doctor-patient relationship. She shares her personal experiences and discusses the importance of intentional human connection in clinical encounters. We delve into the root causes of the empathy …
Closing the empathy gap in health care [PODCAST]
When registering individuals who are unresponsive to stimuli, unconscious, unaware, or lacking alertness, it has been customary to assign them the names John Doe or Jane Doe, based on physical characteristics, while also assigning their sex accordingly. If their family members or legal guardians arrive or are contacted, their sex is determined based on their recollections until the individuals themselves awaken and become capable of expressing their gender preferences, affirming …
Gender-neutral registration for unresponsive individuals
Through a combination of coincidental privilege, silly circumstances, hard work, persistence, and perseverance, I ended up becoming a doctor. The journey post-graduation is a difficult one, as it introduces you to a world beyond books and examination halls. It’s a world where people are in agony and depend on you for every single ray of hope—a task that is both immense and heavy on the heart.
Being a doctor who takes …
From doctor’s journey in ICU to unveiling poisoning mysteries
Mental health conditions are common among individuals with long COVID due to various factors. These include the direct effects of COVID-19 on the body, such as neuroinflammation, as well as the circumstances often associated with the condition, such as job loss, reduced income, disconnection, isolation, chronic pain, immobility, and the persistent feeling of being unwell. Alongside cognitive impairment and fatigue, mental health issues form what I call the “unholy trinity” …
It’s time to stop stigmatizing long COVID patients with mental health conditions
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Join Monika Roots, a child and adolescent psychiatrist and health care executive, who explores the concerning rise in diagnoses of depression, anxiety, and behavioral problems, the shortcomings of the current mental health care model, and the potential …
Innovative solutions for the growing mental health crisis in children and families [PODCAST]
On a hot and humid July afternoon, the white coat ceremony for the class of 2025 at the Herbert Wertheim College of Medicine was in full swing. As I walked onstage, slipped into my brand-new white coat, and accepted the coveted “medical student” title I had spent years working for, I thought about why I was embarking on this journey: my family of Vietnam War refugees, my brother who has …
My experience with repeating a year of medical school
For 21 years, I have had the privilege and honor of coaching and mentoring medical students. Most of this mentoring takes place in my outpatient internal medicine-pediatrics practice, where each student spends two to three days with me every week for a month-long rotation. Additionally, I have been fortunate enough to work with students from all years as a facilitator in the REACH and 4C coaching programs. Throughout these experiences, …
An elder mentor’s message to new medical students
In every aspect of our lives, whether it is online banking or shopping, we rely on technology to make things better, more convenient, and more efficient. Yet in health care, and particularly cancer care, that is not the case. Oncology has been revolutionized in recent decades by therapies targeted to specific biomarkers and immunotherapy. Despite being a leader in therapeutic innovation, oncology lags behind in adopting easy-to-use apps and other …
Why oncology is ripe for digital innovation
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In this episode, we delve into the serious consequences of fecal impaction and chronic constipation on patients’ well-being and health care costs. Our guest, Mahesh Moolani, an internal medicine physician and author of Tough Decisions In Care …
Chronic constipation treatment with pulsed irrigation evacuation [PODCAST]
The recent failures of Silicon Valley Bank (SVB) and First Republic Bank understandably spurred concern among industry and regulatory leaders about the health of the overall banking industry. Certainly, investigating the reasons leading to their collapse is important so we can identify and prevent it from becoming a larger trend.
The reason to prevent future losses of similar banks, however, has microeconomic impacts that go beyond the dollars-and-cents and market-confidence impacts …
Why digital health startups still need banking partners like SVB and First Republic
The visit is winding down. You’re getting ready to go, hand on the doorknob, saying goodbye. And then you hear, “Doc, one more thing.” Or perhaps you’re more familiar with the patient who has a laundry list of issues all to be addressed in the fifteen-minute appointment slot.
These visits have in common that they are both certain to back you up. Have multiple in the day, and you are …
5 tips for ending office visits on time
Gender-affirming health care (GAH) is a rapidly developing sector within the medical profession that can include indirect therapies such as counseling, direct therapies such as hormone treatments, puberty blockers, or gender-affirming surgeries. A main ethical concern with GAH resides in its use on adolescents, and this paper will primarily explore the use of puberty blockers, sometimes called GnRH analogues, on minors.
Considering that most children start puberty around the age of …
Can minors truly consent to reversible puberty blockers in gender-affirming health care?
Obesity is unquestionably a major risk factor for disease and an increasingly serious societal problem, but is it actually a disease? I would argue that obesity, defined purely by a BMI of >30, is really just a number – an objective finding. In the long-honored tradition of medical science, an objective finding is not a disease, unless it is tied to a pathogenesis. For example, anemia is just a number, …
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Join us as we explore the intersection of medicine and art. Our guest, Farid Alsabeh, a clinical psychologist, delves into the rich tradition of medical poetry during the Islamic Golden Era. Discover how Arabic poets transformed scientific …
Unlocking the mystical world of medical poetry [PODCAST]
During my first week as an intern, a question weighed heavily on my mind: “How am I going to survive my night shift rotation?” Soon after, another question arose: “How can I make the most of my night shifts and continue to learn and grow?” I reached out to senior residents and faculty members to learn from their experiences and seek their advice.
I understand that you may have similar questions …
Internship survival guide: Thriving on the night floor rotation
Since December 2022, I have attended over 60 medical appointments, ranging from 15 minutes to as long as 6 hours. Some appointments were as short as 15 minutes, while others required a minimum of 3 hours. Through these numerous health care visits, which collectively amount to more than 60 hours, I have gained valuable insights. Here are my top 10 tips based on my experiences:
Check the location and plan ahead. …
Insider secrets: 10 must-know tips for mastering medical appointments
“I can’t afford higher,” Bobby’s (identifying information changed) mom explains when asked about his low dose. As Bobby’s dermatologist, I prescribed Accutane, curing 80 percent of acne with a six-month course. Insurance denied, requiring doxycycline. I rarely give antibiotics, following World Health Organization (WHO) recommendations. Antibiotics build resistance and aren’t curative, resulting in more scarring. Rejecting Medicaid’s incorrect treatment, Bobby’s mom is paying for the appropriate treatment, …
Insurance profits over patients’ lives: Doctors battle for proper care 33 times a week
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