Towards the end of a busy clinic afternoon, I felt my phone buzz with a page in my jacket pocket. It is rare to receive pages on our phones in the middle of the day because we usually get messages through the EMR or direct calls to the office. I called back the number to the sound of an exasperated ER doctor who had been trying to reach the PCP …
The powerful bond that overcomes the toughest challenges
How big is my ego? The trouble with a career in medicine is that you spend four years in a classroom and not managing people. It is impossible to gauge the size of your ego if you don’t have a stack of small unit leadership situations with which to calibrate it. The most needed quality as a physician leader (or any leader) is humility. Athletes and prior military folks tend …
The 4 habits of highly effective physician leaders
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Join orthopedic surgeon Michael Day as he shares his insights on how to reverse the acceleration of aging through lifestyle, habits, and even thoughts. Michael explains the role of neuroplasticity in enhancing the performance of our bodies …
Reversing the aging process with neuroplasticity [PODCAST]
Three months ago, a case was discussed in the multidisciplinary tumor board. A 17-month-old child was admitted through the ER with a posterior fossa tumor (brain tumor) and multi-level spinal cord compression due to tumor deposits. The tumor was so extensive that only a biopsy could be performed rather than maximum safe resection. The biopsy report was discussed in the MDT (it was medulloblastoma), and after considering the neurological deficits …
Mr. Sanchez had been feeling unwell for days before he decided to visit the emergency room. When I walked into his room, I immediately noticed that he was scared and anxious. His sore throat had been persistent for five days and was now so severe that he couldn’t eat or drink anything. He had also developed a rash covering his entire body, which was only getting worse. The lymph nodes …
Surviving monkeypox: a story of compassionate care and an emerging disease outbreak
Imagine that you are suffering from chronic pain.
The pain keeps you awake at night so you don’t get much sleep. Lack of sleep most nights and the ensuing chronic fatigue causes you some anxiety during the day. Your primary care physician suggests that she is concerned with the increasing amount of aspirin and ibuprofen you are consuming to manage the pain. She can prescribe opioids to help with the pain, …
The cannabis education gap: Why patients are left in the dark
About five years ago, I did the first public reading of my non-academic writing. I was a 40-something-year-old physician, and I was terrified.
It was at a narrative medicine event, and I’d been selected to read one of my personal essays. A few days earlier, an experienced performer had given me some pointers. Identified which word in each sentence should be emphasized. Where I should add dramatic pauses, I now had …
How writing and storytelling helped me recover from burnout
It is staggering to think that our medical school scholars have fallen in line with the dictatorial components of the “deep state of medical education.” John Abramson, MD, a graduate scholar of Harvard, Dartmouth, and Brown medical education institutions, recently published in “Imprimis,” a publication of Hillsdale College, eloquently and astutely links the disintegration and decreasing quality of health care in our nation to the “medical-industrial complex,” let alone, the …
Why doctors are burning out: the missing piece in medical education
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In this episode, we welcome Jay Shah, a cardiologist and health care executive, to discuss the future of health care. Jay shares his personal journey and insights on how to get started in health innovation, including tips …
Breaking into health innovation: tips and insights from a physician innovator [PODCAST]
The ACLU is currently tracking over 400 anti-LGBTQ bills this legislative session, the highest number on record. Over 150 of these pertain to transgender people, including many targeting health care for transgender youth.
As of April 2023, thirteen states have passed laws or policies banning gender-affirming care for youth, while more than fifteen others have introduced similar bills and policies. These actions may forbid or criminalize evidence-based medical treatment for …
The growing threat to transgender health care: implications for patients, providers, and trainees
The health of world leaders has often played a critical role in shaping the course of history. Decisions made while under the influence of poor health or illness can have far-reaching consequences, and the untimely demise of some leaders has altered the trajectory of nations. This article explores the lives of a few famous leaders whose health issues significantly impacted their countries …
How world leaders’ health has shaped history and the role of modern medicine in leadership
Eleven-year-old Abby sat nervously in the emergency department, her eyes darting around the room as she clutched Patches, her beloved stuffed sheep. Her guardian sat beside her, anxiety etched on her face as she explained the situation to me. Abby had been diagnosed with depression at the tender age of nine after suffering years of abuse and neglect at the hands of her biological parents.
A few months ago, a loving …
A glimmer of hope for a child with suicidal ideations
“I don’t know how you do what you do.” About 90 percent of the time, this is the response I get when I tell people that I am a hospice physician. “Isn’t it sad to work with dying people all the time? You lose all of your patients… that must be so difficult.”
Having been exposed to the many different ways that people can die throughout my medical training, I see …
Inside the life of a hospice physician: Bringing peace to the dying
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In this episode, we have Bruce Rosky, who is a patient advocate. Bruce shares his personal journey as a caregiver for his wife Jennifer, who was diagnosed with adult polyglucosan body disease (APBD), a rare neurodegenerative disorder. …
Lessons from a caregiver for a rare neurodegenerative disorder [PODCAST]
Nearly 290,000 American men will be diagnosed with prostate cancer in 2023. Thankfully, the vast majority will be diagnosed with clinically localized disease and can be cured with either surgery or radiotherapy. Emerging clinical trial data have cemented stereotactic body radiotherapy (SBRT), a form of radiation in which ≤5 daily doses are delivered with high precision in generally five or fewer treatments, as a curative option for most men with …
Breakthrough trial shows MRI-guided radiation can reduce prostate cancer treatment toxicity
The medical field has always been an ever-evolving landscape with technological advancements, treatments, and diagnoses. But the workforce behind these advancements also plays a crucial role in shaping the medical industry. Over the years, different generations have contributed unique work habits and values, impacting how doctors practice medicine. In this article, we will explore the work habits of Baby Boomers, Generation X, and Millennials and discuss how these generational differences …
Today, the current health care ecosystem is broken and in need of an overhaul. To start, this country’s high cost of health care is not sustainable, preventing millions of Americans from accessing important health care services. The recent ruling will only exacerbate this to remove requirements for preventive screenings from the Affordable Care Act. Further, there are vast omissions of care provided to individuals in historically marginalized communities. These inexcusable …
Here’s how to fix the public health system in the U.S.
I need to tell you about John (not his real name). He is a Cameroonian immigrant who came to the U.S. on a student visa. He waited tables in a popular pub in downtown Houston to earn a little change and support himself through school. Hardworking, courteous, and gregarious, John wears the most infectious and charming smile you have ever seen.
It didn’t take long for him to get noticed by …
Poverty: America’s disease with devastating consequences
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Join us in this episode as we sit down with Najat Fadlallah, a pediatric resident in Lebanon, to discuss the untapped potential of health care data and personal experiences in medical research. We’ll explore how health care …
From patient to protagonist: the importance of narrative writing in medicine [PODCAST]
As I’m pre-charting for my primary care clinic, I see Ms. C on the schedule, whom I know well through our nearly monthly follow-up visits over the past two and a half years of residency. We talk in Spanish as it’s her preferred language. She shares her escalating distress over being an immigrant, a full-time caregiver for her dad with advancing dementia and three kids, and current marital issues while …
Are doctors ready to discuss psychedelic therapies with patients?
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