Why health care delivery is an exceptionally different industry: board of directors and CEOs

Policy
December 17, 2021

First in a series.

The business of health care delivery differs markedly from other consumer and service industries in many ways. First and foremost, the economics differ. Specifically, the payers of medical care are often different from the customers, the government and third-party insurers are the primary payers, demand is inelastic, quality metrics are typically unavailable, and the industry consists largely of nonprofits that avoid taxes. And that’s just the start …

Read more…

How this pediatrician handles a distorted concept of reality [PODCAST]

Podcast
December 16, 2021
YouTube video

“The victims of this now distorted concept of liberty are ones that we physicians encounter every day. The one that inspired this essay for me is an 11-year-old boy that I saw three weeks ago. He is a patient of mine in my pediatric practice who came to see me …

Read more…

The post-pandemic future I envisioned is here

Physician
December 16, 2021

It has been exactly one year since Pfizer’s first trucks rolled out to much fanfare. Billions followed every twist and turn on the path to getting a vaccine that would save countless lives and give us a return to normalcy. We all hoped for a brisk global vaccination campaign that, in addition to securing our health, would restore our social lives. We yearned for going to large events without the …

Read more…

The Kyle Rittenhouse acquittal: a contrasting physician opinion

Physician
December 16, 2021

Please also read the contrasting opinion article, “Doctoring during Kyle Rittenhouse’s acquittal.”

The Kyle Rittenhouse acquittal. We need to know the truth: There has been much misinformation and some downright lies on social media and mainstream media regarding this. Some social media outlets have blocked any positive comments regarding Rittenhouse. A man who contributed $25 to a GoFundMe site to support Rittenhouse, (before the social media platform canceled …

Read more…

The bipartisan infrastructure deal is now law, but here’s what it forgets

Policy
December 16, 2021

In June 2021, the Biden administration announced bipartisan support for federal legislation to rebuild our nation’s crumbling infrastructure. The Infrastructure Investment and Jobs Act seeks to revive highway, transit, rail, and public work systems, as well as improve broadband internet access, mitigate the supply chain crisis and combat climate change.

Like most Americans, I am grateful that we are …

Read more…

Changes in the Public Service Loan Forgiveness waiver and its impact on physicians [PODCAST]

Podcast
December 15, 2021
YouTube video

“The U.S. Department of Education recently announced some major changes to the rules and qualifications around the Public Service Loan Forgiveness (PSLF) Program. Now, for a limited period of time, borrowers may receive credit for past payments made on loans that would otherwise not qualify for PSLF.

The good news is …

Read more…

Is Omicron a sheep in wolf’s clothing?

Conditions
December 15, 2021

Make no mistake, the newest variant in the COVID-19 family is far more contagious than any of the others. Will it cause a drastic surge in the pandemic? Or could it have a mitigating influence?

First identified in South Africa on November 11, Omicron quickly became the dominant variant in that country. In October, Delta variants were found in 80 percent of all samples sequenced, while in November, 75 percent were …

Read more…

Leaving clinical medicine without regrets

Physician
December 15, 2021

“You do not have to be good.”

I’ve long considered having these classic, profound opening words of Mary Oliver’s most famous poem tattooed on my body somewhere. Since I quit clinical medicine a month ago, I’m at that stage where I’m researching tattoo parlors.

It was just this morning, a late October Saturday morning, that I took my kids and the dog hiking in the woods in the rain. …

Read more…

Omicron and misinformation: When will we learn from past mistakes?

Physician
December 15, 2021

Did anyone else’s heart sink when you heard about the new COVID variant? Mine sure did. I wasn’t surprised when I heard the news. I felt numb as I know we are in for a challenging period, partially because the colder months are quickly approaching and Omicron has already been identified in numerous countries globally. Echoing the words of a science-fiction movie, “the alien(variant) in amongst us” resonated with many …

Read more…

Genetic testing’s emotional impact [PODCAST]

Podcast
December 14, 2021
YouTube video

“Finding out I was gene-positive had hit me harder than I could ever have imagined. How was I to know that my decision to get tested would have such an impact on my life? All of the rehearsing I had done in the weeks leading up to my results …

Read more…

12 year-end tax planning tips for physicians

Finance
December 14, 2021

As another autumn pulls the pages off the 2021 calendar, it’s already time to start planning for the end of the year. The days get shorter but often busier as the weather cools down. This can be a vital time when preparing for taxes, and it’s good to know what the best savings strategies are for you to implement now, which will put you in a good spot for your …

Read more…

End the trauma, stop health care’s great resignation, and protect care teams now

Physician
December 14, 2021

Health care workers understand that workplace violence, cognitive overload, and burnout have been challenging their safety and wellbeing long before COVID-19 added to their trauma. Bias and inequities in health care environments were also present well before this novel virus began making headlines. The time is now for us to determine what it will take to keep people in their chosen profession and then rapidly make these changes. Failure to …

Read more…

Viral upper respiratory infections in the age of COVID

Conditions
December 14, 2021

Your toddler has had a cough and runny, stuffy nose on and off for months. They also attend daycare and have a sibling in preschool. You are worried about the symptoms. You are also exhausted because your child’s coughing and congestion is not letting either of you sleep at night. Does this sound familiar?

You ask yourself, “Is this normal?” and “What is wrong with my child?”

Well, to calm your fears, …

Read more…

ADVERTISEMENT

If you’re a nurse or an abuse survivor, you don’t have to be brave [PODCAST]

Podcast
December 13, 2021
YouTube video

“I’m not brave. I’m just me. Full of light and lifted by my light. You see, when you strip away the darkness and lies that others surround you with, you’re left only with your light. The genuine you. Moving forward in life in ways that are authentically you. Not because …

Read more…

Superheroes can have disabilities, too

Education
December 13, 2021

The highly anticipated release of Marvel Studios’ Eternals has people excited about superheroes. When I see an individual in a white coat and stethoscope or a person in scrubs, I see a real superhero, someone who works in the health care field. Our health care providers showed us their superpowers when our country was infected by the novel coronavirus. We witnessed collaboration amongst medical disciplines to combat this deadly virus. …

Read more…

Why patients refuse the COVID-19 vaccination

Physician
December 13, 2021

The U.S. is progressively falling behind other countries when rated on the percent of the population that is vaccinated against COVID-19.

I ask all my patients if they are vaccinated against COVID-19 and estimate that 80 percent are vaccinated. The unvaccinated can be unscientifically categorized into three groups, highlighting three real but anonymous patients.

Politically indifferent, medically uneducated, under peer pressure

The first patient is in their 5th decade of …

Read more…

ADVERTISEMENT

VIP medicine: Where patients get bad medical care

Physician
December 13, 2021

Let’s take a pediatrics patient as an example. She has a rare genetic disorder, heart problems, is G-tube dependent, and home-bound. The child is also on countless medications and requires 24-hour nursing. The family is rich and pays 100 percent of the child’s medical care.

Parents want what’s best for their children, right? I mean, their child’s care is 100 percent …

Read more…

A satirical letter to radiologists from a jilted orthopedic surgeon [PODCAST]

Podcast
December 12, 2021
YouTube video

“We orthopedic surgeons are disappointed with the growing lack of enthusiasm in your reports. When I began in practice almost 15 years ago, it wasn’t unusual to see a report of a post-reduction or post-surgical X-ray that read, ‘alignment is now anatomic’ or, at a minimum, ‘near anatomic.’

What happened? What …

Read more…

ADVERTISEMENT

3 ways to reawaken nurse purpose in the era of burnout

Conditions
December 12, 2021

In September, the American Nurses Association asked the Department of Health and Human Services to declare the national nursing shortage as a national crisis. At the same time, the American Association of Critical Care Nurses found 66 percent of ICU nurses were considering leaving the profession. Talk to any hospital, and you’ll hear of high turnover and struggles to fill shifts. So far, the …

Read more…

540
pages