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In this episode, we explore the concept of normal weight obesity and skinny fat with scientific researcher Marc Nelson. Marc discusses how genetics, diet, exercise, and lifestyle all play a role in determining our body type, and …
Why body type standards are misleading in assessing health [PODCAST]
Who among us as physicians and prescribers, not to mention the millions of families who have been affected and suffered deep personal loss due to the current crisis and record overdose deaths, regardless of whether the opioid was legally written or illicit.
Let’s take a step back in time and review. As physicians, how have we been duped? Now the CDC has come up with recent new guidelines on opioid prescribing …
How were we duped and what can we do about the opioid overdose crisis?
We began with terminally ill patients, but the slippery slope is alive and well, smothered in oil. The Western world is increasingly advocating for the advancement of legal euthanasia, and this is a huge mistake. In their quest, advocates for legally assisted suicide by way of a physician are redefining the definition of “immense suffering.” For example, Canada is considering including mental health disorders as eligible for legally assisted euthanasia. …
The slippery slope of legal assisted suicide and euthanasia
I was going through drawers, finishing unpacking as best I could, when I stumbled upon one of those moments that feels like a puzzle piece sliding into place. I recently divorced, moved across the country, took a leave of absence from work, and changed my job. It’s been tumultuous, but grounding. I’m back in my home state, near good friends and family, and in therapy. I’m sleeping 8 hours a …
Don’t lose yourself: a warning from a divorced physician
I’ve been practicing internal medicine for over a decade now. I was drawn to this field because of my admiration for Dr. William Osler and the superb physicians I have met who embody his qualities. As an internal medicine physician, I am expected to be a critical thinker and a “doctor’s doctor,” specializing in complexity and solving problems with multiple layers, like peeling an onion. However, I never imagined that …
Physician speaks out about being threatened by a patient and betrayed by an organization
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“Let’s ask which elements of our system support this and promote and enhance those elements. If anything takes time or focus away from the main principle, let’s remove or replace it. Whether it’s the EMR, payment models, …
Physicians’ real problem isn’t burnout [PODCAST]
Patients may find themselves caught in the middle between their health insurance company and their oncologist when it comes to selecting the drugs used to treat their cancer. Why is this?
The American Cancer Society explains biologic drugs (derived from living organisms such as yeast, bacteria, or animal cells) and biosimilar drugs, which behave similarly to the original, patented (i.e., brand) drug. It is important to note that biosimilar drugs are …
Caught in the middle: How health insurance companies influence cancer drug selection
GPT, or Generative Pre-trained Transformer, is a type of artificial intelligence that has the unremarkable ability to generate human-like text. The program is free to use during the “research preview” time. GPT gained 1 million users in under a week of being released. Keep in mind that this technology is currently in the beta testing phase.
It is important to note the limitations. The quality of the responses depends on the …
Revolutionizing medicine: How ChatGPT is changing the way we think about health care
Can you absolutely and unequivocally answer “no” to all of the following questions:
Has your license to practice in any jurisdiction ever been limited, restricted, reduced, suspended, voluntarily surrendered, revoked, denied, or not renewed?
Have you ever been reprimanded by a state licensing agency, or are any of these actions pending with respect to your license; are you under investigation by any licensing or regulatory agency?
Has your professional employment or membership in …
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“My hope for the future is to see a health care workforce that matches the diversity of the communities it serves. As we continue to push for health equity, we also continue to evaluate and reassess our …
Who are we losing on the medical education journey? [PODCAST]
The fact that every physician in private medical practice, without a business education, leaves approximately a million dollars on the table and is unaware of it is well known to business experts who work with medical doctors experiencing financial difficulties. Business experts such as Dan S. Kennedy, Peter Drucker, Michael Gerber, Maxwell Maltz, Neil Baum, William Hanson, Huss and Coleman, Steven Hacker, Thomas Stanley, Chris Hurn, Napoleon Hill, and Dave …
The million dollar mistake: Why medical schools don’t teach business and how it’s costing physicians
Success is a word that is used frequently across the globe. Almost everyone wishes to experience a great amount of success all the time. We are constantly bombarded with images of success through the internet, mainstream media, and social media. These images often depict high net worth, lavish possessions, luxurious lifestyles, impressive titles or achievements, exotic travel, and more. However, data shows that this appearance of perceived success is not …
Is success really just about wealth and achievements?
The high cost, low quality, and systemic inequities of the U.S. health care system have prompted its redesign. The current health care system is now controlled by consolidated health care institutions, insurance companies, pharmaceutical companies, and health information technology companies (CHIPHIT complex). The CHIPHIT complex, along with the federal government, will shape the future health care system. However, independent health care policy experts, independent health care providers, and members of …
The CHIPHIT complex and the future of health care: Can we create a low-cost, high-quality system?
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“The retreat offered me the opportunity to see that I want more time (don’t we all) to connect with quiet, peace, and loved ones. I want to embody love as well as the badass that I am. …
Why physicians should go on a retreat [PODCAST]
As a pediatric subspecialist in the division of developmental medicine at our hospital and a mother of two school-aged children, I constantly strive to find new approaches to both parenting and my medical practice. Some of these strategies work well, while others do not. Despite my attempts to believe that my roles as a pediatrician and a parent do not influence each other, the truth is that they are deeply …
The intertwined roles of parenting and medicine: How personal experience can enhance patient care
Last night, one of my work colleagues asked me how I do it. I looked over at them, a little confused. They looked back at me earnestly. How do I continue to come to work every shift and not burn out? How do I keep finding meaning in what I am doing? How?
They’re a yearling emergency medicine attending. They’re just getting started in their career, whereas I am several long …
Why I keep coming back to the ER: reflections from a seasoned attending
Nearly 50 years have passed since the first published mention of physician burnout. Clinical psychologist Herbert Freudenberger described the “excessive demands on energy, strength or resources” and wrote of how it resulted in “fatigue, frustration, cynicism.” And though initiatives, programs, and solutions to address burnout have grown, the concerns first cited in 1974 have grown as well—now reaching the undeniable crisis.
In a recent survey, 61 percent of physicians reported …
Returning the joy of medicine to our primary care physicians
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“The finality of death is a powerful teacher. For some patients, being diagnosed with a terminal illness is an experience that lends a tremendous shift in perspective and newfound authenticity. This can be instructive to them and …
What being a hospice volunteer taught me about health care [PODCAST]
There is an all-too-common pain that many hide. It affects emotional well-being. It affects self-image. It affects health.
Now that the new year is upon us, advertisements for “new year, new you” aren’t far behind. That can spur people to make health care appointments that they’ve been putting off. This is a good time to address this pain that so many carry silently.
This silent pain results from infertility, pregnancy loss, being …
Childlessness: Your patients and colleagues may be grieving silently
Damar Hamlin, Buffalo Bills safety, collapsed on the field during the Monday Night NFL game against the Cincinnati Bengals with nearly six minutes left in the first quarter. The incident rattled sports fans and left everyone emotionally distraught. The game was postponed and subsequently canceled. CPR (cardiopulmonary resuscitation) and AED (automated external defibrillator) were used as part of resuscitation efforts. It is gratifying to hear the good news that Hamlin …
The urgent need for widespread CPR and AED access
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