The most valuable health care companies of tomorrow will be technology companies

Tech
November 29, 2022

I’ve always been curious about the top 0.1 percent.

Their mindsets, backgrounds, upbringing, perceptions, skills, and behavioral traits that got them there.

After living through the Dot-com bubble, 9/11, Enron-WorldCom, the 2008 financial crisis, the meteoric rise of technology (search, e-commerce, social media, sharing economy), and the rise of a new class of billionaires, I intuitively sensed that there was a disconnect between what was going on in the real world, and …

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A physician’s remedy for stress, anxiety, depression, and burnout [PODCAST]

Podcast
November 28, 2022
YouTube video

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“My own burnout episode forced me into some heavy-duty soul-searching and serious reflection. I got lost in the world of seeing as many patients as possible, battling for more operating room time, and keeping up procedure volumes, …

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The transformative power of EMDR

Conditions
November 28, 2022

I became a self-involved status and achievement “junkie” in order to tune out unbearable inner voices that repeated, “You are worthless … you’re a fraud … you’re a failure.” I was obsessed with grandiosity: I owned a penthouse apartment with a landscaped terrace, a closet full of Brooks Brothers suits, a family crest ring, engraved stationery from Tiffany & Co., monogrammed dress shirts from Charvet in Paris, and towels from …

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Stop calling it the good cancer

Conditions
November 28, 2022

“You have the good cancer.”

These are the most common words that spill out of providers’ mouths to patients just being diagnosed with papillary thyroid cancer. However, this statement does not make this diagnosis any easier to comprehend and digest the life-altering news that has been received by the patient. The survivability rate for this cancer is a high percentage; that is good news, but not good cancer. An issue at …

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For me, COVID has a face

Conditions
November 28, 2022

I’ve moved recently, and in the process of moving, invariably, one discovers old items. This had gotten shelved in the fracas of those years, work changed overnight, changing employers, moving. However, in a discussion with a close friend today, this resurfaced as she’s grappling with patients and family who are not seeing what she’s seeing.

Summer 2020

It’s another Sunday night family dinner. Conversation centers around catching up on the latest family …

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What anticipatory grief feels like [PODCAST]

Podcast
November 27, 2022
YouTube video

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“I experienced many deaths when I was a nurse, from babies, kids, young adults, the elderly, and my own family. It was always heartbreaking, but I found that staying with the dying and the family and supporting …

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Has medicine lost its why?

Physician
November 27, 2022

From the halls of ancient Greece to the heights of television screens, the myth that the physician is more god than mortal has stood the test of time. As such, we are held to moral and superhuman standards no matter how tough things get. And thanks to our friend Hippocrates, we are oath-bound in our virtues to help anyone in need; while putting OUR personal needs aside, of course. Many …

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It’s called crying and it’s normal

Physician
November 27, 2022

Doctors treat people in all types of situations. Life or death. Sometimes both. Babies die, children die, and teenagers die. Women die. Men die. Sometimes you even have the misfortune of delivering a stillborn. Everyone experiences death, but for doctors, it’s part of our daily norm. Day after day, for decades throughout their career, we have to experience death and the pain of others. Beyond being knowledgeable and competent in …

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Don’t lie about medical errors. Apologize.

Conditions
November 27, 2022

Time of death: unknown.

It was around 6 p.m. on April 21, 2013.

My mom saw my grandfather dying slowly in the hospital bed.

She had pressed the nurse call button frantically over the last 20 minutes.

She rushed to the nurse station only to find out nobody was there.

She went back to my grandfather and spent the last three minutes with him.

She was the one who saw my grandfather’s bpm (beats per minute) …

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Opioid-free orthopedic surgery [PODCAST]

Podcast
November 26, 2022
YouTube video

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“How do we manage this? All patients meet with the physical therapist before surgery and within two days after surgery. They use transcutaneous electrical nerve stimulation (TENS) before and after surgery. They get a regional anesthetic block …

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The impact of hand surgery on human identity and expression

Conditions
November 26, 2022

One weekend, while taking hand trauma call, we received a pre-arrival page about an incoming patient, a plastic surgeon, who had injured himself while moving a glass table. The information we received was devastating — a wrist laceration through the median nerve of his dominant hand. After his arrival in the ED and the formulaic introductions at the beginning of any encounter, he frankly asked, “So, honestly, do I need …

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A holiday wish for lung cancer screening

Conditions
November 26, 2022

In November, Mariah Carey defrosts for another holiday season with her iconic tune, “All I Want For Christmas Is You,” and social media floods platforms with content about Black Friday and the holidays.

November is also Lung Cancer Awareness Month. Lung cancer is the No. 1 cancer killer of both men and women in the U.S. and worldwide. Lung cancer kills more people each year than breast, prostate, and colon …

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The scientific race to defeat a deadly virus

Conditions
November 26, 2022

An interview with David Quamman, author of Breathless: The Scientific Race to Defeat a Deadly Virus.

Rosenberg: After the publication of your 2012 book Spillover, in which the scientists you interviewed talked about expecting the “next big one,” I was surprised more people didn’t say, “Quammen told us so.”

Quammen: Actually, in Jan 2020 [as COVID-19 hit], I immediately got calls asking me how “I knew” this was going to …

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Science impacts our lives more profoundly than we appreciate [PODCAST]

Podcast
November 25, 2022
YouTube video

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“Scientific research impacts our lives, however, and much more profoundly than we generally appreciate. Considering the wide-ranging benefits, science is not just for scientists. Research discoveries are often translated to tools and applications down the road, usually …

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A goodbye note to my suicidal teenagers

Physician
November 25, 2022

On the day before the last day at my last job, I reviewed my patient roster. Five of my seven most worrisome teenagers were currently admitted to a psychiatric hospital for a suicide attempt. This was not completely surprising. It is the fall. Teenagers notoriously struggle two to three months after starting school, getting into academic work, falling prey to bullying and stress, or not meeting their goals. But I …

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Why every doctor needs a translator

Education
November 25, 2022

Twenty years as a medical malpractice defense attorney has given me a superpower. I’m an extraordinary translator. In the courtroom, we occasionally hire translators to interpret when a witness speaks a language other than English. They help the jury understand the witness and collect the information they need to make a decision. But we need someone able to translate for the jury when a physician starts speaking “medicine.” This also …

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The physician’s real problem isn’t burnout

Physician
November 25, 2022

I read an article recently suggesting that physicians were burned out from hearing about burnout. The proposed solution was to create systemic changes to help alleviate the burden of complexities of care that have polluted health care delivery. The solutions involved adding a team of individuals, including nurse practitioners, physician’s assistants, pharmacy assistants, and other physician extenders.

Once again, rather than focus on the physician-patient relationship on which medicine is based, …

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How this primary care doctor found his dream practice [PODCAST]

Podcast
November 24, 2022
YouTube video

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“My quality of life is outstanding. I leave work every evening only after every call is answered, fax addressed, a prescription delivered, then retreat to my home a mile away. The proximity makes it easy to see …

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A careless misdiagnosis. A death. A lawsuit.

Conditions
November 24, 2022

They loved long walks through the woods in California. They were sweethearts in high school through college. If they wanted to take a break from their walks, the dogs would gang up on them and insist on continuing.

The trees, the skies, the quiet, the fresh smell of pine and wildflowers.

And on one clear blue sky day, Bill dropped down on bended knee and proposed to Jennifer. The breeze gently blew …

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PTSD after medical education

Physician
November 24, 2022

Dear Art:

On Friday, June 11, 1982, members of the faculty convened to discuss the performance of the psychiatric residents during the last six (6) months. The following is a summation of their comments as they apply to your performance.

The faculty’s reaction to your performance was uniformly excellent. There was some comment on your earlier fear of the psychotherapeutic role, but the consensus was that this has improved markedly and that …

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