I’ve wanted to be a doctor since I was 12. Growing up, I idolized my pediatrician, Dr. Helen Nash, one of the first Black female physicians in St. Louis. Her warmth and competence left a lasting impression on me. Medicine became my calling, my purpose, and my dream. I worked tirelessly through high school, college, medical school, and residency to make that dream a reality. But no one warned me …
Kayla was referred to our addiction clinic after a visit to the emergency department for a skin infection, common in people who use drugs intravenously. Recognizing her fentanyl use was escalating out of her control, she made an appointment to discuss starting buprenorphine, a mainstay of treatment for opioid use disorder (OUD). While our initial office visit with Kayla was straightforward and optimistic, during subsequent visits she continued to experience …
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We discuss the transformative potential of a standardized affiliation agreement (SAA) in nurse practitioner education with Lynn McComas, CEO and founder of PreceptorLink. As a recognized expert in precepting nurse practitioners and advanced …
I was on the phone with my sister when I thought I heard a knock at the door. Then another. My dogs barked, and I told her, “Don’t hang up.” My chest tightened. Nightmares of someone coming for me flashed through my mind—a stranger lurking in the dark.
After more than 40 years as a nurse, transitioning from the chaos of the ER to the intensity of the ICU, I thought …
Abstract
The United States health care system faces escalating costs, access disparities, and significant physician burnout. Direct primary care (DPC) offers a transformative approach by emphasizing patient-centered care, price transparency, and reduced administrative burdens. Yet, federal policy reforms are necessary to scale this model nationally. This article outlines actionable federal policy recommendations, identifying how mechanisms like agency rulemaking and budget reconciliation can be used to drive adoption, expand access, and empower …
Bitcoin has recently surged past $100,000, marking a pivotal moment in the adoption of cryptocurrency worldwide. Coupled with a regulatory environment under the Trump administration that promises to be more favorable to digital assets, now is the time for medical practices to consider integrating cryptocurrency payments into their operations. This combination of market momentum and policy support offers practices a unique opportunity to attract a broader clientele and improve financial …
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We explore the often-overlooked world of bowel health with colorectal surgeon Carmen Fong. Carmen shares her journey into this specialty, the stigma surrounding bowel habits, and the critical need to normalize conversations about …
As a physician, I have always faced the stigma of being considered a “deep pocket.” What does that mean? Because of my profession, I was considered a high-salaried worker with assets that might have significant financial value, including a private practice and property.
Doctors have sometimes been “targeted” in malpractice lawsuits in past decades because of this stigma. But now, if you live in California and certain parts of the US …
Inpatient caregiving companions, especially during nights, may hold significant value in enhancing patient recovery and expediting discharge. Hospital nights can be tumultuous not only for inpatients but also for their caregivers, whether professional or personal. This need persists despite humanity’s adaptation to varying chronotypes—lion, bear, wolf, and dolphin—which have enabled people to transcend their diurnal instincts for the collective good. Nevertheless, the challenges of nighttime caregiving remain profound.
A critical issue …
It was rich to watch the TV pundits, who excel at creating storms in a teacup, feigning shock at the public response on social media to UnitedHealthcare’s CEO being gunned down. They were aghast at the over 57,000 laugh emojis on the statement of condolence platitudes put out by UnitedHealthcare. Mr. Smercornish on CNN was properly clutching his pearls and, after some scolding, declared at least the responders on the …
Can you imagine waking up drunk, or getting drunk in the middle of your workday without having touched a drop of alcohol?! When I first saw my husband Joe having these drunken episodes, I thought he must be secretly drinking or at least sleepwalking to the liquor cabinet.
He’d been having weird episodes for six years and got checked out by a neurologist, an endocrinologist, a cardiologist, and other specialists, but …
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We dive into the transformative power of recovery with Courtney Barrows McKeown, a surgeon who shares her journey of sobriety and resilience. From navigating career setbacks to fostering personal growth, Courtney discusses how …
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I have spent nearly half a century in the world of health care leadership, first in management and later as a consultant. Throughout my career, one of my most consistent observations has been that most health care organizations do not treat physicians very well.
I knew it because I saw it nearly every day in the hospitals I worked with. But it wasn’t until this year that I experienced firsthand how …
Many songs and famous refrains flooded my mind as we transitioned into 2025. “Living on a thin line,” “It’s all over now, baby blue,” and “Can’t find my way home” were some of the notable downers. On the flip side (no pun intended), I was uplifted by “Land of hope and dreams” and “It’s gonna be a bright sun-shiny day,” and the thought that “Love [would] reign o’er me.”
Of all, …
The box office hit Wicked is a modern retelling of the classic Wizard of Oz, where the Wizard labels Elphaba as “wicked” in his pursuit of control and greed. Much like the Wizard, who manipulates society by changing Elphaba’s name and orchestrating a movement to bring about her downfall, today’s health care insurance industry uses similar tactics to portray physicians—particularly anesthesiologists—as the villains. A recent article from Vox echoes …
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In this episode, we sit down with neurologist Lealani Mae Acosta to explore the intersection of beauty standards, professionalism, and gender disparities in medicine. From the impact of COVID-19 on personal appearance routines …
As a licensed practitioner of family medicine who is also the majority owner of a small medical practice, I feel a responsibility to provide top-quality care for my patients as well as comprehensive health insurance coverage for my employees. The problem is, the high cost of health insurance and some of the solutions intended to lower insurance costs have made it increasingly difficult to do both.
My situation is particularly challenging …
Frank Sinatra’s 1965 hit, “It was a very good year,” framed the benchmarks of a life well-lived through relationships at various ages: when he was 17, “small-town girls … on the village green”; at 21, “city girls who lived up the stair”; at 35, “blue-blooded girls of independent means.”
Fast forward 60 years. What are the ingredients that now constitute “a very good year?” Data from a survey of 2,000 …
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In the halls of the Smithsonian, we often contemplate how the past shapes our present. But a groundbreaking new study on tobacco use forces us to consider how our present actions will dramatically alter our future.
Research published in The Lancet Public Health reveals a staggering statistic: current smoking trends will rob humanity of over 2 billion years of life by 2050. To put this in perspective, that’s more time than …
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