“Arriving at an acceptance of one’s mortality is a process, not an epiphany.”
– Atul Gawande
Imagine a group of old (mature) friends gathered for a “girls” weekend in balmy Florida. The friendships started in grammar school and have continued for the better part of 50 years. These women have met at least once a year for more than 25 years and shared life’s ups and downs. On this trip, one of …
The nicest patient I’ve ever met was Mr. Harris.
I first met him in the ED with his son and daughter by his side, noticing a foley bag filled with bright red blood.
He was an elderly gentleman with ALS and was brought by his children for hematuria and blood clots overnight. Never happened before, and we were all unsure of the cause. Urinalysis soon showed likely UTI, so we started antibiotics. …
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“ME/CFS is a complex multi-system illness that destroys lives (essentially killing the person yet leaving them alive). It leaves patients with unimaginable fatigue, post-exertional malaise (meaning that minor exertion makes them feel worse), cognitive deficits, cardiovascular dysfunction, …
Your smartwatch talks a lot but may not say as much as you believe with regard to health. Constant data collection from wearables claims to improve medicine at large. Is the “quantified self” the next evolution or a gimmick for patients?
Imagine your sleep and heart data beamed straight to your medical record. Your care team might notice a red flag and schedule a virtual appointment immediately. Health care wearables, meaning …
The callous and inhumane dislocation of migrants recently perpetrated by governors of the states of Florida and Texas reminded me of an equally disdainful and appalling tactic utilized by health care workers since the 1960s: “Greyhound therapy.”
Greyhound therapy refers to attempts by health care workers and administrators to remove undesirable patients from emergency rooms, hospitals, and other types of facilities by providing them one-way tickets on a Greyhound Lines …
This year, I stopped doing surgery — giving up the knife, so to speak. It wasn’t an easy decision to make. I’ve been a surgeon for 32 years since graduating from medical school. It’s been a distinct part of who I am for most of my life.
This doesn’t mean I’ve retired. I’m still practicing in a clinic-based setting and still do procedures in the office. I just no longer operate …
An excerpt from How to Lose Weight for the Last Time: Brain-Based Solutions for Permanent Weight Loss. Copyright © 2022 by Katrina Ubell. Reprinted with permission of Balance Publishing. All rights reserved.
“I just really like food.”
“Eating at a beautiful restaurant or tasting something different and special while traveling is one …
This article is sponsored by the Nuance Dragon Ambient eXperience. AI-driven ambient clinical intelligence (ACI) promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself.
For decades, researchers have been working toward a vision of ambient intelligence, finding ways to harness cloud, advanced AI, and the Internet of Things to create more intelligent spaces that help …
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“The boundaries of unacceptable behavior have eroded in the past few years. Politicians, law enforcement, movie stars, health care providers, the health care system, and society, in general, are all acting badly occasionally. I’m amazed but no …
It’s not that I hate football; truly I don’t. I try hard to get into it. I scan the sports page to become familiar with names, rivalries, predictions, and opinions. I tune in to Sports Extra on Sunday nights for the weekend analysis and wrap-up. I watch the introduction to televised games for the opening excitement and colorful background of the teams. I’ve enjoyed a few episodes of Hard Knocks.
Why …
Throughout my life, I have been trained by Jesuit institutions. I have loved all of what they have prescribed – to “find God in all things,” to “care for the entire person,” to “be a woman with and for others.” But the most important pillar that I have gained from these educational institutions is to have a reflective mind – the ability to ask why and dig deeper into a …
I recently published “Avoid ‘Shots in the Dark’ to Maintain Pristine Professional Boundaries” in Psychiatric Times to demonstrate how drinking alcohol in public may lead well-meaning licensed health professionals onto the slippery slope of boundary violations and costly career jeopardy. Across the United States, millions of doctors, nurses, and other licensed health professionals are permitted to perform the sacred work of healing others because we have been authorized to …
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Being a transactional lawyer for physicians is never dull because the more the regulations, guidance, and laws change, the more questions everyone has. But it’s more than just getting an answer to a question and being in compliance. Doctors are feeling overly worn down and out of control, and the risks that face their practice are real. It contributes to burnout and apathy, as it’s hard enough to keep track …
Eleven years ago, I escaped the drudgery of the corporate medicine hamster wheel to set up a solo family practice where I could be my own boss and practice medicine my way.
After 38 wonderful years as a family doctor, I am ready to retire. I hope to gift my practice to a doctor eager to be independent, well compensated, and enjoy a balance between work and life.
Who might be the …
The CDC has updated its COVID masking and quarantine guidelines as children return to school and more adults return to work at the end of summer.
Unfortunately, the new, less restrictive guidelines are premature.
As most people know, the current COVID variant is extremely contagious. Many argue that since a majority of the public has already been exposed to COVID either by vaccination or infection, we can relax into less vigilance.
However, it …
As he was being wheeled in for surgery, President Reagan joked, “I hope you are Republicans.” The surgeon, a liberal Democrat, replied, “Today, Mr. President, we are all Republicans.”
All very appropriate and from another era. As a usually intelligent and intellectual segment of society, it is not surprising that physicians should have opinions, including politics. As citizens, they are entitled to them too.
In fact, one would hope that physicians participate …
Poiesis is a Greek term that evolved into the word poetry in English. According to Wikipedia, in philosophy, poiesis is “the activity in which a person brings something into being which did not exist before. Etymologically derived from the ancient Greek term which means to make.” The word is used as a suffix, as in the biological term hematopoiesis, the formation of blood cells.
In the book All Things Shining, Hubert …
In medical practice today, we have all types of providers in charge of birth control counseling and treatment: medical doctors, nurse practitioners, registered nurses, licensed vocational nurses, and even medical assistants who report to their licensed providers. Having a standardized questionnaire that all providers can easily use and incorporate into their practice would help safeguard against regretful avoidable mistakes. Taking a good history is cheap. Health care costs for strokes …
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