It started with an early morning drive to the golf course on the day before Father’s Day. It was a beautiful spring day in the Southwest, and the Man had it all to himself. However, the second half of the day would belong to others — his wife, his kids, his house, and his job. He was hoping for a quick 18 requiring no mental gymnastics beyond that of a …
A Father’s Day golf game to remember
Violence, in particular, firearm violence, has been a specter of American culture for decades, and its impact on public health has been shrouded in the shadows for nearly as long, thanks to political lobbying by gun manufacturers. An NPR article entitled “How The NRA Worked To Stifle Gun Violence Research,” published in April 2018, provides some history on the topic. A short summary? The Dickey Amendment, passed in 1996, …
The silencing of gun violence research: a decades-long campaign
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In this episode, we dive into the physician-nurse relationship and explore the different communication styles and preferences of physicians. Our guest, Ronald Hirsch, is a medical director for case management at a community hospital and shares his …
Improving the physician-nurse relationship: insider tips from a physician advisor [PODCAST]
Speech recognition software is an important part of my clinic workflow. I use the industry-leading application, which has saved me at least 1,000 hours of documentation time over the last decade. My typing is much slower than my speaking, and since my goal is to leave the office at a reasonable hour every day, using it is the obvious choice for …
Transcription troubles: the hilarious and alarming consequences of speech recognition in medicine
The United States and Canada started a movement that began as medical cannabis and quickly exploded into adult-use cannabis markets. However, the North American operators failed to properly regulate the processes from growing to manufacturing to compete in a global pharmaceutical-level market. Europe has taken the lead as the heavy-weight producer of truly medical-grade pharmaceutical cannabis flowers and products. Notably, many operators in the U.S. and Canada claim to produce …
Why North American medical cannabis can’t compete globally
To the quiet physician who keeps her head down and powers through her days while secretly calculating the ratio of BS-to-be-tolerated versus time-to-retirement:
I have some tough love for you.
You are in a toxic relationship.
How do I know? I’ll let you in on my secret: I was in a psychologically and emotionally manipulative marriage for over twenty years.
At the start of our relationship, I felt blissfully lucky …
Let me tell you that being a doctor in the family can be a tricky business! On the one hand, you’re the go-to person for all things medical, so you’re never short on people to talk to at family gatherings. On the other hand, you’re also the go-to person for all things medical, so you’re never short on people to talk to at family gatherings. That can get old very …
The challenges and rewards of being the doctor in the family
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In this episode, we are joined by Harry Nima Zegarra, a critical care physician, as we dive into the world of real estate syndications. This type of group investment, where several people come together to acquire a …
Investing in real estate syndications: Is it right for you? [PODCAST]
The pager beeps early on the first day of my inpatient pediatric neurology service week. The pediatric intensive care unit (PICU) would like us to perform a brain death examination on a young boy before potential organ donation. An apparently healthy boy who had an unexpected clinical course that led to his current state.
As a pediatric neurology resident, I often have difficult conversations with our patients and families, but the …
A heartbreaking yet heartwarming story of a pediatric neurology resident’s struggle and empathy
In 2021, I spent the year before starting medical school calling and counseling the patients of a busy urban emergency department on the results of their sexually transmitted infection (STI) tests.
“What exactly is gonorrhea?” some would ask. “Is there a cure?”
“No one ever taught me about this,” one older gentleman lamented when we discussed using condoms to prevent the transmission of infection.
Stories like his reflect our society’s hesitancy to discuss …
The rise of at-home STI testing: a solution to America’s growing problem or a risky gamble?
Emergency departments have their share of regulars. The patients come back time and time again. Some you don’t mind. Some of you inwardly cringe and say, “Oh, God, them again.” Seriously, George, this is the second time this shift.
They come and go until you notice that you haven’t seen someone in a while. You don’t say their name because there’s an unspoken superstition that, like saying “Beetlejuice” three times, they’ll reappear. …
The struggle to save the unpredictable: a look inside emergency departments
OpenAI’s ChatGPT took the world by storm a couple of months ago when they opened it up for public use. Since then, people have shown the infinite number of ways it can be applied in just about every area of life, from telling you the recipe for your favorite food to writing scientific abstracts that are essentially indistinguishable from real ones.
It offers insights and ideas to abstract questions and truly …
The future of medicine is now: AI’s role in diagnostics and treatment
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The U.S. health care system ranks poorly among high-income countries, but the direct primary care (DPC) model offers a potential solution. In this model, primary care providers are paid a consistent fee through a retainer or membership …
How direct primary care can revolutionize health care [PODCAST]
I ran across one of those bordering-on-sappy Facebook posts that always pull me in, asking people to describe their job poorly and make it comically accurate. The photographer admitted she would flash clients, shoot someone, and then frame someone else. The bartender alluded to being a psychiatrist, marriage counselor, babysitter, and thirst quencher. You get the picture.
I am sure that each specialty in medicine has its own pithy, confuscating …
The hidden costs of teaching surgery: an academic surgeon’s perspective
My eyes fell upon a horrible newspaper headline from 2008: “Fat kids die earlier.” That is the first article that I remember talking about obesity in childhood, but there were plenty more in the early 2000s. At the time, I clipped it because it reinforced my approach at the time: identify issues, educate, act, and avoid.
Over the past two decades, there has been an increase in the prevalence of children …
It’s time to stop focusing on family weight
Coaching is a synonym for mentoring, counseling, guidance, preceptor, teacher, tutor, and professor. Regardless of how you choose to perceive the word “coaching,” the significant action implied by the word is to provide the client with appropriate verbal, video, written, and audio communication or information necessary to enable you to reach a higher level of success or accomplishment in your medical career.
Ads to physicians, like those below, occasionally have a …
Navigating the challenges of coaching in the medical field
February 3rd marks the annual observance of National Women Physicians Day, a special day dedicated to honoring the countless female physicians who have dedicated their lives to the health and well-being of their patients. The holiday was created in response to the fact that although women make up over half of all medical school graduates, they still only make up a small percentage of physicians in practice today. This day …
Not just another Hallmark holiday: Happy National Women Physicians Day
We lived in the woods. Five acres of trees. You could barely see the sky. We left the big city for this piece of heaven. And by chance, we met a couple that had a 5-year-old daughter. Our son was four years old. They became best friends. They’d swing on the swing set, play in the sandbox, and splash each other in our little pool.
Kayla was this sweet, tiny girl. …
An angel in the woods: a tragic story and the gift of life
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In this episode, Molly M. Murray, a physician assistant, shares her personal experiences of working alongside nurses who are overworked and undervalued. From being spit on and cursed at, to being denied proper breaks and cost-of-living increases, nurses in …
Uncovering the hidden struggles of NYC nurses: an insider’s perspective [PODCAST]
The recent case of Lindsay Clancy has weighed heavily on my heart over the past several days. According to her husband, she was a young mother who was suffering from postpartum depression or psychosis and receiving treatment in an intensive outpatient program. She allegedly took her children’s lives and tried to end her own life.
The DSM 5-TR nomenclature for this condition is peripartum onset, referring to mood onset during pregnancy …
Postpartum depression or psychosis: Understanding the reality behind Lindsay Clancy’s story
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