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“There is great hope for this bill to accomplish the stated goals in the medical and energy worlds. There are many excellent summaries regarding this bill, and I would urge any interested readers to find a review …
Can the Inflation Reduction Act build back medicine better and reduce climate change? [PODCAST]
Ashley, one of my colleagues, and I discussed whether or not a doctor, nurse, or other providers of care should cry or show emotion with a patient or client. We’re not speaking of meltdowns or becoming so emotionally involved that it impairs our judgment or makes it difficult for us to render effective care, but simply being able to show a human response in the presence of your patient at …
So what if cry with my patients?
When I was in high school, I read George Orwell’s 1984, a novel about a dystopian future where the government (a.k.a. Big Brother) monitors everything the citizenry says or thinks. Anyone deviating from government “doublespeak” is swiftly and severely punished. I recall my horror as the main character, Winston, a former government official who joins the anti-Big Brother underground, is arrested by the “thought police.” His mind is then reprogrammed …
Punishing doctors for spreading misinformation
I am not your provider.
There are days I loudly scream silently within the profundity of my soul, “Lord, please do not let them call me ‘provider’ one more time.”
I do not merely present to you to give you something you can use for your own personal subsistence.
Provider comes from the Latin verb “providere,” which means “to foresee.” Our beloved and storied profession’s effective and evidence-based practice does not merely imply …
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“Despite the terror of the Soviets, it was clear that not even their mighty tanks could eradicate the social tides that now, like a tsunami, could not be turned back. The power of the movement forced Ernő …
A Hungarian Jewish man’s fight for freedom [PODCAST]
If you are considering accepting an academic appointment, you need to be cognizant of the special issues involved in contracts in academia. You must know these things before signing an academic physician employment agreement.
An academic physician employment agreement is usually light on provisions.
Unlike most hospital physician employment agreements, an academic physician employment agreement tends to be very sparse on contractual provisions. Typically an academic physician employment agreement will just be …
Things to know before signing an academic physician employment agreement
An excerpt from The Skincare Hoax: How You’re Being Tricked into Buying Lotions, Potions & Wrinkle Cream.
Why do accomplished, intelligent women spend so much money on skincare products that don’t work? Why do they put so much energy into looking a certain way? These questions hover in the back of …
How you’re being tricked into buying lotions, potions, and wrinkle cream
The recent report from the National Center for Health Statistics on declining U.S. life expectancy painted a bleak picture, fueled in large part by the impact of Covid-19, but not exclusively. Many of the contributing factors are deeply systemic – poverty and health disparities among them — but other longstanding health issues, including high rates of obesity and Type 2 diabetes, are contributing factors.
More than 34 million people – one …
We need to stop treating diabetes (without a prevention plan)
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“Patients with myalgic encephalomyelitis (ME) and their allies will rally in DC, London, and Edinburgh this September to “demand bold, urgent governmental action” for the millions of people living with ME, long COVID, and other infection-associated, chronic …
Why psychological explanations for long COVID are dangerous [PODCAST]
Getting into medical school is only the first step of an intense journey. Undergoing the admission process and being accepted into medical school can be an exceptional challenge, especially as a student of color, but it isn’t the only hurdle. In a previous article, I outlined the medical school admission process, its reliance on MCAT scores, and key experiences, which are highly influenced by unequally distributed opportunities. I also shared …
Who gets to graduate from medical school?
An excerpt from A Caregiver’s Love Story.
Caregiver burnout is a real and serious problem for those caregivers in for the long haul. It is a serious issue if you go to bed each night in anguish over the next day’s chores and wake up each morning with a …
Lessons in avoiding compassion fatigue
From an Indian parable dated from before 500 BCE:
A group of blind men heard that a strange animal, called an elephant, had been brought to the town, but none of them were aware of its shape and form. Out of curiosity, they said: “We must inspect and know it by touch, of which we are capable.” So, they sought it out, and when they found it they groped about it. …
Having more doctors to assess rare, multi-system illnesses
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“I think it’s much more likely that my patients — some of whom are terminal and facing their own mortality; others who are suffering through a multitude of side effects from their cancers or our treatments – …
When patients want their doctors to heal [PODCAST]
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Buying health insurance is a lot like renting an apartment. Finding the perfect place is hard, and the price is always higher than you expect. But if it is conveniently close to your employer and there are few other affordable options, you sign the lease and agree to all of the terms. Only after a few monthly payments do you realize electricity, heat, water, and snow removal are not included. …
Building individual health equity
Medical students are an odd bunch. At least in my day. Warning: The following may seem a little distasteful, violating the doctrine of proper decorum expected of medical professionals. I feel your anguish for those bent to the more sensitive side, but to sugar-coat a narrative only robs it of its essence.
I attended the Medical College of Wisconsin in the late 1980s, so what follows may not represent medical training. …
When I was a child, I recall my mother telling me that to live a successful life, you must do one thing every day that scares you. I remember not fully understanding this piece of advice’s magnitude or real significance, yet it still resonated. It’s funny, what stands out to us, what we remember, and why. Little did I know at the time that these words represented the very premise …
Beyond comfort: a treatment for OCD and a recipe for a better life
“It was a cold night in October …”
I can now joke about that night with my husband and my best friend from OB/GYN residency. I had worked a Saturday 24-hour call shift, and as soon as I got home on Sunday morning, I began having symptoms that made me turn around and head right back to the labor and delivery unit …
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“The value of empathy in medicine is seldom debated. Just as the art of medicine is taught as the balance of knowledge and application, so has empathy been recognized as both a value to be fostered and …
Giving language to empathy: lessons from palliative care [PODCAST]
When we talk about health disparities, we talk about socially disadvantaged populations. The disadvantages can be defined locally if we are talking about local communities, regionally if we are talking about regional populations, nationally if we are talking about national residents, and globally if we are talking about global humans. Local, regional, national, and global economic disparities may define corresponding health disparities.
One among economic disparities can be technology disparities during …
Technology disparities during cardiopulmonary cerebral resuscitation (CPCR)
Leading an organization from a culture of bullying or blaming to a culture of safety is a daunting initiative. Unhealthy alignments are deeply embedded in toxic cultures, and informal power dynamics may influence how people behave. Instead of respectful communication where giving and receiving constructive feedback is ongoing, common behaviors include:
All of which perpetuate a cycle of broken trust and poor conduct.
While patients, the workforce, …
Leading an organizational culture change? Consider an apology first.
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