Should anesthesiologists object to unnecessary procedures?

Physician
September 7, 2025

Before making the case for evolving formal fellowships for physician anesthesiologists to conscientiously and systematically object to unnecessary health care, particularly unnecessary procedures, it is worth first exploring what constitutes “necessary.” Only then can we begin to regulate what may be considered “unnecessary.” Can physician anesthesiologists lead such academic and practical regulatory efforts, even amid potential conflicts of interest inherent in their role as anesthesia care providers?

This raises several important …

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Ideology, not evidence, fuels the anti-trans agenda

Policy
September 7, 2025

Recently, The Hill published an op-ed purporting to be a measured critique of gender-affirming care for youth. In reality, it was a dangerous and misinformed piece of ideological propaganda cloaked in the language of academic concern and propped up by debunked claims and bad faith arguments.

Riffer, who has studied censorship, gender regulation, and the legislative targeting of LGBTQIA+ communities across the U.S., will say …

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How Ukrainian doctors sustained diabetes care during the war [PODCAST]

Podcast
September 6, 2025
YouTube video

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Physician Daryna Bahriy discusses her article “How Ukrainian doctors kept diabetes care alive during the war,” sharing how medical teams in western Ukraine adapted to protect vulnerable patients amid the chaos of …

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The backbone of health care is breaking

Physician
September 6, 2025

A few weeks ago, I delivered a baby in the morning and sat with a grandmother near the end of life that afternoon. I adjusted insulin for a patient I first helped quit smoking ten years ago. I counseled a teenager about to leave home for college. This is the joy of family medicine: walking with people through every stage of life. But too often, that joy is overshadowed by …

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Why doctors must ask for help before burnout escalates

Physician
September 6, 2025

“If you are reluctant to ask the way, you will be lost.”
– Malay proverb

When I was struggling with burnout during training, I did not seek help.

Even when called into the office of the revered, stately, totally intimidating chair of the department, because he had “heard I was having trouble coping.”

Nope. I saw that as a sign that I needed to do a better job of hiding my lack of coping.

When …

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Why so many patients ask for drips—and what doctors wish they knew

Physician
September 6, 2025

As a doctor working in a primary health care setting, it’s become routine, almost expected, to hear patients ask for a drip. Sometimes it’s after they’ve listed their symptoms, sometimes they say it right after walking in: “Doctor, please just give me drip.” And often, the complaints aren’t serious. It could be catarrh, a mild fever, or even plain tiredness.

At first, I didn’t understand it. I’d look at the patient’s …

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Reproductive care after Roe: Why silence is not an option

Physician
September 6, 2025

Since the fall of Roe v. Wade in 2022, the United States has been navigating a reproductive health crisis unlike anything in modern history. Now, in mid-2025, the picture is even more stark, and more urgent.

In the wake of the Dobbs decision, nearly 1 in 5 patients seeking abortion care, including care for miscarriage, have been forced to travel out of state. That is more than double the number from …

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When your identity is your job: Why it’s dangerous in medicine

Physician
September 6, 2025

In some careers, your job is not something you do; it is something you are. Medicine, acting, and politics are intimate, high-visibility professions that blur the lines between personal identity and professional role. You are not just executing a skill; you are bringing your whole self into the room, exposed and accountable.

When things are going well, that visibility can feel exhilarating. You are recognized, affirmed, even admired. Your face becomes …

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How Japan and the U.S. can learn from each other to strengthen health care [PODCAST]

Podcast
September 5, 2025
YouTube video

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Neurologist Vikram Madireddy discusses his article “How Japan and the U.S. can collaborate for better health care,” examining the parallels and contrasts between two of the world’s most influential health systems. Vikram …

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Will longevity medicine put doctors out of work?

Physician
September 5, 2025

Whenever I bring up longevity medicine among some fellow physicians, I can almost hear the unspoken objections before anyone says a word. There is a pause, a sideways look, maybe even a faint smirk. If I could translate those silent expressions into captions, they would say:

“If people stop getting sick, will not we all be out of business?”

Let us stop right there. That is like saying restaurants would all go …

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When doctors don’t talk: a silent failure in modern medicine

Conditions
September 5, 2025

I shadowed a neurologist recently. As a high school student on the cusp of applying to college, I thought I’d’ spend the day quietly observing: watching labs get ordered, hearing terms I’d Google later, maybe seeing the human side of medicine up close.

But nothing prepares you for watching someone slowly lose their chance at life—not because of their diagnosis, but because two parts of the medical system weren’t speaking to …

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The many faces of physician grief

Conditions
September 5, 2025

Grief is not a word most physicians would use to describe their day-to-day work. Stress? Absolutely. Burnout? Sadly too common. Exhaustion? Without question. But grief? That feels too tender, too vulnerable, too personal, too scary.

And yet, grief quietly saturates the practice of medicine and the existence of being a doctor.

Grief shows up most obviously in the loss of patients. Death coming sometimes suddenly, and sometimes after a long, protracted …

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Why the doctor-patient relationship needs a redesign

Physician
September 5, 2025

The landscape of medicine is evolving—and so are the roles of those who practice it. Today, more people are searching “how are doctors changing?”, “Why doesn’t my doctor have time to listen?”, or “Can doctors coach me instead of just treating symptoms?” These questions aren’t just valid—they’re vital.

For many of us in medicine, the traditional doctor-patient relationship no longer fits the needs of modern life. We’re not just being asked …

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Health equity in Inland Southern California requires urgent action

Policy
September 5, 2025

Inland Southern California stands as one of the most diverse and rapidly growing regions in the United States. With a rich mix of cultures, ethnicities, and socioeconomic backgrounds, it also faces significant health disparities. From disproportionate rates of chronic diseases like diabetes and hypertension to barriers in accessing essential care, marginalized communities in the region continue to suffer the consequences of a health care system that often leaves them behind. …

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Imposter syndrome is not a personal failing

Physician
September 5, 2025

Imposter syndrome is not a personal failing. It is a conditioned mindset. A learned pattern. We are raised in a culture of hyper vigilance. We are taught to equate uncertainty with inadequacy. We are taught it is not OK not to know an answer. That being unsure is a failing.

We prepare relentlessly. We never let our guard down. Hypervigilance is our standard mode of operating. Self-judgment is an internal soundtrack. …

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Why sleep must become a central pillar in modern health care [PODCAST]

Podcast
September 4, 2025
YouTube video

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Physician executive Carlos Nunez discusses his article “Why sleep is the missing pillar in modern health care,” emphasizing the urgent need to treat sleep as essential to overall wellness alongside diet and …

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How early care saved my life from silent kidney disease

Conditions
September 4, 2025

I never thought much about my kidneys. I felt fine, I stayed active, and at 74 years old, I figured I was in pretty good shape. But kidney disease has a way of sneaking up on you. By the time most people find out they have it, they’re already in trouble. That could have been me—but thanks to the right care at the right time, I got a transplant before …

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How functional medicine fills the gaps left by conventional care

Physician
September 4, 2025

As an internist with a background in physics, I was taught to think in systems—to seek root causes, avoid assumptions, and apply data with precision. Early in my career, I practiced medicine exactly as I had been trained: Identify the diagnosis, follow the algorithm, apply evidence-based treatment. And in many cases, that worked.

But increasingly, I found myself caring for patients who didn’t fit cleanly into diagnostic boxes. Fatigue, brain fog, …

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A psychiatrist’s 20-year journey with ketamine

Meds
September 4, 2025

The day I first watched ketamine lift a human being out of despair, I was standing in a quiet room at the National Institute of Mental Health. The fluorescent lights hummed, the monitor ticked, and a young adult who had been drowning for months came up for air. Hours, not weeks. That speed rewired me as much as it rewired their brain. In the early 2000s, most of us were …

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