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]
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.
You must be thinking, what on Earth can the U.S. health care system learn from a poor, developing country like Nepal? Isn’t the U.S. known across the globe for its latest innovation and advanced procedures? Well, I was thinking the same thing. Until my seven-week trip this summer to rural Nepal. As a Nepali-American Emergency Medical Technician-Basic (EMT-B) studying medicine in the U.S., I learned more than I could imagine …
5 things I learned from Nepali health care
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“The tech industry needs to invest in developing platforms and devices with active, consistent, and frequent input from the disability community. This input must reflect a range of individuals with disabilities. A variety of identities exist beyond …
Want to improve telehealth? Ask people with disabilities. [PODCAST]
An excerpt from Saving Grace: What Patients Teach Their Doctors about Life, Death, and the Balance in Between.
In my third year at LSU Medical School, we dove headfirst into full-time patient care, taking required nine-week rotations on internal medicine, pediatrics, obstetrics and gynecology, and general surgery. In the fourth year …
Falling in love with the heart
A medical malpractice process is a lot like running a marathon.
The analogy makes it easy to understand why physicians are emotionally unready to go through years of litigation and often find themselves struggling.
To successfully make it through the grueling 26.2 miles, a runner has to be well-prepared.
It’s common for runners to join a running group. Sometimes, engage a coach who can help to train smart.
Runners will spend months building up …
Medical malpractice is a lot like running a marathon
Imagine delivering testimony to practicing emergency medicine for 30 years on the TEDx stage and my “Real Serious Illness Conversations with Parents” being condemned with this NOTE FROM TED: Please do not look to this talk as a substitute for health advice. This talk only reflects the speaker’s personal views and beliefs. It’s as if to say, “Beware of the doc”… who lets individuals decide how they’ll die …
Giving medical advice with moral values is deeply personal and takes courage
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“There is no temptation to go back to my old life. I hit rock bottom and have been enjoying a doctor’s job. My future is bright. My income is growing. My schedule still has plenty of room. …
Meet the primary care doctor who’s happy with his job [PODCAST]
For the first time since graduation from medical school, stirred by the courage of my colleagues in the ICUs and emergency rooms during the COVID pandemic, I looked back at the Hippocratic oath to reassess its charge to physicians. My wife and I, both doctors, studied and trained for a long time, and we considered the years spent and the effort put forth to be a calculated sacrifice. But amidst …
Coronavirus and the duty to treat
Anyone who has ever practiced yoga knows what that means. Child’s pose. Kneeling with toes untucked. Upper body hinged over the hips with arms outstretched and forehead resting against the mat. Breathing. In and out. In. And. Out. We are told it’s a recovery position, a safe place.
Whenever we are feeling overwhelmed with another position, or even if the position is not just clicking, we can find rest in something …
Let’s meet in child’s pose and welcome the day
In recent months, three of the nation’s largest retailers have stirred up a frenzy on Wall Street with a string of high-profile health care deals.
Amazon bought primary-care company One Medical in early August for $3.9 billion. That was a month before CVS spent $8 billion to acquire Signify Health and its network of 10,000 clinicians who make home visits (both virtually and IRL). A day later, Walmart inked a 10-year …
Amazon, CVS, and Walmart are playing health care’s long game
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“The clocks have flash forwarded, and here I am supervising incoming interns on the 1st of July (which for the past two years has fallen on a weekend). As a frenetic day has finally come to a …
Habits of highly effective interns [PODCAST]
One year ago, I had brain surgery. The surgery was a success, and the hospital stay almost killed me.
I am one in a million; one of the 1 million people in the U.S. diagnosed with Parkinson’s disease (PD), a degenerative neurological disorder that currently has no cure. It is the fastest-growing neurological disorder in the world, with the prevalence Read more…
It’s not brain surgery: People with Parkinson’s need better care in the hospital
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