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“My take on the Task Force statement is that clinical judgment should rule as to whether or not screening is indicated for glaucoma. Family history, race, diabetes, and other risk factors should be considered for such screening, especially in the face of potential …
When I work as a doctor, being in the right mindset is crucial to be sharp and focused. But sometimes, concentration is more scattered, and performance is not at its prime. It’s human. But there may be a way to overcome this.
You may have noticed that Rafael Nadal is executing weird and stereotyped moves during each match. He places his hair behind his ear, pinches his nose, …
An excerpt from Taking Stock: A Hospice Doctor’s Advice on Financial Independence, Building Wealth, and Living a Regret-Free Life. Copyright © 2022 Ulysses Press. Reprinted with permission from Ulysses Press. New York, NY. All rights reserved.
You are going to die.
Imagine that I have walked into your hospital room …
Cancer patients soon will have new treatment options in Connecticut. Health care providers recently received regulatory approval for a joint venture that will allow them to open the state’s first proton therapy center.
The lifesaving technology, which uses laser beams as a safer and more effective alternative to chemotherapy, is urgently needed. So the announcement was a big deal. But what the partners failed to mention in their news release is …
The scarcity of geriatricians in the United States is a severe problem in the public health sphere due to the increased number of older adults and the lack of health care professionals who specialize in this demographic.
Approximately 7,000 geriatricians are practicing in the United States, and around half of them are full-time. Research shows that 30 percent of people 65 years old and older need care from …
Gun violence, war, pandemic, natural disasters — listening to the news or doom scrolling on social media during times of tragedy can leave us feeling devastated, discouraged, and angry. Tragedy can also make us feel like helping. We’re motivated to reach those affected and do something.
Giving money can be a simple way to help. In the wake of a tragedy, many of us react fast and give to the first …
The house is asleep, and I can’t turn off my brain. I just cried my way through an episode of SEAL Team, especially the part where two SEALs are opening up to a psychologist about feeling broken. One says he’s tired of pretending he’s OK that he has PTSD and needs help. Later, he breaks down, and his wife folds him in her arms and tells him she’s there to …
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“In my medical training, we were taught five ways to treat pain: lifestyle modifications, physical therapy, medications, injections, and surgery. Lifestyle modifications are positive changes in diet, exercise, sleep, and stress levels. This is the first-line treatment for painful inflammation. Yet we tend …
I had a patient in the ED who reminded me a lot of my grandfather, my Dada. I grew up with my Dada, listening to his stories and learning from his knowledge of the intricate workings of the world. He was a first-generation college student, science lover, world traveler, vice president of a large chemical engineering company and loving husband, father and grandfather.
When I was in high school, he also …
Every year, I celebrate and mourn when I officially left my primary care pediatric practice full of patients and parents that I loved to launch my non-profit, Teach a Kid to Fish.
May 31, 2008, was the last day of my practice. Had I known what I was in for, my future self may have stopped me. But I’m so delighted that possibility didn’t exist.
I’m a vision-oriented person and wanted to …
“Doctor, it’s taken so long to get this appointment with you!” This is the opening line of so many medical visits, and I find myself constantly apologizing to my patients on behalf of our system. After the pandemic-induced lull in routine medical care, we’re right back where we started—doctors booked for months, patients struggling to get appointments.
The difficulty with access to medical care is endemic to our Read more…
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“Very few are talking about workplace bullying, yet many are benefitting from it. It acts contrary to the principles of care at the heart of medicine — and we need to do something about it.
How many physicians have wanted to leave medicine because …
For a long time, I have known that I do not need Beethoven, Bach, or A. R. Rehman. No offense to these extremely talented artists, but music to my ears will always be hearing the baby’s heartbeat on the doppler, hearing the baby’s first cry. The emotion is indescribable, overwhelming and satisfying.
People enter the medical field for myriad reasons, whether charitable, financial, or just for respect. What medicine signified to …
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In the last two years, pharmaceutical companies have become increasingly interested in the possibilities in silico technologies bring to the world’s multi-billion-dollar drug development market. Among the factors that have been reported as drivers of recent interest in what is also known as virtual clinical trials are the COVID-19-related restrictions that began impacting traditional human-based clinical trials in 2020.
In silico drug development utilizes real-world data (RWD), artificial intelligence (AI), computational …
It might seem odd to write about what high-weight patients would like when they meet with their doctors. Don’t they want what every patient wants? The answer is yes, but the fact is, they often don’t get it due to implicit anti-fat bias among health professionals.
In my 30-plus years of practice as an eating disorders therapist, I’ve heard the same laments from high-weight clients: Doctors only want to talk about …
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“Change is overdue. Physicians who need help for mental health issues or substance use disorders need to get it in a manner that is free of financial and other conflicts of interest. They need to be able to go to …
I have wanted to be a doctor for as long as I can remember. I played hospital with my dolls as a child. I never thought of alternative career paths. I climbed the long, sometimes unbearably steep mountain to reach the top.
I loved clinic medicine for many years. Most days, I still do. Until recently, I had never considered leaving, choosing a different path.
Then, I walked into the clinic and …
A patient, let’s call him Jay, came to me refusing a leg amputation. He had open sores that were necrotic, foul-smelling as if he had been neglected for a long time. At his consultation, he fought with every cell of his being, refusing to lose his leg as his uncle did. He wanted a second opinion on whether or not his foot could be saved.
Traditional insurance-based medicine has …
From an early age, I shared the soccer field with my younger brother, and later, we shared an orthopedic surgeon when I tore my ACL. I worked hard and excelled at my public STEM high school in New York City. I was also an athletic trainer in high school and college. I fit the classic stereotype of the injured sporty kid going into orthopedic surgery, right?
Not exactly.
Only Read more…
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“We are in an epidemic of gaslighting in medicine. The best definition I heard of gaslighting is transferring your authority on yourself from you to someone else. We give up our authority on ourselves to everyone else but ourselves. We leave our feelings …
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