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“Certificate of need (CON) laws purport to lower health care costs, increase patient access and ensure quality by managing the distribution of private resources, but none of these gains has materialized. A joint report from two federal agencies—the Federal Trade Commission and the …
Be skeptical of certificate of need laws [PODCAST]
Since the mass shooting in Uvalde, TX, rapidly after that in Buffalo, NY, I have read and heard several simplistic public media pieces suggesting easy means of preventing these acts. They unanimously indicated that mass shooters (MS), especially those who are younger, can be detected before their fatal actions by their statements or writings online or on paper. If these raise concerns, they can be reported to authorities, and this …
Treating mental illness will not stop mass shootings
No, hearing that child screaming in the patient care room is not “normal.”
My best friend’s son was throwing a tantrum the other night while we were having dinner.
He did not want the Chinese food I had picked up, even though I got him the good stuff (sweet and sour chicken). He cried for a while on the couch until his father couldn’t take it anymore. He brought the child upstairs …
Allow yourself a moment to focus on yourself, not the next patient
You always have a choice as to what to negotiate in a contract. You could redline the entire agreement, infuriating your future employer or potential partner in a joint venture, nitpicking things that don’t matter, or you can hone in on the areas that will really hurt you. In this article, we are going to discuss four things to focus on in a physician employment contract that will get you …
Know your worth: Negotiating employment contracts from a place of strength
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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 …
Open-angle glaucoma: To screen or not to screen? [PODCAST]
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, …
Want to get more focused at work? Try Rafael Nadal’s rituals.
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 …
A hospice doctor’s advice on getting your finances in order
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 …
As cancer patients wait, states play favorites
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 …
The forgotten crisis: a shortage of geriatric doctors in the U.S.
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 …
How you can donate effectively after tragedy
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 …
Treating pain without medication [PODCAST]
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 …
Death is inevitable. Talk about it.
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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 …
Creating community solutions for children’s health
“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…
Getting an appointment with primary care is the Achilles’ heel of medicine
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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 …
Let’s talk about bullying in medicine [PODCAST]
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 …
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 …
The promise of in silico drug development to improve patient outcomes
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 …
5 tips for treating high-weight patients
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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 …
What doctors need to know about physician health programs [PODCAST]
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