“We have met the enemy in medical education, and he is us!”
My paraphrase of the “philosophy of Pogo” is pertinent to today’s crop of graduating medical students. We have inserted them into the most toxic environment for learning medicine, ever.
Dr. Michael Halberstam once stated that the most powerful treatment the ER had to offer (after CPR, of course) was “the sight of your own doctor at the bedside.” Yet look …
“I am thankful to you SARS-CoV-2 virus as you allowed me to be human again, to make mistakes, and learn from them. You taught me to slow down so that I could reset and redefine my goals. You allowed me to have time for myself, to dream again, and plan my …
As a physician epidemiologist and former public health official, I’m constantly struck by the sheer amount of disinformation that spreads related to COVID-19. I’ll routinely encounter myths about how masks actually cause viral spread. Or I’ll be told that drinking alcohol or raw, unpasteurized milk combats the virus or that putting hot pepper in food wards off viral illnesses. Meanwhile, conspiracy theories about 5G networks …
“To care for dependents, the carer must be cared for, both for the sake of her charge and for her own sake. Without such basic infrastructure, we have anxiety, confusion, and chaos.
Contagion knows no independent individuals. Its boundaries are not the boundaries of our skin. It relies on the inevitable sociality of human …
An excerpt from Medical Myths: A Sceptic’s Journey.
Most people have heard the joke about rabbits and vitamin A: “Are carrots good for your eyesight?”
Well, I never saw a rabbit wearing glasses!
Vitamin A, one of the essential groups of vitamins, is …
Multifaceted diversity continues to be a challenge to achieve in medicine, which is concerning given the irreplaceable value that a diverse community of clinicians provides to research, patient care, and medical education. Current initiatives to expand diversity are centered around academic mentorship models, in which striving to teach more students the life sciences and frontiers of biomedicine as early as elementary or middle school can provide critical exposure and pique …
“The first 100 days of COVID made me confront and reflect on a lot of aspects of myself and life, as philosophical as that sounds. Often times, I’m exhausted talking about COVID every single day and frustrated because we should be in a much better place right now as a nation. The …
Recently, I started suspecting that RT-PCR testing was not foolproof at ruling out COVID disease after seeing a fair number of patients with typical signs and symptoms but a negative PCR. I have encountered some patients hospitalized with typical COVID pattern pneumonia, thromboembolism with multiple negative PCR tests. Some of these folks even had exposure history and the signature hallmarks unique to this virus, like multiple peripheral opacities on CT …
As communities of color continue to be disproportionately decimated by COVID-19 and the brutal impact of racism and other longstanding systemic inequalities, academic medicine finds itself at a critical inflection point in defining its role in addressing social injustices not only for its patients but also for its academic workforce. In the aftermath of George Floyd’s killing, many medical schools and teaching hospitals released statements condemning racial injustice and vowed …
“The flu vaccine can strengthen your immune system, prevent the disease spread among those closest to you, protect your children, and reduce the health care system’s burden. Protecting ourselves and others as we traverse a pandemic is paramount in saving lives and keeping our communities safe and healthy. Along with our ongoing …
“We have to start understanding these as the real costs of climate change. We are paying these costs now. In my state of Oregon, people are going to start getting sick and dying in the next few days of the wildfire smoke choking the air. When they show up to the hospital …
“As we get excited about vaccine news and results, we need to evaluate our messaging and how we can get to high enough COVID-19 vaccination rates to achieve herd immunity. This requires broad and frequent education on the safety and efficacy of the vaccines. It also requires active listening to address concerns …
COVID-19 has turned the world on its head. A major problem we have faced since the beginning is that it had already been spreading like wildfire for a few months since the end of 2019 — before most of the world realized that it was time to take action against this respiratory virus. We’ve therefore been on the back foot from the very start.
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Health care has been hanging by a thread for some time — in our community and across the nation. The COVID-19 pandemic exposed weaknesses inherent in an underfunded public health system, a monopolized hospital, and a fractured medical supply chain.
At the beginning of this pandemic, I wrote, “Our lives will not be saved by the government. And lives will not be saved by elected officials or large institutions. Lives will …
“Growing up in Puerto Rico, ‘babas’ (bottles: biberón/botellas) and ‘bobos’ (pacifiers: chupetes/chupón) were very common among the families and children of the island. I still remember our Abuelita giving us milk in our “babas,” so my younger sister and I were sure to fall asleep better. From the time of our births, …
On those brisk walks across the hospital, I briefly look over at the instillations from local artists. Those pieces ignite a chain reaction of creative empathy and even critique from both patient and provider alike. In the briefest moment, we mentally collide into the artist’s creation, catching glimpses of their point of view. The result is our engagement in the vital need for our own creativity.
Hospital art fosters a welcoming, …
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“These encounters made my evening shift much more emotional than usual. I am still not sure what it was exactly that evoked such strong feelings of sadness. Was it having a patient who was a health care worker? Was it the rapidity in which all three patients’ conditions deteriorated? Was it …
As a fellow, I made a list of what I wanted in my first job. I dreamed, prayed, and wished for the contract to finalize. It did. I went to Ohio hoping that this was my first, last, and always job.
Eight years later, I left feeling completely broken. On my first anniversary of leaving, here are the major lessons that changed my life.
1. It’s not my job’s job to make …
I have never felt so alone. I was lying in bed with severe abdominal pain. Pain I never had before. Well, at least not for a reason.
As I lay there, I kept thinking, what if I die while I wait until morning. It was the middle of the night. I had not felt well since earlier the week before with a severe diarrheal illness. One that only babies have with …
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“Iodine-based contrast agents are widely used for CT and other X-ray studies. They light up blood vessels and enhance perfusing tissue. These agents are essential for diagnosing everything from clots, to tumor, to bleeding. Unfortunately, many patients do not get contrast studies they may benefit from, due to unnecessary confusion about …
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