An excerpt from Changing How We Think About Difficult Patients: A Guide for Physicians and Healthcare Professionals.
After I finished my residency in EM and started working as an attending physician, I realized I had a problem. I believe a lot of you have the same problem. Some of our patients are so angry, oppositional, and non-compliant that we get angry …
“Instead of trading up for a faster horse by drawing in the exam room, it felt like I’d just built a motor car.
I created a new workflow around my digital assets. When patients checked in for a clinic visit, I scanned the chart for their visit diagnosis and fired off …
I recently had a good (albeit unexpected) cry and figured out that I have been in an unremitting fear cycle for about two-plus years. When the COVID pandemic first shut things down across the United States, my family and I had just started a much-anticipated ski vacation. On the way to the resort, we heard that Vail and other Colorado resorts had just shut down. When we checked into our …
Early into my military career and as an oral and maxillofacial surgery resident, I started to acknowledge the fact that, during periods of sleep deprivation that were initially inherent to my military training hours and then surgery call requirements, I found myself thinking dark thoughts that I had never experienced before. I scheduled an appointment with a Psychiatrist and was diagnosed with depression. Scratch that. I was diagnosed with “high …
The 3-hour concert was over. On the way back to the car, the excitement of it all kept us singing the lyrical masterpiece. I turned on the ignition and typed in our address.
“You have 1 hour and 35 minutes to go,” the GPS alerted me. I glanced at the fuel gauge. The gas floater barely survived the red indicator.
Taking no risks, I drove us to the nearest gas station to …
“When my patients asked me about losing weight, I would say, ‘Eat less and exercise more.’ I know that it is more complicated than that. There are psychological and socioeconomic factors. There is bariatric surgery and there are medications. But ‘eat less and exercise more’ is common sense, and …
An excerpt from Modern Healthcare Delivery, Deliverance or Debacle: A Glimpse From the Inside Out.
“The significant problems we face cannot be solved at the same level of thinking we were at when we created them.”
– Albert Einstein
In my book, I outline some of the critical drivers of the high cost of medical care in the U.S. These include waste as …
It seems that each positive story I read about the benefits of artificial intelligence (AI) is countered by a negative story.
One internal medicine physician writes: “Someday, with enough computing power and artificial intelligence, we may be able to have systems that can do some basic medical advice and education about health care that could end up saving doctors a lot of time and …
The details have been changed, but the story is true. A physician I know goes to work each day by 7:30 a.m. He is a confident, competent leader in every way within his clinic. But each night, he goes home to a spouse who is losing steam in every way. Diagnosed with a chronic condition, she is growing increasingly weak and dependent. He asks her how she is, and she …
“A resurgent CDC is necessary to recapture the vitality of U.S. medical science. A scientific researcher alone cannot do this work. This will also require heavy managerial work and restructuring and charting a different course altogether. CDC will need a double-headed leader approach, one excelling in scientific expertise and …
There are so many paths to financial freedom. It does not matter if it’s starting another business, investing in real estate, or saving in your 401(k). You will reach financial independence as a physician if you save and invest. The most crucial factor in achieving financial independence is consistency.
Charlotte: I initially met Richard at a wedding. Standing near the much-desired sushi buffet, we quickly started talking about the broken infrastructure of the health care system. At the time, I was an exhausted intern in internal medicine, happy to have the right weekend off. I shared big dreams of one day creating a new model of medical delivery. Richard, a senior executive with decades of leadership experience, listened compassionately. …
It was my son’s birthday, and I wanted to give him a gift he would remember. He had written a story when he was seven years old about eating boogers. As a urologist, I can attest that this is not a healthy habit and do not recommend it. I helped him publish his first book, Boogers for Brunch, on Amazon.
I …
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An excerpt from The Unseen Body: A Doctor’s Journey Through the Hidden Wonders of Human Anatomy.
Everybody learns in grade school that the human body is composed mostly of water—roughly 60 percent in adults goes the statistic. I learned this fact as a child and understood that humans share their aqueous makeup with all other organisms. I imagined living things as …
This episode is sponsored by Athelas, the number one provider of remote patient monitoring.
“I’m a small-time doc in a small town, and I work at a small hospital in the Midwest, and I’m proud of it. The huge university hospitals (like Cleveland Clinic) get all the glory …
The health care environment you are about to enter is very different from the one that existed when you entered school. The COVID pandemic has changed us all, but we, the health care providers, have taken one of the biggest hits.
We are exhausted physically, mentally, emotionally, and professionally. Even before the pandemic, we were often short-staffed and now those of us that are left are thankful for any staff, and …
This summer is supposed to be my turn to start residency in the States. I hear enough about work-life balance; but have mostly seen residents push the limits of what could be considered a human existence because it’s known: If you don’t work yourself to death, someone else will.
I’ve heard conversations about whether it’s proper to get married or have children during residency. Usually, the consensus is “no.” Is all …
The problem
Even in the midst of a global pandemic, mental health in medicine is rarely discussed. And yet, the circumstances of our profession create the perfect milieu for darkness. The long work hours. The regularity of tragedy and loss. The nights, weekends, and holidays you miss with those you love. The constant pressure to be perfect — to be professional, to be composed, to be vigilant, to not make any …
Primary care doctors have had enough. I’m sick of it as a family physician, and I know you are too. In our never-ending battle with insurance companies and CMS bureaucrats over how to do our job, the new turf is value-based care (VBC), and the latest weapon against us is metrics.
The central goals of VBC are timely access, better care quality, and efficiency. One could argue if …
This episode is sponsored by Athelas, the number one provider of remote patient monitoring.
“This last mile of the COVID pandemic—Omicron or not—is a painstaking one-on-one endeavor. As is most of primary care. Sadly, we now have to deal with political epidemiology as much as emotional and …
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