An excerpt from The Pain Solution: 5 Steps to Relieve and Prevent Back Pain, Muscle Pain, and Joint Pain without Medication.
The U.S. health care system is designed to handle emergencies. It manages life-threatening heart attacks and acute fractures well. Thankfully, it saves lives. But most ongoing medical conditions …
Current pain treatments and their deficiencies
“The visit with my patient helped to change my perspective. I should not have made assumptions about her based on my implicit bias. I highly recommend the Harvard Implicit Bias tests as an exercise in introspection. We also need to share and reflect on our experiences — especially when we were …
A call to dismantle structural heteronormative care [PODCAST]
This article is sponsored by the Academy for Continued Healthcare Learning, an independently owned and operated full-service medical education company that has been developing certified health care education for nearly twenty years.
Visit the CME activity and Clinical Inertia Assessment Tool. This activity is …
20 years and counting. How long will it take to address clinical inertia in T2DM?
At the same time that gun violence becomes the leading cause of death for children in the U.S., lawmakers and political pundits caution the public against turning gun violence into a political issue. Yet as Jelani Cobb writes in the New Yorker, the mass killing of children is always already a political issue.
Furthermore, as so many have articulated against the backdrop of decades of …
Politics is health care on a grand scale
In 2021, among the 37 individuals named to Forbes’ 30 Under 30 list for health care, 24 were identified as “co-founder” or “founder” (64%), while only ten individuals were MDs or MD Candidates (27%), and only 4 were both MDs and Co-founder/founders (11%). These metrics demonstrate that of people under the age of 30, the majority of those who were most recognized were not medical students, residents, …
To be effective leaders, physicians need to be trained as entrepreneurs and encouraged to innovate
I am truly disheartened and frustrated that politics are criminalizing evidence-based medical care for transgender youth. At least seven states proposed anti-trans bills in the first week of 2022, and due to political pressure, some hospitals are closing their doors to new patients. I worry about not being able to see my patients and about their treatment being disrupted. Transgender youth could lose access …
Discriminatory policies criminalize care for transgender youth
Doctors don’t get sick. Right?
We’re certainly not supposed to. Throughout our training, the consequences of illness are dire—if you have to miss a day, someone else, someone you know well and care about, will have to fill in. They will probably have to fill in on their one day off that week. You know they’ll be angry and sad. If you’re still a med student rather than a resident, the …
What do doctors do when they get sick?
“We must believe that inside, where our spirits live, there is an understanding, a belief, in those people we have loved and who have loved us, that they will live in us even if they are far away. And perhaps more important these days is that our physical presence is less …
A story of a good death [PODCAST]
An excerpt from Living in the Moment: A Guide to Overcoming Challenges and Finding Moments of Joy in Alzheimer’s Disease and Other Dementias.
When confronted with an injury or an illness in a loved one, it’s human nature to respond, “Do everything! Whatever it takes!” Pulling out all the …
Minimize medication. Treat pain. Relieve agitation.
As we are all processing the horrific events that occurred in Texas, as a psychiatrist and advocate for individuals suffering from mental illness, I beg you not to state this individual was mentally ill. We do not know enough information to come to this conclusion.
We know that individuals with mental illness are not more violent than peers without mental illness. We need to lean into the research, look at other …
It’s time for evidence-based change to reduce gun violence
The practice of medicine goes beyond treating bodily wounds or electrolyte imbalances but also involves understanding and holistically helping patients. To ensure that the health care system functions well, physicians work tirelessly around the clock to provide care, support, and hope. Our focus is on delivering the best possible care to our patients, often putting aside our own needs and wants to complete the never-ending daily scroll of to-dos and …
Creating and promoting a culture of wellness in medicine
COVID-19 melted down the world at a very inopportune time in history. Just as medicine was getting a handle on previously intractable conditions, from sophisticated diabetes management to less invasive surgical procedures, a new threat that devastates our population with few good treatments overwhelms health care.
Medical workers come to the rescue, as we always do, though at a personal and communal price. Somebody else keeps our food available, allows our …
Doctors as organizational stewards
“We can talk about the system-based approaches we have instituted to avoid burnout and the negative emotional consequences that arise from medical errors, miscommunication, or negative outcomes that occur outside our sphere of control: Just culture. Peer review. Physician health and wellness committees. Social events. CMEs about burnout. Burnout surveys. State-run …
Why is it hard to find grace in medicine? [PODCAST]
Bringing in the mail recently, I was pleased to see a thick 5-by-7-inch booklet among the catalogs and bills. The anticipation of reading a few Reader’s Digest short stories and “Humor in Uniform” made the evening seem pleasurable. But when I opened the 244-page Reader’s Digest-sized booklet, I found the “Senior’s Blue Book for Greater Boston.” Here was page after page of assisted living communities, retirement communities, skilled nursing facilities, …
Dvořák Symphony No. 9 in E minor (“From the New World”) – Movement II ‘Largo’: a soundscape like floating beside the clouds in a perfect blue sky. The brass chords flood your ears. The underlying orchestra adds harmonic depth and richness. The English horn solo tugs at heartstrings, sighing at the end of each phrase.
After years spent in numerous youth symphonic orchestras, this performance stands out to me among an …
On my second year-long round of burnout, I lay in bed at night as I festered in my negativity, thinking to myself, “What am I good at, what do I like to do, what am I supposed to be doing?” Little did I realize this was a spiritual crisis.
After almost 15 years as a urologist, I wondered, “What else can I do? What am I supposed to be doing because …
“Maintaining a relationship during nursing school takes some effort. Your time is taken up by studying, classes, clinicals and labs. Oh, did I mention studying? At the end of the day, there is just not much time left for significant others. Now, I am referring to romantic relationships here, but the …
How to maintain your relationships during nursing school [PODCAST]
By this title, I mean whether it is a good idea or not to hire a scribe to enter data into the electronic medical record (EMR) system.
I favor having a scribe. I came of age with paper charts, and I found the transition to EMR tricky and time-consuming.
My chief argument favoring scribes is that scribes can save doctors a lot of time. And by saving time, scribes can also help …
To scribe or not to scribe? That is the question.
“That is a very heteronormative lens.”
These words were uttered to me by a 23-year-old female patient as I explained i-PLEDGE and the steps she must complete to take oral isotretinoin.
The visit started as fairly routine. A young female presented with a complaint of acne. I quickly appraised the patient on entering. She was petite, with a blonde pixie cut. She wore clothes that …
A call to dismantle structural heteronormative care
It is getting very crowded in my exam room. As a practicing obstetrician, I have counseled women for more than the past 36 years and our conversations have always been private. Suddenly, for the first time in 50 years, judges and politicians are vying to join me in these intimate moments that can involve the life or death of the mother. This is impossible for me to comprehend or accept.
The …
Reproductive and abortion care is health care
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