“In St. Louis, asthma is the greatest health care inequity, with African-American children having an incidence rate greater than 10x that of white children. Children in St. Louis are afflicted by rates of asthma 3x higher than that of the national average, and asthma is currently the leading chief complaint at St. …
Inhaler nonadherence and social determinants of health [PODCAST]
Whether we are considering a new job or up for review at our current place of employment, there are several things we should negotiate. Many of us focus solely on salary, but there are other things we should be sure to negotiate as well:
1. Benefits and insurance. One of the first things to consider besides salary is benefits. For physicians and other young professionals with college degrees, student loan forgiveness …
8 things to negotiate besides salary
After I passed my emergency medicine oral boards in 2019, I learned that the American Board of Emergency Medicine was implementing MyEMCert modules, an alternative means of maintaining certification. I was so excited never to have to take a multiple-hour board exam again. However, now that I have become a holistic coach, I find myself preparing for the National Board of …
What it means to be board certified in health and wellness coaching
In the early days of the COVID-19 pandemic, governments and communities had to take rapid and decisive action to protect their citizens against this novel virus. While it was yet unclear how dangerous the COVID-19 infection may be to children, their teachers, and their families, governments quickly shut down schools and activities to slow the spread among the population at large.
Before the pandemic, childhood obesity was already a crisis with …
Reversing the impact of the pandemic on childhood obesity
“As a family physician for more than 40 years, I have seen countless patients struggling to alleviate chronic pain, with far too many turning to self-destructive coping methods such as alcohol and opioids. Unfortunately, the struggle with chronic pain isn’t going away – and more alarming is the fact that those suffering …
Listening to pain in our younger patients [PODCAST]
In his bestselling book How Not to Die, physician Michael Greger described how his grandmother, diagnosed with advanced heart disease at 65, transformed her health and lived for many years after switching to a whole-food, plant-based diet.
It was a seminal event for Dr. Greger that inspired a career dedicated to promoting the impact of lifestyle behavior on health. As lifestyle medicine-certified clinicians practicing in a palliative medicine …
The surprising role for lifestyle medicine in palliative care
If my mother gave birth to me today instead of over 60 years ago, she would probably be dead based on her risk factors. She was Black, had gestational diabetes, and gave birth to a 9-pound 4-ounce baby girl via C-section. She would have been discharged from the hospital on post-op day four rather than post-op day seven. But, thank God, my mother, unlike her mother, lived. I never knew …
If my mother gave birth to me today, she would probably would die
“COVID has brought us new challenges and a genuine opportunity to be part of the critical response to optimize the care we deliver not just to our patients but also to their families and caregivers. I am lucky, blessed to do this work every day and carry such a deep passion.
We are …
A deep passion for palliative medicine [PODCAST]
There are no two ways about it: The health care system in the United States and Canada is failing. Few want to talk about a dirty little secret, but the facts are clear. Health care costs are rising at an unsustainable rate, and millions of Americans are uninsured or underinsured. The system is not accountable to the people it is supposed to serve.
Having experienced both the Canadian and United States …
The health care systems in the United States and Canada are failing
There are times in medicine when the focus is on how hard it is to be a doctor in these uncertain times. We focus on patient care demands, reimbursement challenges and financial instability, and the general lack of feeling rewarded. And that can keep physicians stuck in a cycle of comparing what’s possible with the present circumstances.
Hey, I get it. I’ve been there. I’ve looked at senior attending physicians and …
Unlock the power of comparison for more clarity in your career
After years of searching for answers to my pain, I was finally diagnosed with endometriosis during my second year of medical school. However, the joy of finally having a diagnosis quickly became overshadowed by the knowledge that I was now a part of the 1 in 4 female physicians who suffer from infertility. As a married 27-year-old future doctor with at least six more years of training, …
The hidden costs of fully covered infertility treatment
“I spent the first three days sitting next to my dad’s hospital bed, watching his chest rise and fall slowly. He was asleep the majority of the time, fighting off something unknown. Anytime he moved, I jumped up from my chair and stood where he could see me just in case …
Advocating for a sick parent by confronting physician bias [PODCAST]
I am almost divorced.
I thought about staying private about this. And I mostly have over the last nine months. But here’s the thing — this decision is one of the best ones of my entire life.
I have not been at all immune to the roller coaster of emotions. The last few months have brought me peace and happiness. And as I have shared my story with more friends, I recognize …
I am standing before a team of fellows, residents, medical students, and pharmacists on Monday morning about to start rounds on the oncology service. And as the intern is about to dive into the first patient presentation, I take a moment to ask a question: “Is anyone here into aviation?” This context is met with an awkward pause, people’s eyes looking down, and a bit of confusion. I make an …
10 ways medicine is like the airline industry
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 same concept also applies to friendships.
I’ve put together a list of tips from my own experience to hopefully give …
How to maintain your relationships during nursing school
“What these substances have in common is that they are widely considered to fall into the category of psychedelics. What else they have in common is that the vast majority of us physicians learned nothing about them in medical school or residency, as most psychedelics are classified as Schedule …
What clinicians need to know about psychedelic medicine [PODCAST]
Back on the internet, you are looking for something to make you angry. It’s a habit you picked up as a researcher, stuck in your lab until sunset, walking home to those empty walls. It’s one you’ve kept as a medical student.
It’s always the most belligerent takes that ignite you. The ones that leap to the front line, waving old middle school science like it’s pure, unshifting truth. It needles …
On the internet, you are looking for something to make you angry
I thought it would be easier than ICU nursing. After 33 years as an ICU nurse, I had to leave. I just couldn’t take the pounding on the chests of little old men and women. Hearing and feeling their ribs crack while CPR was performed. I couldn’t handle these poor patients who should have had a peaceful death when the inevitable was near.
Family members with expectations of miracles. Denial. Rationalization.
And …
A patient hit me: Why I say anti-assault prayers
Dear new intern:
As you embark on a year that will prove at different times stimulating, frustrating, rewarding, and exhausting, you’ve likely already been inundated with suggestions on how to thrive, or at the very least, survive what lies ahead.
While I have no pithy advice or intern life-hacks to offer, I suggest one (perhaps strange) practice I hope you will consider and strive to exhibit as you weather the highs and …
Hospitals are some of the least hospitable places
“Greater demands in the U.S. for billing and regulation-related documentation contribute to the excess time burden of EHR systems compared with other countries. A high volume of clinical alerts and other distractions in the EHR, as well as various other inefficiencies (such as locked computer screens and repetitive sign-in …
How much time do physicians spend in the EHR? [PODCAST]
Get free updates delivered free to your inbox.
