The cost of health care in the United States continues to rise, totaling over $3.8 trillion per year. Gastrointestinal diseases contribute significantly to health care costs and were recently estimated to be $135.9 billion annually. Innovation in gastroenterology has traditionally focused on expensive pharmaceuticals, devices, and new procedures. Many of the conditions and …
Innovation in a rural gastroenterology practice using a farm
“The collective resiliency of the medical education community shone through the challenges of the past year. In medicine, physicians must adapt to all situations, and GME is no exception. Even in a pandemic, everyone adjusted as needed. Program coordinators and faculty were flexible and creative, while applicants remained passionate and …
How the residency application process has changed forever [PODCAST]
Covaxin, an inactivated SARS-CoV-2 vaccine and the only vaccine to have been proven effective against all variants including the Delta variant in a Phase III clinical study, deserves to be tested in clinical trials in the U.S. for potential CDC/FDA approval for use in the U.S.
As we are about to celebrate the one-year anniversary of the vaccine rollout against COVID-19, we would do well to remember that despite the progress …
The American public deserves more COVID-19 vaccine options
“This survey study examines the self-reports of personal attacks and sexual harassment of physicians through social media outlets. A total of 108 physicians (23.3%) reported being personally attacked on social media, with no significant difference between female and male physicians. In contrast, women were significantly more likely than men to report online sexual …
Personal attacks and sexual harassment of physicians on social media [PODCAST]
We are saddened by another school shooting in America. Four lives were cut short, and one young man who was obviously crying out for help clearly did not get it.
There are so many pieces to this puzzle to examine. So many areas where we can improve. As a child psychiatrist, I am fully aware that our mental health system is broken. So many families seeking care run into barriers and …
We have an obligation to keep firearms out of the hands of children
A hundred years ago, women lived one year longer than men, but now they live five years longer than men. And things are getting worse. Currently, the lifespan of men in the U.S. is declining due to alcohol, opioids, and suicide. These trends need to change.
I take care of men. I’ve been a urologist for almost 25 years and have seen thousands of men as patients, many of whom have …
The catastrophe of men’s health and how we can help
“My mother screamed. It meant my father needed a doctor — now.
But why?
We just visited the hospital days before to refill his drugs. He would be better if he used the drugs. Magic drugs. That is what he called them. I stood up from the mat where I slept …
A medical student shares a story about language [PODCAST]
The provision of quality medical services is the main target that every health care provider aims at achieving. Medical practitioners should have effective technical skills to ease their service delivery to their clients regardless of the health care sector’s various challenges.
During the early days of the COVID-19 pandemic, many government-imposed restriction measures had adverse effects in many sectors, including health care. Patients with comorbidities have a weak immune system, and …
Health care technology innovation from COVID
It is a seasonally cold fall evening in Long Island, NY, and I am standing in a field in the middle of what should be a darkened park. Still, I am truly amazed by how bright it is lit up by lanterns with different colors demarcating patients, families, and remembrances.
As an oncologist who treats blood cancers, this event, called Light the Night, sponsored by the Leukemia and Lymphoma Society, was …
Keeping a cancer diagnosis silent
Black men need to be comfortable saying that we can be scared sometimes, and to share our emotions without guilt or shame.
I say this as a Black man who has experienced vulnerability both as a family physician and as a patient. Over the last year, I’ve been challenged in unforeseen ways. In my professional life, I’ve cared for patients with COVID-19 and other chronic medical conditions, engaged as a clinician-educator …
Navigating infertility as a Black male family physician
“Practicing culturally relevant care means we can account for the social determinants of health, barriers to access, and the emotional disconnect that results from the status quo, one-size-fits-all approach many patients have come to expect. It helps us reach into underserved communities and lift them up, which is essential during …
To achieve health equity, culturally relevant care must be the standard of care [PODCAST]
Smartwatch wearers: Have you checked your smartwatch lately? Did it tell you how many steps you have or how fast your heart is beating? How accurate is the information? What does that number mean for your overall health, and where do all of those numbers go after they are reported back to your computer?
The health care industry is under constant pressure to securely store patient information and still have it …
The race to find uses for Big Data
The word vulnerable is derived from the Latin, “vulnerare,” to wound. Vulnerable literally means “able to be wounded.” In common usage, we refer to being vulnerable when we’re feeling weak, fragile, and emotionally worn down. No wonder most of us want nothing to do with vulnerability. Beginning in childhood, we learn to protect ourselves from emotional attacks perpetrated by family members, peers, and teachers. What’s more, if our parents are …
To be, or not to be, vulnerable in a relationship
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An excerpt from Doc-Related: A Physician’s Guide to Fixing Our Ailing Health Care System.
Early in my career as a rural physician in Texas, I took care of a couple in their mid-70s named Vernon and Nellie. They drove in from another small town 50 miles away. Nellie usually did all the talking, while her husband, Vernon, sat quietly next to …
Patient surveys: the quest for positive reviews
“You have more power than you realize.
It’s no secret that medical providers feel structurally powerless in our chaotic health care system. Control over the volume, pace, and elements of our work often rests squarely in the hands of others. But know this: Your own personal power over your work remains …
Amid powerlessness, reclaim your personal power [PODCAST]
Like anyone else, the holiday season can be the source of great joy. And it can add to the stress and overwhelm that physicians already experience. The practicing physician may find herself torn between responsibilities in the clinical setting and the preparations needed to make a memorable holiday experience for family and friends.
It starts with rushing from work to make it to the store before closing. It’s planning, decorating, baking, …
Beat the overwhelm this holiday season and set the stage for cheer
It was a hot afternoon, but no dog day humidity yet. I was driving back from a satellite office when our nurse practitioner called. A patient with a condition we’d seen many times before, a brain hemorrhage, her consciousness waning. The CT scan showed blood in the ventricles obstructing the flow of cerebrospinal fluid.
The pressure was building and our patient was dying. She needed an external ventricular drain to relieve …
My patient and I were born on the same day. It took a tragedy to bring us back together.
An excerpt from All Bleeding Stops.
42nd Surgical Hospital
Phu Bai
Republic of Vietnam
December 1967
Private Ira Stein has so many wounds, has lost so much blood, that the corpsmen nearly bring him straight to Graves. Steve Benson can’t get a pressure. He shakes his head. “Matthew, there’s no point taking this kid to the OR. He’s too far gone. He has no chance.”
“Bullshit!” …
War is really not all it’s cracked up to be
“I can attest to the tremendous power of simply noticing these rhythms and attending to them. It’s part of a larger attempt to live a more authentic life. So much of my time over the past 20 years has been vying to achieve someone else’s standards or to live …
Instead of focusing on your time, focus on your energy [PODCAST]
In the early evening, I stand in the grocery store checkout line. A young mother in front of me presses a pig-tailed toddler against her hip as she rummages for her credit card, and a man with silvered hair and a monogrammed shirt shifts impatiently behind me. As I watch the toddler, I’m hit with a twinge of nostalgia. I think of how I used to pull my daughter’s hair …
Our patients become an inextricable part of our lives
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