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 …
Metric fever will decimate our primary care workforce
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 …
Danielle Ofri, MD on sharing stories and the emotional epidemiology of disease [PODCAST]
This article is sponsored by BeMo Academic Consulting, one of the most sought-after academic consulting firms for helping applicants with admissions to highly competitive programs and its staunch advocacy for fair admissions.
Almost every professional or academic program has its most feared admissions component. Those who …
BeMo MCAT Prep lesson #1: The liberal arts is a friend of MCAT test-takers
I still recall the ICU physician holding my hand and preparing me for the possibility I might not survive the blood clots in my lungs, pulmonary embolism. It was eighteen years ago when out of the blue, I found myself unexpectedly holding the hand of that gentle, concerned doctor, whose name I do not even know. My son was three years old at the time, and all I could think …
Patients are captive pharmacy benefits manager consumers
As our health care system teeters yet again on the brink of collapse, the big questions on so many of our minds are: What does our future hold for us as physicians? What is our path forward?
As physicians, we currently live and work in a constant state of crisis. We’ve seen record numbers of patients, experienced personnel shortages, and instituted crisis staffing and standards of care. We’ve cared for patients …
Fellow physicians, what is our path forward?
Living in the U.S., chances are you get some regular mail that you never signed up for — a magazine, a journal, a sales flier. As medical professionals, we also get these free journals related to our field. We don’t always have the time to fact-check a publication. And with names that appear to be legitimate, we might take information at face value. This is especially true if we are …
Misinformation in transgender health care is harming patient care
While chatting with a physician client of mine recently, an important topic came up that she hadn’t really asked about previously. My client is in her late 40s and is currently single with no plans of getting married. She’s the only child of her aged parents, and after working as a physician for over 15 years, she has become financially successful enough to slow her career down a bit. Her …
Estate planning and asset protection challenges and strategies for single physicians
This episode is sponsored by Athelas, the number one provider of remote patient monitoring.
“Medical-legal consulting is a great way to use your medical training in a non-clinical field that helps people. I started this field 14 years ago and have trained over 1,600 physicians to be medical-legal …
Medical-legal consulting as a side gig [PODCAST]
We are surrounded by technology.
This hasn’t always been the case in the health care industry—we can be a bit more “deliberate,” if you will—but the pandemic notably accelerated the pace at which organizations invested in new technology. Rock Health’s 2021 year-end report found that digital health funding among U.S.-based startups reached a record $29.1 billion in 2021, which almost doubled the number ($14.9 billion) from 2020. The …
Here’s a crazy thought: Make technology work for doctors
My 13-year-old daughter was writhing on the floor from pain in her back and belly, a fever, and intermittent chest pains. She was two days out from a spine surgery intended to fix an 8-month-old gymnastics injury. She couldn’t take any steps on her own, and it was a three-person project just to get her from the couch to the chair.
“Go to the ER,” the hospital answering service said.
I tried …
The paradox of treating pain in a system too full to manage it
The new reality of medical conferences shaped by the COVID-19 pandemic requires a new language and a fundamental rethink to make these major showcases of medical organizations and societies a place where physicians and patients can share their experiences and perspectives.
We can no longer characterize medical conferences as – in the words of an old Jimmy Buffet tune – “a Holiday Inn full of surgeons” who meet there every year …
Beyond Jimmy Buffet: The new medical conference
Our medical system is failing our children. The rate of chronic diseases in children is skyrocketing. Obesity has increased. Behavioral health issues are at new highs, making suicide a leading cause of death in children. During the pandemic, rates of pediatric preventive health visits, vaccinations, and screening tests have decreased, thereby losing opportunities for early intervention.
These failures were evident before COVID …
Kids are not OK: Health care is failing them
High functioning depression (or HFD) is the mental health diagnosis given to an individual who exhibits symptoms of high-level depression but manages to maintain overall functionality in life. An HFD person will often engage in activities that would be considered “normal” and healthy for a typical person, maintaining a job and even social relationships (though they may not appear as close and involved as typically expected). However, they might find …
Recognizing high functioning depression
This episode is sponsored by Athelas, the number one provider of remote patient monitoring.
“Instead of trying to earn a spot on a talk show to help a person dealing with costly treatments for illness, perhaps it is best to lobby policymakers to pass legislation that impacts big …
Fund this: Policies can fill medical funding gaps for all [PODCAST]
My wife and I were on a short flight from Rome to Brindisi in the region called Puglia in the southern part of Italy last year.
As we were starting to taxi down the runway, I heard a child crying a few rows behind us, but it was very different from a baby’s or a normal child’s crying. It reminded me of when I have experienced autistic children screaming, usually from …
A random act of kindness on a plane
Suppose you have watched the news, been on social media, or have had any conversations with others. In that case, it should not be a surprise that health care workers are physically, mentally, and emotionally exhausted and extremely burned out.
We are currently entering our third year of a global pandemic. So, burnout physicians are not a big surprise, especially when doctors’ opinions are marginalized over political beliefs about a virus. …
Losing our most valuable non-renewable resource: physicians
You know who you are.
I’m writing to tell you no matter how wrenching our time was together, or messy, or scary, or short were the hours, I love you. I cherish you. And no matter how hard I tried, it was you who gave more. Because you let me in when I showed up unannounced in my pale blouse and loud heels.
You might have been curled up …
A love letter from your doctor
This episode is sponsored by Athelas, the number one provider of remote patient monitoring.
“In the ongoing saga of the pandemic, there is the debate whether to wear a mask or not. These are physical masks that temporarily hide our face, but we all wear another type of …
Autism spectrum disorder and the masks we wear [PODCAST]
Dogs have been part of my extended family for most of my sixty-plus years. With a dog comes poop.
It doesn’t really matter on a farm, but in the city, there is an expectation, a social contract of sorts. In the public parks and boulevards, the dog owner is expected to scoop the poop.
While some dog walkers dutifully pick up their dog’s poop, others don’t bother, and before I know it, …
Dog poop, the social contract, and pandemic behaviors
One year after the White House instated an executive order focusing on health equity and support for underserved communities, changes are in progress. But even with the positive news that the Omicron surge has peaked with the seven-day case average dropping, gaping holes in health disparities are still unanswered.
Some hospitals and health care systems such as CoxHealth have hired diversity, equity, …
Stand and deliver: Health care systems need to serve up health equity missions
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