Doing side gigs is in vogue now. I want to tell you my story. It has to do with how one of the leading telemedicine companies ruined my career. I hope that my story will help many of you navigate this tough economy, especially those who are coming out of residency.
I started working as an independent contractor about ten years ago when it first came to the forefront. I worked …
How telemedicine ruined a physician’s career
“The worst part of the climate crisis is that our kids, my kids, may never get to witness the most beautiful parts of our world because they may, and will, cease to exist without our action and power. As I watch my own kids looking out over the ocean on …
Climate change through the lens of an emergency physician [PODCAST]
A recent headline in my neighborhood newspaper read, “A Dentist Became a Top Opioid Buyer in W. Va. Now a Drug Firm Faces Penalty for Ignoring Red Flags.” The drug firm sent 25,400 hydrocodone pills and 3,600 Xanax to one Huntington, WV area dentist. The DEA raided the dentist’s office and shut it down. The dentist admitted to ordering the pills for personal use.
This summer, also right …
How drug distributors contributed to the opioid crisis
At this point in the COVID vaccination campaign, nearly all American adults who want the vaccine have gotten it, and are gratefully snapping up their boosters. Those who decline vaccination are largely impervious to public service announcements, community pressure, and case counts turbocharged by the Omicron variant.
Public health experts emphasize that primary care doctors and nurses are the key to this last mile of the vaccination effort. …
Emotional epidemiology of disease is as critical as clinical epidemiology
The following article is satire.
“These are the times that try men’s souls. The summer soldier and the sunshine patriot will, in this crisis, shrink from the service of their country; but he that stands by it now, deserves the love and thanks of man and woman.”
– Thomas Paine
Happy holidays as we continue our long walk with COVID. A unique walk where each new step is only half as long as …
Don’t be anti-vax in name only
“In 2010, a landmark study from Princeton was published “proving” that money just doesn’t buy happiness. Study participants were asked to compare their emotional well-being from yesterday to today, and it appeared that making more than $75,000 a year didn’t lead to concurrent increases in well-being. Since then, Americans have been flooded with the …
Don’t pay off your student loans early [PODCAST]
A satirical response to “An open letter to radiologists from a jilted orthopedic surgeon.”
“I feel as though there is a deepening rift between our two specialties.”
You ask why the chasm has widened between our specialties. Well, maybe if you paid attention to me, you’d know. I’m an introverted radiologist, you’re a domineering surgeon, and neither of us specializes in communication. Our marriage – like an arthroplasty – …
A satirical response to an orthopedic surgeon’s letter to radiologists
Third in a series. Please read part 1 and part 2.
We expect that most readers have noticed the differences in health care delivery compared to other industries that we discussed in part 1 and part 2. Those differences relate to board governance, health care leadership, infrastructure, and operations. Readers probably also noticed that these differences …
Why health care delivery is an exceptionally different industry: Why does it matter?
More than 1,100 in the U.S. are still dying every day from COVID-19. Every three days, we are losing more Americans than the number that died on 9/11. Just because we don’t see it sneaking up on our families does not mean the COVID terrorist is defeated. While deaths are mainly in 12 northern states, it is highly likely we will again experience a similar problem in Texas and across …
Attack COVID like the terrorist it is
“The journey to becoming a physician is generally a linear path. Sure — there are exceptions, but for the most part, you can accurately predict what you will be doing in the future. For example, when you are in high school, the next step is college, then medical school, residency, possibly a fellowship, …
How to navigate residency probation [PODCAST]
“You do not rise to the level of your goals. You fall to the level of your systems.”
– James Clear, Atomic Habits
I had a bit of a revelation recently when I brought my dog in for grooming. Some background: My dog is ten years old and has a double coat from hell (although very pretty). She also had a spinal cord injury in November 2019 and has residual weakness in …
Groomers at PetSmart have more autonomy than physicians
Their absence makes me feel sad,
I look around at my peers, envious and curious,
Obsessing over when they will show up.
When they do, they never seem to live up to expectations,
Too small, too uneven, but what’s sure is it’s a sign I’m no longer a child.
It adds to my wardrobe in a hushed way,
I don’t know whether to be proud or embarrassed that they’re finally here.
I look at magazines; should I …
There is no other body part that has filled me with such a roller coaster of emotion
The holiday season was notorious for causing loneliness, sadness, anxiety, and a sense of loss even before adding the COVID-19 pandemic to the mix. The pandemic has only served to magnify many of these feelings, as gatherings with loved ones are postponed or canceled. The stress of getting everything done on time and navigating family dynamics can lead to struggles that can benefit from support and self-care. In 2021, support …
Sustaining mental health during the holidays and starting strong in 2022
“I love stories, either told, written, or listened to. Songs tell stories, as does art. Blogs such as the rich content open so many doors for rich conversations. Telling stories is part of who I am. My father loved to tell them, as did my grandfather, whose name I took. …
Why storytelling is critical in medicine [PODCAST]
One of the most dramatic changes from my training to the present is the nearly complete disappearance of elective ulcer surgery. (Reminder: as I’ve said before, “elective” means non-emergent, as opposed to unnecessary.) The revolution began with the advent of drugs that effectively reduce gastric acid production and settled in for real when the relationship between ulcer formation and the bacterium known as H. pylori was worked out. I have to …
A reflection on stomach surgery
“Mom, every time I look in the mirror, I see something different. Sometimes it’s good, and I feel good about myself. But, sometimes it’s not.”
It was well after dinner, and my nine-year-old daughter was perched on the kitchen counter, nibbling on apple slices while I made tea. Her eyes were fixed on her reflection in the mirror across the room, her expression critical.
I leaned forward. “Let me share something with …
Leaving academic medicine was a matter of self-respect
“In the months just prior to the infantile spasms, as Josephine’s mind had begun to develop and grow, so, finally, had my love for her. My lack of affection for her up until that point had troubled me, and it was with relief that I had realized I was beginning …
A shift from the medical perspective of disability to a mother’s perspective [PODCAST]
Two decades ago, high deductible health plans barely existed. Today, more than half of the U.S. workforce is on one, which are plans with deductibles greater than $1300 per individual or $2,600 for a family.
It’s a growing, undiscussed problem for public health. Most doctors have had patients refuse treatment due to out-of-pocket costs caused by their high deductible health plan. All the while medical debt continues to …
High deductible health insurance is bankrupting Americans
I wish you and your family a safe, healthy, and happy holiday season. I hope your new year is bright and better. And in the campy spirit of the family newsletter some folks send out each year (which I love to read), here is one from me to you.
This year as a family doc was challenging. Again.
At times it was inspiring, frightening, and exhausting. I started the year with a …
A holiday greeting card from the land of primary care
My 5-year-old proudly told me during lunch, “Did you know animals don’t cry?” When she told me this, I had to think about it and then immediately Google this. Having small kids teaches you many random facts, including that sharks don’t blink because they don’t have eyelids.
So, when she told me her new fact, I was intrigued.
Animals, unlike humans, do not have a prefrontal cortex.
This is an area of the …
Let’s not become a nation of physician-robots
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