“In the courtroom, I was asked to speak about wounds. But the deepest wounds I saw weren’t just in patients — they were in trust, in truth, and in the silence that follows when no one wants to say what really happened.”
I never aspired to testify in court. Like most physicians, I trained to treat patients — not to evaluate the decisions of others. But then a case came. A …
There’s a sacred irony in medicine: Those who care for hearts often forget their own.
This truth came into sharp focus for me this past weekend, where I found myself in a room of women cardiologists at The American College of Cardiology in D.C.
The women in attendance were brilliant and compassionate. They spend their days pacing hearts, restarting them, and stenting them open. They are experts in life’s most vital rhythm. …
Pain is a signal. It gets our attention. It arrests, alarms, and demands we listen. C.S. Lewis wrote in the problem of pain: “God whispers to us in our pleasures, speaks in our conscience, but shouts in our pain: it is His megaphone to rouse a deaf world.” And what a deaf world we have become.
Pain is physical—a sign of tissue damage. It’s defined as “physical suffering or discomfort caused …
I was on another overnight shift in the OB/GYN emergency department. The air was thick with tension, as it always is when the night is full of contractions, cries, and codes. One woman arrived in active labor — her first baby, frightened eyes, and no family by her side.
Everyone rushed to prepare for the delivery. Monitors beeped. Gloves snapped. Orders flew around the room. The focus was on the baby. …
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Historian and ethicist Nigel Cameron discusses his article, “How DrKoop.com rose and fell: the untold story behind the Surgeon General’s startup.” The conversation chronicles the dramatic history of the iconic dot-com era …
Sleep is not a luxury — it’s a fundamental pillar of health on par with diet and exercise. As we enter a new era of sleep, people are more aware than ever before of how rest impacts their overall health. We are at an inflection point where sleep is increasingly recognized as essential to preventative care and wellness. Yet, many still suffer in silence, trapped in a cycle of exhaustion.
The …
An excerpt from The Healthy Kidney Handbook: A Comprehensive Guide to Manage Hypertension, Control Stress, and Prevent Renal Failure, Kidney Disease, and More.
A good friend and neighbor of mine is a kidney transplant survivor, and I wanted to thoughtfully document her thoughts on different parts of her journey. She is currently a married, African American woman, mother of a teenage son, in her forties, and works full time in …
As a health care professional, I’ve often observed how one critical aspect of medication safety and efficacy gets overlooked: food-drug interactions.
Every day, we prescribe and dispense powerful medications — but what patients eat alongside those medications can completely alter their effects.
This isn’t just a pharmacy concern. It’s a multidisciplinary issue that deserves greater attention from physicians, pharmacists, and patient educators.
The physician’s role: Asking the right questions
We often do a solid …
A woman sat nervously in front of me, eyes wide, voice low. “I saw this video on TikTok,” she said. “Now I’m not sure I want to try it.” “It” was semaglutide—one of the most transformative medications we’ve seen for weight loss and metabolic health in years. But her fear wasn’t uncommon. Like many patients I see, she came in hopeful, but hesitant—torn between her desire to get healthy and …
In recent years, an alarming trend has emerged within the health care system, one that is eroding the very backbone of medical care delivery: the physician. What once were rules and regulations designed to protect and elevate the standard of medical care are increasingly being exploited by medical authorities as a tool to extort, reprimand, and harass physicians. More disturbingly, this extortion is now cloaked as “education,” forcing doctors to …
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Pediatrician and certified coach Jessie Mahoney discusses her article, “Physician wellness is a strategic imperative—not a moral crusade.” The conversation focuses on why physicians must shift their advocacy for well-being from a …
In January, I wrote regarding the biased NBC report on unidentified bodies from a coroner’s office being used by a medical school. Subsequently, the network aired two related episodes.
The second report centered on a self-employed purveyor of bodies and parts. He displayed no respect for the people whose bodies or parts he sold. The report was disturbing, as there is an ethical difference between an individual profiting from these …
The Nova Oath is a modern physician’s declaration of courageous care and ethical impact:
I stand not merely as a technician of the body, but as a steward of life, a witness to pain, and a catalyst for healing.
I vow:
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As a radiologist, I’ve heard the same question too many times, usually from anxious medical students struggling to decide if they should pursue radiology:
“Is AI going to replace radiologists?”
I understand the concern. I had similar fears during training. But after years of practicing medicine and watching AI promises play out in the real world, I can confidently say this: AI is not replacing radiologists. It’s not even close. And those …
As a psychiatrist deeply committed to my patients’ well-being, there are moments etched into my memory—moments of profound suffering, struggle, and ultimately, redemption. I vividly recall Sarah (name changed for confidentiality), a 45-year-old teacher whose severe depression had drained all joy from her life. “Dr. Rifai, I just want my life back,” she told me, tears streaming down her face. Her plea echoed the silent anguish of countless patients I’ve …
There’s a quiet rebellion happening in medicine. A movement of physicians no longer willing to sacrifice their humanity for productivity quotas, administrative burdens, or the illusion of perfection. We wrote White Coats, Courageous Hearts with thirteen other physicians to shine a light on this shift—voices reclaiming agency in a system that often forgets that doctors are human, too.
Alae Kawam, DO:
There has been a profound cultural shift—and an emerging rift—in the …
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Entrepreneur, AI enthusiast, and wellness advocate Vaishali Jha discusses her article, “Gen Z is already transforming mental health care—are we listening?” The conversation explores the vital need for new perspectives in health …
I know what I’m about to say is unpopular, and maybe even controversial within our field — but I need to say it.
I’ve been a nurse for 18 years. I care deeply about my patients, and I care about the future of this profession. But I’m increasingly disheartened by what I see inside our own ranks. There’s a phrase we all know: “nurses eat their young.” We repeat it so …
The emergency physician across from me had it all on paper: good schedule, six-figure salary, respected by colleagues, two kids in college, mortgage nearly paid off. “I should be grateful,” she said, staring at her coffee. “But I keep wondering — is this it for the next twenty years?” If you’re nodding, you’re not alone. That quiet restlessness isn’t ingratitude. It’s evolution.
The script we’ve all been given
From day one of …
I am trapped in a circadian rhythm that I cannot escape from. I think it started when I finished my residency. And to make matters worse, this week it felt like I was also trapped in the series Squid Game. I awake about an hour before first light (sometimes as early as 4:30 a.m.) and almost instantly fall asleep about an hour after dusk if I am laying down. No …
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