“During COVID, the medical training system had to adapt because people couldn’t meet in person and even those that could didn’t have access to patients or facilities in the same capacity. However, the explosion of remote training tools that became available make this hybrid training method as good in many …
Technology’s impact on dermatology [PODCAST]
The COVID-19 public health emergency (PHE) has been an amplifier and catalyst for numerous issues. The pandemic has impacted health care delivery significantly, and inequities for the Black community are more apparent. Federal and state rules for telehealth compliance/reimbursement were relaxed to preserve health care access during the PHE. While we are still in the data collection and observation phase, some concepts are clear: Telehealth positively impacts health care access, …
Expanding health care access and equity through telehealth
“As you wait, you have a lot of time to think. You comb through the past in search of something you might have missed. If we had acted sooner on the signs of his illness—had the cancer been diagnosed earlier—would Lee have had a better chance? You think about your …
A son’s brain cancer. A father’s story. [PODCAST]
We have been walking down a long hallway for many, many months. We left the room we resided in pre-COVID, but we have not yet found a room to rest. We are in the liminal space of COVID. This is unsettling and unnerving — liminal space often is.
Liminal space in architecture is the area between discrete, functional spaces, a way of passage, but not the place where beds are placed, …
Crossing the liminal space of the pandemic
Shellee Cohen defines “stratified reproduction” as the practice in which society assigns value to offspring and, therefore reproductive capacity of different groups of people. While commonly race or socioeconomically based, this can be based on any category we can divide people. This concept is ever-present in medicine, even in the most progressive environments. This became most evident when I was sitting at my desk in an outpatient gynecology office, clicking …
Stratified reproduction in medicine
“Last March, I was working in a small primary care practice on the west side of Denver. COVID-19 came to town. On Thursday, March 12, we were told the schools would be closing. On Friday, we were told that clinic staff had to wear masks — and the clinic had …
I was thinking about retiring, and COVID-19 gave me a push [PODCAST]
I broke down crying. Again. — In this cold heart, I can live, or I can die. — It isn’t even on my sad song playlist, so why am I so upset? My scientific brain encouraged me to recreate the environment, remove the variables, and play the song again in isolation. — I believe if I just try, You believe in you and I — Oh no, it’s happening a …
Having a sad: A physician leans into the feeling of sadness
“There has been a growing wave of entrepreneurial physicians finding joy and value in starting consulting and coaching businesses. Many use their expertise to work with physicians exclusively. Our company has been excited to play a part in better spotlighting these businesses. Today it is now even easier to find …
Why physician-owned businesses need our attention and support [PODCAST]
In many ways, this woman was similar to other patients I have seen after a diagnosis and treatment of breast cancer. Her hair was growing back, and I immediately noticed that she was comfortable enough to not be wearing a wig or head covering for our Zoom visit. I keep my hair very short by choice and I find this …
“They are firing me for not getting the COVID vaccine. I can make more money working at Michael’s than I do at this job. I was only doing this because I like to help people. But this is it for me. I’m quitting. I’ll miss the patients, but I cannot be forced into doing something that I don’t believe in.”
The patient care tech said to me after putting my patient …
Does pro-vaccine always have to be pro-mandate?
“Transections, eviscerations, exsanguinations, amputations, decapitations, disembowelments, penetrations, disarticulations, emasculations, enucleations, incinerations—these things he has seen. But of late he chooses to see only the glimmering vials. His vision fades and darkens as he draws closer to the OR where the ultimate reality lies prepped, draped, framed, and illuminated, waiting for …
What we can learn from an orthopedic surgeon who publishes a novel [PODCAST]
Not long ago, my patient in a complex thoracic case developed progressive bradycardia followed by a malignant-looking multifocal atrial arrhythmia that didn’t generate any blood pressure.
“Get out some epinephrine!” I said to my resident, who was standing closer than I was to the drug cart. The resident quickly drew up a milligram of epi, but then paused. I could almost see the thought bubble overhead: “Should I print out a …
How the board certification exams infantilize resident training
I received a phone call from an elderly gentleman who was closer to ninety years of age than 80, was taking an aspirin, and had just suffered a fall and hit his head. He did not know why or how he fell. He asked for an appointment the same day to “check me out.”
My staff asked all the pertinent questions and immediately brought the information to me. After reviewing it, …
Some health issues should not be evaluated in the office
Ivermectin is an over 30-year-old wonder drug that treats life- and sight-threatening parasitic infections. Its lasting influence on global health has been so profound that two of the key researchers in its discovery and development won the Nobel Prize in 2015.
I’ve been an infectious disease pharmacist for over 25 years. I’ve also managed patients who delayed proper treatment for their severe …
Ivermectin is a Nobel Prize-winning wonder drug
“Her face is decorated in colors of the earth. With events on Earth Day and throughout the week, New York City celebrates sustainability and ways to live in harmony with the planet. Scheduled festivities include a march down Broadway with a mix of virtual talks and celebrations and in-person walks …
A story of a physician photojournalist [PODCAST]
How many minutes have you given yourself to read this post?
There was a time when none of us could tell time. Imagine not knowing what the ever-moving hands of a clock are trying to reveal. My memories skew, but in that era before I could tell time, all I remember is laughter, effervescence, and the occasional injury. (The first time I hit my “funny bone” was quite the scare!)
Now, we …
I’ve broken free from time, and I am a better doctor for it
“Do you get compassion fatigue when you take care of smokers or patients with obesity or diabetes?”
This was in reply to an article on compassion fatigue I had posted on my Facebook page. The article was written by an exhausted physician caring for unvaccinated COVID-19 patients. My initial reaction was, “Of course not. That’s my job!” But it made me think, why was it that caring for unvaccinated patients seemed …
Compassion fatigue and the unvaccinated
Little did I know that after October 2, 2020, my life would completely change forever. I want to start by saying I am a pharmacist by profession, and I now finally understand the saying, “take charge of your health.”
My brother and I had taken my dad to a hospital in Philadelphia on the morning of October 2, 2020. Caught by surprise, we found out my dad had four blockages. My …
Why it’s important to take charge of your own health
“A child is born with a food allergy. They do not choose to have their immune system compromised. Parents do not get the choice to opt-in or out of having their child’s body recognize ordinary food as a threat. Food allergies are a unique disease in that we need the …
When celebrities attack children with food allergies [PODCAST]
I was recently coaching a bright, energetic primary care physician in her first few years of practice. She was working through her Life’s Purpose statement, an exercise we often recommend. At the end of her admirable statement, she tagged on “with efficiency.” Naturally, we explored this a bit. Our conversation meandered toward an interesting conclusion: the more she focused on efficiency, the more likely she was to feel overwhelmed and …
The inverse relationship of efficiency and resilience
Get free updates delivered free to your inbox.
