My introduction to health insurance companies was very abrupt and simple.
I received my medical training in the U.S. Navy and served three years after that. Then, I was finally discharged. I had treated thousands of patients as a Navy doctor, but I had never charged one, nor did I even know how to charge for services.
My partner in the civilian practice I joined made the transition easy: “Sign this contract …
The toxic doctor-insurer relationship
“We have observed that delays in screenings and intervention for patients with certain common chronic conditions can contribute to claims. Now, clinicians have the opportunity to identify patients whose conditions merit priority contact, such as those with cardiac conditions, those on blood pressure medication, or those with diabetes, and …
Mitigating risks from care during COVID-19 [PODCAST]
One recent afternoon in the GI endoscopy suite (not my favorite place to work, but that’s a topic for another day), I walked up to the bedside of my next patient and introduced myself as I always do.
“Hi,” I said, holding up my name badge for the patient and his wife to see. “I’m Dr. Sibert. I’m with the anesthesiology department and I’ll be looking after you today.”
The patient was …
You’re a doctor when you’re not giving anesthesia?
Norman Grant was a new patient. He had chronic back pain, not helped by surgery or a dozen injections after that. It all started with an industrial accident in 2001. He had settled his case and was on chronic OxyContin, which far from kept him functional. But as of January 1, his insurance was no longer covering that drug. He only had two weeks left of it.
He told me he …
The art of asking where it hurts
When I was young, my father told me that baseball is a metaphor for life. As a lifelong fan, I’ve found professional inspiration and valuable lessons in this game, time after time after time.
This year was no different. Throughout the 2021 MLB playoffs, and amid an exciting World Series between the Houston …
The troubling similarities between primary care physicians and MLB relief pitchers
“The diagnosis is well-established. A cure is within our reach, and the wisest among our practitioners of the healing arts are offering valuable counsel. When the U.S. government and science, in its most principled form, work together, insulated from a culture of insidious and invidious profiteering, they can put a …
Diagnosis: malformation of a health care system [PODCAST]
As resident physicians, many of us are overworked, underpaid, and trying our best to make it through. While this time has its ups and downs, we can’t lose sight of the bigger picture. One of the best things we can do during residency is laying the foundation for the life and career we desire. This means doing a few things during our time in training to set ourselves up well …
A nurse innovator is a nurse who specializes in bringing forth positive change in health care quality and equity by addressing the unmet needs of a target population through new products, processes, and services. Innovators have existed throughout the history of nursing which dates to the 19th century. Yet, the formalization of a ‘nurse innovator’ role has only begun to emerge within health care organizations across the U.S. over the …
What does it mean to be a nurse innovator?
“After much searching, I was fortunate to find a fellowship that though inexperienced in LGBTQ health recognized an opportunity. Faculty and mentors worked from a growth mindset rooted in finding what I needed to succeed rather than what they knew they had to offer at that moment. With their and …
Professional gay: Charting a career in LGBTQ health [PODCAST]
It was as if my four-day-old daughter’s condition was not critical. It was as if I was not a clinician who could confidently assess and identify seizure episodes. It was as if there were no monitors blatantly showing critically low oxygen levels.
Nine long hours and still no response. I felt like I was begging for eternity. I had repeatedly approached the nurses’ station to get their attention and assess my …
The unique agony of being a Black female doctor
What can we learn as we experience turmoil, change, or as we grieve a loss? Is there something we can focus on to help us go through difficult times in our lives? This can be a minor occurrence in our life, or it can be what we have all lived through collectively during a global pandemic.
What can help us see what is beyond what we are experiencing now and let …
Grieving our collective loss with compassion
“We physicians must come to terms with the trauma caused by the financial insecurity built into our training and the ripple effect it has even after we finish training, both as a way to repair ourselves individually and as a way to assure that our profession survives.
The cost of medical …
How medical training teaches doctors to be financially unhealthy [PODCAST]
Research shows that early intervention in mental health conditions is critical for achieving better outcomes. Left unaddressed, conditions tend to progress. The depression will worsen. The anxiety will escalate. The disorder can intensify to the point where a child or teen can’t function, won’t get out of bed, may start self-medicating – and the list goes on.
Even though it could change the trajectory of an adolescents’ mental health condition, providers …
March 11, 2020, my nightmare began.
“Ready to switch?” asks my American Sign Language interpreter during an all-day virtual conference. Switching from speaker view to gallery view, I search for a different speaker’s interpreter among numerous attendees, pin her video, and switch back to speaker view. This interpreter updates me on what I missed during the transition.
I do this every half hour throughout the conference, peering through my reading glasses while …
Practicing medicine as a Deaf physician is an uphill battle. COVID makes it worse.
I was asked this question at least three times this week, so I think there must be something going around. It doesn’t help that a Kardashian with 140 million Instagram followers recently signed a deal to become an equity partner and global spokeswoman for a company selling collagen supplements. The global market for collagen-containing products was estimated at $300 million last year, and is projected …
Are collagen supplements good for you? A physician’s deep dive answer.
“We have to heal ourselves first. That begins with caring for our own minds and bodies, and souls. It means not avoiding (as I did) caring for our own physical and especially our mental health. It means we must be a part of the lives of our families and loved …
How to heal and revitalize our beloved profession [PODCAST]
While the pandemic sparked a renewed (if only temporary) appreciation of the medical profession, this alone wasn’t enough to induce change in the system overwhelming them – a fact blatantly revealed to me this year at the annual conference of the American Academy of Family Physicians. I admit I was a little disappointed when the pandemic forced the location to be changed from sunny California to virtual. But, since I’d …
America is failing primary care doctors
The dusty gym is a blur in my peripheral vision as I grip the high bar tightly and swing downwards from a handstand. I slightly pike at my hips to avoid hitting the low bar behind me before recruiting my abdominal muscles to tap my legs through a transitional arch position and complete the circle around the bar. Just before I return to vertical, my hand slips. I feel the …
I will finish medical school and become a doctor — before I get scared
“If you are encountering families with feeding concerns, I strongly encourage you to ask them if sitting down together for meals is part of their regular routine. The more prescriptive ‘eat this, not that’ or calorie counting model that has been traditionally used in medicine is clearly not working well. …
Family meals’ surprising power [PODCAST]
This article is sponsored by Masterworks, the art investment platform.
Updated March 15, 2022.
The Power Law dictates that 1% of the world’s population holds 45% of the wealth.
And they’re only getting richer thanks to the rise of consumer technology during the global health situation.
In fact, the total …
One unexpected way physicians invest like billionaires (and how you can too)
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