Doctors are born to serve. We say yes to the late shifts, cover for colleagues, sign up for the committee, and go the extra mile for our patients.
Somewhere along the way, that instinct to serve often mutates into something sneakier: The belief that we must constantly prove our worth through more letters behind our name.
I’ve seen it repeatedly. Physicians burned out in their clinical roles start looking for a way …
Introduction: Financing cancer or fighting it?
Tobacco remains the single largest preventable cause of cancer worldwide, responsible for nearly 8 million deaths annually, including 1.2 million from exposure to secondhand smoke. Despite decades of public health efforts, global tobacco use continues to pose a significant threat to cancer prevention. The question remains: Are we truly winning the war against the world’s leading carcinogen, or are we merely negotiating with death?
Tobacco is …
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Physician executive Jay Anders discusses his article, “Health care’s data problem: the real obstacle to AI success.” Jay asserts that the transformative potential of artificial intelligence in health care is fundamentally dependent …
In medicine, we were taught to value humility over pride. To downplay our successes. To “just do our job.” Even as we achieve remarkable things, we rarely pause to acknowledge them, let alone celebrate.
Pride feels risky. Many physicians worry that being proud means being egotistical, self-important, or inconsiderate of others who may be struggling. We were trained to attribute our successes to the team, to luck, or hard work—never to …
It was after dinner at The Goring, just the three of us—Ulla, David Chipp, and me. The kind of dinner where the wine lingers longer than the food, and the conversation slips into the quietly personal.
David, once Reuters’ correspondent in Peking during the Mao years and later editor-in-chief of the Press Association, handed me a gift: a copy of E. M. Forster’s What I believe. Inside, he had written a line …
Like many of us in health care, I recently became engrossed in The Pitt. If you’re still watching—or plan to—consider this your spoiler alert. HBO’s new medical drama immerses viewers in a grueling 14-hour shift in the ER of a trauma center. I initially tuned in for Noah Wyle, my teenage crush, but I stayed for the catharsis. Never have I related on such a visceral level to the portrayal …
Have you been encouraged to play more by your medical providers recently?
Most likely, the answer is “no.”
However, as a family medicine physician myself, I have begun to see the importance of play for many aspects of our health.
When scholars define playfulness, curiosity, spontaneity, and the freedom to suspend reality are some of the ways it is described.
I might ask right here for you to consider how those elements are important …
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Patient advocate Tami Burdick discusses her article, “How collaboration saved my life from a rare disease doctors couldn’t diagnose.” Tami shares her personal and arduous journey with granulomatous mastitis (GM), a rare …
Having worked with patients for more than 25 years, I’ve witnessed the courage, determination, and unbreakable spirit of those facing a cancer diagnosis. But I’ve also seen the questions, uncertainties, and misinformation they and their families face throughout the cancer journey.
Cancer is one of the most challenging health issues of our time, affecting the lives of millions of people worldwide. More than 20 million new cases of cancer are diagnosed …
Von Willebrand disease (VWD) is the most common inherited bleeding disorder, affecting approximately 1 percent of the population, though clinically significant symptoms occur in about 1 in 10,000 individuals. It is caused by a deficiency or dysfunction of von Willebrand factor (VWF), a protein critical for blood clotting. For women, VWD poses unique challenges during reproductive years, particularly in the context of fertility and assisted reproductive technologies like in vitro …
Everyone talks about the pride of earning that “Dr.” title. But few speak about the ugly journey of medical school: the isolation, exhaustion, and invisible battles.
There’s never a shortage of people telling you to work hard. What they don’t tell you is that sometimes, hard work still won’t be enough. In Pakistan, over 180,000 students sit for the MDCAT each year, competing for limited seats. Globally, 70,000 take the MCAT. …
In a few weeks, we will be celebrating our 249th Independence Day, which brings celebratory vibes but concerns about how the Constitution is being ignored. Who will stand to defend it? In today’s America—where civil liberties are too often dismissed as inconvenient and the Constitution is treated like a museum piece rather than a living covenant—we are called to remember the physician patriots who helped birth this nation. Not only with …
As a child, I was an introvert. Due to various circumstances, I didn’t have the opportunity to play any sports.
On many days, I see young children playing football or cricket in the large cricket park in front of my home. Various trainers from different sports clubs bring their teams of girls and boys to play football. They do stretches and warm-up runs, and I watch them from a distance.
I stop …
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Patient advocate Lianne Mandelbaum discusses her article, “What Avarie’s death in Rome teaches us about the gaps in food allergy education.” Lianne reflects on the tragic death of Avarie, a young American …
In an age where medicine is increasingly shaped by administrators, algorithms, and corporate cost-cutting, physicians find themselves stripped of many of the economic tools that once defined their professional autonomy.
The days when physicians—especially in fields like internal medicine, pediatrics, and even general surgery—could rely on billing, collections, and the straightforward logic of fee-for-service income are largely over. Reimbursement has stagnated or declined in real terms, overhead costs rise yearly, and …
An excerpt from Real Medicine, Unreal Stories: Lessons and Insights from Clinical Practice.
The magnolias were blooming early this spring, their pale pink petals fluttering down onto the worn brick pathway outside the hospital courtyard. Dr. Eva Cardenas wrapped her thin white coat tighter as she waited on a bench, the same one she used to eat lunch on during the worst months of 2020, six feet apart from everyone …
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An excerpt from Doctor Slave: Reflections on the Future of Medicine.
The distance from clinical practice provided a clarity that was impossible to achieve while embedded within the system. From outside, I could see patterns, pressures, and paradoxes that had been invisible when I was caught in the daily grind.
I recognized that many aspects of modern health care that are presented as inevitable or necessary are actually artificial constructs designed …
Some people eat to live, but most of us live to eat. Meals are more than sustenance; they are how we celebrate milestones, connect with loved ones, and mark the passage of time. But for people living with food allergies, dining out can feel less like a joy and more like an exercise in survival.
Trust becomes the most important ingredient on the plate. Trust that an unfamiliar chef has taken …
I’ve had a few moments in my life where time seems to stand still.
I’m not talking about being in the flow of creativity or about a near-death experience. I’m referring to those times where a sudden realization makes you reconsider how you’ve viewed yourself or your life in fundamental ways.
After leaving clinical practice, I was dogged by guilt and shame for at least a decade. I viewed my choice as …
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Endocrinologist William Hsu discusses his article, “Reimagining diabetes care with nutrition, not prescriptions.” William argues for a paradigm shift in treating Type 2 diabetes, moving away from a primary reliance on medications …
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