“We lack the necessary signaling of the nonverbal cues when only looking at one’s face. The presenter’s large face only a few inches from our screen may evoke our primordial threat response with its resulting cascading transmitters. The angulation of computer and phone cameras causes facial distortions. Unless one aligns oneself to …
Zoom is foie gras of the brain [PODCAST]
An excerpt from Medical Myths: A Sceptic’s Journey.
It may be a long while since you’ve heard of a very small infant being found dead in the crib.
As a young doctor, I recall the encounters on cold February nights with devastated …
Like many scary health scenarios where patients seek some modicum of influence, the COVID-19 pandemic has led to patient demand for “immune-boosting” dietary supplements. Toilet paper wasn’t the only essential item being limited by stores; bottles of zinc and vitamin C flew off the shelves as consumers stocked up. The role of vitamin D in COVID-19 has been conflated and deflated depending on …
6 unconscious biases against vitamins and supplements
“The COVID-19 pandemic has impacted everyone, especially those of us in health care. Our way of practicing medicine has been changed; some would say forever. We find ourselves affected not only clinically but also emotionally. As a result, clinicians are experiencing more stress and anxiety than ever before. These feelings are …
Peer-to-peer support and the second victim syndrome [PODCAST]
Like many surgical specialties, the one I was aspiring to is a male-dominated field. As such, all my colleagues were male, and I often felt as though I was trying to be a part of a boy’s club. I shed my intrinsic femininity and instead equipped myself with diplomacy, banter, a light-hearted attitude, and contagious enthusiasm.
I knew nothing about the footy, and I hated beer, but I was witty, I …
A physician’s story of sexual harassment
Over the past year, we have experienced massive organizational change at an unprecedented pace. Traditionally, we could spend weeks planning how to best make a change in our workplaces, but COVID-19 was anything but traditional. Our emergency department at Saint Barnabas Health System in Bronx, NY, needed to pivot on a daily and even hourly basis, and to do so took planning and effort. In general, change is difficult, and …
How COVID accelerates change: Bridging business principles with emergency medicine
Negotiations are not just for the job interview and annual review. We negotiate every day. Negotiating in place can be a powerful mechanism to make your current job a better fit.
The key to effective negotiations is to think like the boss. What are her concerns, goals, and interests? How can you align your goals with those of the boss and institution so that everyone wins?
At every point where you are …
14 tips when negotiating a physician job
Assessment without definition: a flat tire on the road of progress
Even though we have known about prions for decades, very little progress has been made in defining what a prion is vs. what a prion is not, how they get into the brain, and how prion diseases are different from other neurodegenerative diseases. Phenomenologically these definitions can vary widely. To some, a prion causes a deadly, …
Are we underestimating the danger of prions and prion based diseases?
I recently read a story that struck close to home for me, and I suspect for nearly all of you in your medical careers at one time or another. It was a story of a surgeon called in urgently to the ED for a seriously injured young boy. The surgeon arrived as soon as he could, only to be confronted by an irate father for being late and accusing the …
A surgeon left his own son’s funeral to take care of your child
“Doctors are indeed noble for what they do. Their work is undoubtedly physically intense and emotionally taxing. But the notion that they are ‘superhuman’ and ‘different’ from the rest of society is exactly the trap that we fall into the moment we don our white coats as medical students. It is because …
Why medical students should not let medicine define them [PODCAST]
In the mid-1990s, a few pharmaceutical companies made broad claims regarding the safety and efficacy of opioid medications for pain management. These claims were based on limited research that did not fully account for these drugs’ potentially harmful effects. As a result, we are now facing an opioid epidemic across the United States.
Now, New Jersey joined several other states by legalizing marijuana for recreational use. While there are clear differences …
Marijuana legalization: an unpopular view
Serious soul searching can give anybody a headache, but when a young woman asked me that, I was taken aback in my neurosurgery clinic. Huh? I said. Do you know René Descartes? The pineal gland is the “seat of the soul.” Well, my pineal gland has a cyst and is more like the “seat of my misery.” It turns out this eloquent young woman in her early 20s was a …
Is my headache coming from my soul?
I have written a lot about how COVID has changed me. Changed medicine. Changed America. I have written about it as a pivot point. A way to build a better medical infrastructure. I have alluded to how we can use innovation, advocacy, and listening to turn 2020 into an opportunity for change. How we can use it as a way to finally admit that health disparities exist, Black Lives Matter, …
I keep going because I miss them. And I miss me.
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“I am left wondering what would have happened if I was the patient’s daughter, niece (who she said I reminded her of), or friend. The nurse made a quick judgment based on my physical characteristics, and she was completely incorrect. I am blessed to be able to challenge people’s implicit bias on …
A medical student’s story of racism and bias [PODCAST]
Faced with starting a women’s cervical cancer program at 12,000 feet at the top of the world in the Himalayas was daunting. I had no idea how I was going to do it. I had my colposcope (a microscope to see the cervix) and a few speculums that I hoped would make the two-day trip through the mountains on a barely …
A new way to look at leadership: Embrace the commitment
“My own dream-induced pain started at the same time this child was mowed down. Then and there is when and where my faith in God died because God, the higher power, had allowed this unspeakable nightmare to happen. My hope for the future evaporated, all while helplessness chewed through my guts …
Lessons learned from a combat doctor in Iraq [PODCAST]
COVID-19 has shed light on a pre-existing condition in medicine – our health care system has failed to tend to its workforce’s well-being. While generally privileged, physicians are an underserved population about their own mental health care.
Numerous articles and countless interviews have focused on the pandemic’s deleterious impact on physicians’ mental health and well-being. But this is not a new problem, nor is it caused by a lack of resilience. …
Physicians are an underserved population about their own mental health care
“The new American Medical Association policy recognizing racism as a public health threat and providing an anti-racist approach to equitable care will have no effectiveness unless health care organizations get their own houses in order and actively do anti-racism work in their own institutions.
Although I’m not a health care provider, as a …
How health care organizations can tackle racism in patient care [PODCAST]
Here’s a controversial phrase for a doctor to say that needs to be normalized: “I am tired.”
As a physician, working oneself to exhaustion for our patients is often seen as a sign of strength and even heroic. As a rare Black male in medicine in the midst of a pandemic that is ravaging patients who look like me, I am especially battle fatigued. In fact, I …
Black physicians are tired of paying the minority tax
I began pursuing a career in medicine with the fervent desire to become a neurosurgeon one day. When someone asked me what I wanted to be when I grew up, I answered neurosurgeon without missing a beat. I chose neurosurgery in high school after falling in love with the nervous system and watching Gifted Hands. I wanted to be like Dr. Ben Carson before his political debut. At that point, …
When selecting a specialty, it’s OK to choose happiness
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