“Eventually, this thankfully passed. Now, almost three years later, I know that this loss will always be with us. Miriam was beautiful, she was our only girl, she was perfect for our family, and she’s always missing.
Still, my memories of being in the hospital are incredibly sad but also peaceful. In part, this is due to the incredible support and love …
A terminal diagnosis for my baby [PODCAST]
In an increasingly technology-oriented world, genuine human connection is becoming rarer. Physicians are taught to emotionally disassociate from their patients for mental self-protection. This detachment can result in a loss of human connection between a doctor and patient, which may interfere with patient health outcomes. Studying great literature, such as Tolstoy’s The Death of Ivan Ilyich, allows health care professionals to adopt the patient perspective and gain insight into how …
Will reading Tolstoy make you a better doctor?
Most health care providers are aware of the FIGS scrubs advertisement that depicted a female physician with a DO badge holding a Medical Terminology for Dummies book upside down. In one fell swoop, FIGS enraged the entire medical community causing backlash towards their company. This ad mocking female osteopathic physicians sparked outrage. Many in health care have vowed not to purchase FIGS, prompting the #boycottFIGS response posted as a result …
A DO’s take on the FIGS faux pas
“Setting: An impersonal, windowless conference room within a hospital
Characters: A nurse in charge (NIC), a department chair (DC) and me (ME)
NIC: Thank you for joining us to discuss the report you made of unprofessional behavior in the operating room. We’d like to start by letting you know that in this institution, we have a culture of informality. When I first got here, …
A physician experiences unprofessional behavior. What happened next? [PODCAST]
“Will the unfavorable regulatory environment permit telehealth to flourish? Perforce we’re beginning to see a relaxation of restrictions that have hitherto obstructed progress. Recently, federal officials approved interstate licensing, thereby prompting greater telehealth conversion, utilization, and expansion. Medicare’s 1135 Waiver is also encouraging, and, in as much as it serves the same ends, the Drug Enforcement Administration’s leave to prescribe via …
Telehealth is the future but it is obscured by a dismal present [PODCAST]
For a bunch of folks striving to stomp out malignant processes in our patients, we sure tolerate a fair amount of destructive behavior among training programs.
I’ll be the first to say I’m not the most delicate flower in the garden. Before pursuing medicine, I was a college athlete. I’m no stranger to long hours, harsh coaches, or repeated failures.
Medical students get their first bitter taste of malignant …
Why we’ll never eradicate malignancy in medical training
During a typically busy Saturday evening shift in the emergency department (ED), I am summoned to the trauma room for a “tie-down,” an agitated patient needing restraints. I find the entrance choked with police officers and push my way through to see the patient. Once there, I see a large, young appearing Black man lying on his back, his hands cuffed tightly together on his stomach, a netted hood over …
The issue of tie-downs in the emergency department
“Suzy was a bright and hardworking student. However, even though she was conscientious and generally cheery, her grades began to fall during her senior year, and she started to feel depressed. She also constantly had an upset stomach, which she had just accepted as a way of life. She’d had an ADHD diagnosis since she was younger, but while Ritalin had …
Can what you eat worsen your ADHD? [PODCAST]
It took me 47 years to hear those two devastating words, “You’re fired.”
It’s not like I didn’t have a slew of jobs before becoming a physician. I cut lawns and raked leaves as an early teen; I worked in a fast-food restaurant when I was 14 using my older brother’s ID, I worked in a carwash one summer, I even worked for a national department store. I was always polite, …
“You’re fired”: 2 words this doctor never expected to hear
“Let’s not suffer more hardship then already incurred by COVID-19. Recognizing that both the psychosocial stressors arising from COVID-19 and the withdrawal of effective sexual offender treatment increase the risk of sexual violence, public safety demands that offenders have access to treatment. Without sexual offender treatment during COVID-19, we exchange one public health crisis for another.”
Renée Sorrentino is …
Sexual offender treatment during COVID-19 [PODCAST]
Recently, FIGS – a design-driven medical apparel company – published its latest video advertisement: a young woman in bubblegum pink scrubs struts into view, shaking her FIGS-clad hips for the camera while holding a Medical Terminology for Dummies textbook upside-down. Forget practicing medicine; this woman isn’t fit to drive. The camera pans, emphatically, towards her badge, which reads DO – short for doctor of osteopathic medicine. Ahhh, the viewer is …
The burden of the badge: an MD student’s response to the FIGS controversy
“The incident bothered me all day and the following many days. I couldn’t quite put a finger on what it was and brushed it aside and stopped thinking about it. In the wake of recent events, it dawned upon me that it wasn’t the patient’s comments that bothered me. It was the fact that no one standing in the room witnessing …
Be an upstander and not a bystander [PODCAST]
In the KevinMD article, “Assisted suicide: a change of heart,” the author contends that there is salvation in suffering, but not everyone believes that is true. While I support the author’s ability to decide how she wants to die, I do not believe that her personal beliefs should dictate how I die.
I retired as an internist a few years ago because of declining health. I …
Medical aid in dying is not assisted suicide
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What has medical school been like in the age of Zoom? Before I was a student doctor, I was an undergraduate student pining after the halls of medicine and the truthfully looking forwards to the rigors of medical school. Upon acceptance to medical school at the University of California, San Diego, I celebrated via Zoom with family. Orientation week was a hybrid model of Zoom and on-campus socially distanced activities. …
Medical school in the age of Zoom
I have a lot of energy. I have been going and going and going for so long.
And today, it hit me.
I’m tired.
I began this pursuit of medicine in 1983 when I decided to be a zoology major. I worked and went to medical school. And I went to medical school and worked. Then I worked and went to three years of emergency medicine residency and worked hard for those three …
This physician is tired, and he’s not alone
“My mom was beyond vulnerable to the virus. May of 2020 marked two years since she’d become a nursing home resident—receiving care for several chronic illnesses. She died of failure to thrive due to Coronavirus 2019 on June 1, 2020, at the age of 75.
As her oldest child, her health care proxy, and a health care writer for more than 15 years, I knew that a positive result …
What it’s like to write about COVID-19 while it’s killing your mom [PODCAST]
Populous cities are populous, well, because people want to live there. Whether the appeal comes from greater career opportunities or simply being closer to family, these places have continuously grown over the last few decades.
The growth is seemingly self-sustaining — certain industries and businesses exist because there is a population that desires these services. In return, these businesses require workers, so they attract people to the region. Add nice weather …
Doctors in tech cities are losing the rat race
“You are a physician. You have put in years of hard work and sacrifice getting here. Now what?
Does your life look and feel exactly how you imagined it would? If not, what does your ideal life look like?
Certainly, answers to this question are deeply personal, and will vary depending on the individual. As physicians, we need to engage in a process …
What does a physician’s ideal life look like? [PODCAST]
“An email arrived inviting med students to join the State of Georgia’s Medical Reserve Corps (MRC). The MRC is an organization of doctors, nurses, PAs, EMTs, and med students who are the first medical boots on the ground for disasters in Georgia. They establish mobile hospitals and provide medical care. With extra time in isolation, I signed up and shortly received …
A medical student volunteers with the medical corps [PODCAST]
COVID-19, first identified in December 2019 and declared a global pandemic in March 2020, has taken a toll on everyone around the world. After months of varying levels of lockdown and quarantine, people are developing pandemic fatigue, and craving human contact and normalcy again. This, coupled with the reopening of the nation, businesses reopening, and schools back in session, many people are relying on COVID-19 testing to say they are …
What are the limitations of COVID-19 testing?
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