“I can tell you what I don’t want to do. I don’t want to mill through 50 patients a day, mindlessly clicking through EMR checkboxes so an insurance auditor five states away will deem that I’ve done my job and deserve reimbursement. That’s a high volume, high overhead game, and I …
Meet the orthopedic surgeon who stopped taking insurance and does house calls [PODCAST]
What is this potential side effect of the J&J vaccine for COVID-19?
The potential side effect is a blood clot in the veins that drain blood from the brain. This is called central venous sinus thrombosis. In the vaccine-associated cases of this, platelets in blood, which are important for making clots, have been lower than normal. While …
Johnson & Johnson vaccine suspension: What this means for you
“Humanities can be seen as part of the fabric, society, and culture of human experience. In many ways, they might be seen as the disciplines that make us human and make life meaningful. They broadly encompass ancient and modern languages, literature, philosophy, religion, visual and performing arts, such as music and theater. …
Harness the power of the humanities to counteract burnout [PODCAST]
I sat in a crowded auditorium listening to an attending at a renowned medical institution give a lecture. I didn’t know the answers, and shrouded in imposter syndrome, I avoided eye contact. The visiting medical student from Mexico answered the question, and the attending moved on. Another question came. Again, the medical student from Mexico answered. The attending chuckled and said, “OK, Cinco de Mayo,” an exaggerated emphasis on the …
The daily micro- and macroaggressions of being an underrepresented minority in medicine
Providing primary care to patients with mental illness is a challenging task that requires highly skilled and experienced practitioners comfortable with the full array of biopsychosocial problems with which these patients present. For example, understanding the side-effect profiles of psychiatric medications and their impact on problems such as diabetes and other complex endocrinopathies requires highly evolved clinical skills.
Optimally, the successful care of these patients is best provided in close collaboration …
Avoiding the pitfalls of integrating primary care into community-based mental health centers
“Most residents are young, often in their mid to late 20s, having spent years ensconced in libraries, research labs, and classrooms learning pathophysiology and pharmacology. Upon graduation from medical school, they are now drafted to the front lines of a generational pandemic, working long hours, often in cities where they are …
In gratitude to our nation’s residents [PODCAST]
For many years, I have treated individuals with substance use disorders. I have found this work to be both gratifying and frustrating. Part of the frustration stems from interactions with governmental agencies and families.
The families are, of course, fearful and frustrated. They are watching their loved ones “die” before their eyes and want someone to fix it. It is difficult to understand that their loved one’s brain has changed, that …
Don’t yell at me. I’m trying to help.
VIPIT is the medical term given to the phenomenon of developing clots in various parts of the body after certain (not all) COVID-19 vaccines. VIPIT stands for vaccine-induced prothrombotic immune thrombocytopenia, a complicated term explained simply as clotting of the thrombocytes or platelet cells in the blood vessels after receiving the COVID vaccine.
Clearly, understanding this newly evolving condition is very limited, but what we know so far is extremely concerning. …
COVID-vaccine induced thrombosis as explained by a hematologist
Recently, I was talking on the phone to a physician client of mine about the COVID-19 vaccine and how thrilled I was that everyone over the age of 30 is now eligible in New York, which meant I could now schedule my own appointment.
We discussed the current market, and just when I was about to end the call by wishing him a happy National Doctor’s Day, his younger son, who …
12 tax deductions physicians overlook
“Keep it Simple is a bumper sticker slogan. Life during a pandemic has been anything but simple, and the holiday season presents (not the gift kind) its own special challenges. So does living alone and trying to stay humanized. In his book Together: The Healing Power of Human Connection in a …
How to find sparks of joy [PODCAST]
Indian parents are perfectionists. This is what I had come to understand and believe, even before I had the vocabulary to define it. Perfection was the expectation. Not excellent, not superb, but perfection, and only perfection. After years of reflection, I don’t take issue with the expectation of perfection, but, rather, how I perceived it to be defined for me — a well-behaved, beautiful and academically successful girl who does …
How to be a “good girl”: confessions of an (im)perfectionist
Recently, a former NFL football player, Phillip Adams, murdered Dr. Robert Lesslie, his wife, his two grandchildren ages 5 and 9, an air conditioning appliance man, and critically injured a second man. The NFL player had gunned down these innocent people. And then, he left and went to his parent’s house (who lived on the same road), and after hours of the SWAT team begging this man to surrender, he …
Tears from heaven: a nurse’s tribute to Dr. Robert Lesslie
In my medical school admissions essay, I wrote about helping at-risk kids like myself. I wanted to be a child and adolescent psychiatrist, but that wasn’t the main reason for applying. The real reason I applied was for my own personal survival. I needed to learn how to talk to doctors about my symptoms and get an appropriate level of care.
For years, my doctors told me that my illnesses and …
Exclusivity and exclusion: disability discrimination in medical education
“Lights, camera, action!
You get a call from your hospital’s public relations office asking you to speak to the local news. Even though this isn’t your first time, your heart is pounding, with a mix of nerves and excitement. You start doubting whether you have anything valuable to say about the topic, …
What physicians should know before they’re interviewed by the media [PODCAST]
“Ultimately, patient care is at the center of medicine and is the main reason many physicians chose to go into the field. A good understanding of the business side of medicine and personal finance can help future physicians focus on just that. There are plenty of options when it comes to how …
Why medical students should be taught the business side of medicine [PODCAST]
As I embark on my chief year in general surgery, I look forward to most is taking junior residents through operations. I am grateful to have had excellent teachers over the past five years, and I appreciate the opportunity to pay forward this mentorship. But taking what you have learned and teaching someone else turns out to be a very different challenge than learning itself! Suddenly, you realize your attendings …
“Use the force”: How do we teach in the operating room?
Today I attempt to walk a new path in life, a path that sparkles from the sun above to guide my every move.
Step by step, I embrace the light and escape the dark shadow behind me. Slowly, I start to run as I crave harder to escape my unburdening. With the weight of sorrow on my back, I let it go and reach in front for the chamber in my …
A medical student finds a reason to dance
“There should be no grades in medical school. Forty-something percent of applicants get accepted to one or more medical schools. To even apply to medical school, one needs to have not only graduated or be on track to graduate college, but also needs to have passed the MCAT and have the support …
End medical school grades [PODCAST]
There are endless life lessons to learn from people around us. Our friends’ opinions on what they think about a product, a certain cuisine, or how they view life not only gives us a glimpse of who they are, but also can impact our own views. As a doctor, it is always fascinating to me how two patients with the same oncologic diagnosis can have such different views of life: …
A physician colleague’s gratitude
I will speak for myself to say that I completely identified with, and fully agree with, all the sentiments shared by Dr. Klingberg in “A breakup with primary care.” Still, from my own life experiences, and a 30-year career in primary care solo practice, I have been forced to believe that these sentiments are ultimately narcissistic and self-destructive.
Yes, primary care medicine has become thankless, oppressive, cruel, …
A doctor’s life is absurd, but can it still be worth living?
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