“It is often difficult to reflect on the holidays when we are grieving positively. One thing to keep in mind is that the loved one/ones we lost would want us to remember them fondly and enjoy the holiday season. The holidays are rare occasions when families who are often separated by long …
Empty chairs at the table this pandemic holiday season [PODCAST]
We all think we know what a bruise looks like. Black and blue, brownish around the edges. But depending on the circumstances, the same bruise can look different from one person to another.
To a well-loved child who skinned her knee, a bruise might look like a bad memory of an epic tree-climb attempt. To a patient with diabetes, a similar bruise might look like the onset of a life-threatening emergency. …
Changing the national conversation on wound care
“The pandemic has been difficult, but it has managed to change my perspective for the better. I mourn for the suffering and loss we have experienced as humanity, and moving forward, I have a new sense of appreciation. I am hopeful for the future, and I know we are in this together. We should try to focus on appreciation, resilience, adaptability, and self-discipline. This is the most difficult …
Positive growth from the COVID-19 pandemic [PODCAST]
The COVID-19 pandemic has exacerbated and highlighted many health issues, particularly those suffering from chronic pain.
An estimated 50 million people in the U.S. live with chronic pain, of which approximately 19.6 million experience high-impact chronic pain that interferes with life, social, and occupational activities. Regardless of the pathology of pain, chronic pain may involve Read more…
Recommending yoga to your patients? Consider this first.
Physicians are overwhelmed and burned out. We have an epidemic of “too busy.” Many of us think we could get so much more accomplished if we had more time. Why aren’t we taking the time? Doctors need to start taking growth days. These aren’t sick days, mental health days or vacation days. Growth days are days strategically taken during the month that are specifically meant for personal growth. This could …
“Vaccines have been around as early as 1776 when Edward Jenner first pioneered the smallpox vaccine and Louis Pasteur produced a rabies vaccine. As a microbiologist’s child, I grew up hearing these stories from my father and thinking of these men as heroes. Vaccines have been proven so effective and safe …
#ThisIsOurShot to end the pandemic [PODCAST]
As a pediatric emergency physician in Chicago, I am no stranger to the effects of gun violence in our patient population and society. But what do we do when gun violence is turned on our own community as physicians?
Recently a beloved pediatrician in Austin, Texas, Dr. Lindley Dodson, was held hostage and killed in a murder-suicide carried out by another pediatrician with whom she had no relationship. This senseless tragedy has …
Gun and health care workplace violence: Dr. Lindley Dodson’s tragic death
It’s no surprise that the PlayStation 5 (PS5) has been extremely popular since its launch in November, with over four million consoles sold since launch. However, what is surprising is that the PS5 has broken all launch month gaming hardware sales records ever, despite its steep prices at $500 for the full console and $400 for the digital edition, not to mention its launch in the …
What the PlayStation 5 can teach the vaccine rollout
You might be next.
I began my career as a family physician in Buffalo, MN in 2002. I have been an extremely productive doctor for 20 years. For context, I can assure the reader that my ratings and reviews are excellent, and I speak to the common primary care experience. I was a very green attending when I showed up in Buffalo for my first attending job. …
The attack in Buffalo, Minnesota: a primary care physician’s perspective
“COVID-19 wreaks havoc on multiple areas of the body, and myself and my fellow frontline workers across the globe have been forced to quickly identify what tools work best in our quest to keep our patients alive.
While we’re working to identify which technologies can improve our patients’ outcomes, it’s encouraging that …
Nephrology and kidney care during the pandemic [PODCAST]
“I think I’m having a stroke.”
The words struggled to leave my mouth as I spoke to the 9-1-1 operator. Emotionally in disbelief, the words seemed so unusual to say in the first person. Ten minutes earlier, overwhelming nausea and drenching sweats woke me abruptly from sleep. Thinking it was something I ate, I immediately regretted the preceding meal that must have been responsible. My attempt to get to the bathroom …
After a stroke, a physician experiences true vulnerability
It’s been almost a year since nursing home workers began fighting on the front lines of COVID-19. They’ve witnessed and experienced extreme trauma. They’ve seen seniors they care for suffer in fear and loneliness during prolonged and repeated lockdowns. They’ve seen residents fall catastrophically ill and too many of them die.
More than 17,000 seniors are dead from COVID-19 in Canada; Read more…
Nursing home workers at catastrophic levels of burnout and trauma
“The peer-review process is fallible, slow, and biased, and it takes advantage of the scientific community’s altruism. We need to keep pushing the conversation forward about making publishing more equitable, timely, accessible, and fair. An obvious and easy way to begin is to pay the experts who perform the peer reviews. …
Reforming the peer review process [PODCAST]
I love metaphors. I think they can be so powerful and can convey so much, sometimes with just a few words.
One metaphor we use in coaching to describe the coach’s role in a session with their client is that of a swimming pool. The client is in the swimming pool, and as the coach we have the job of not jumping in the pool with them.
Imagine you …
The case for physician peer coaching
During a casual scroll through social media, I often hear the voice of my friend and fellow pediatrician warning, “Do not engage!”
Generally speaking, this is almost always the correct advice. The rise of various social media platforms, the ability to rapidly share information and disinformation, the growing culture of doing one’s own “research,” and the apparent difficulty in separating reputable from non-reputable sources online has created the perfect storm. In …
How physicians can engage on social media
There is a strong push for health care to move towards greater value-based care (VBC) arrangements. The prospect of VBC holds the opportunity to re-create partnerships designed to increase health care sustainability by strategically improving processes, care delivery, and patient outcomes to achieve higher quality output at a decreased cost. Furthermore, the held potential will not be optimized until providers, payers, patients, and communities are connected in this common goal …
Why health care fails to deliver better value in patient care
As a foreign medical graduate and a multiple-time career changer — from being a doctor to a hospital process improvement and leadership coach to a business professor to a transformational career coach for female physicians — I have closely examined the U.S. health care industry from various lenses.
The one thing that stands out for me is the us vs. them attitude. Us being physicians and them being administrators.
I have seen …
Stop the us vs. them mentality in medicine
“I can do better. We can do better. Please partner with me and advocate for the ability for doctors and residents in our profession to receive medical and psychiatric care without fear of losing our licenses or having to face stigma and judgment. It can save lives. Please, we are more …
Doctors are killing themselves, and who is taking notice? [PODCAST]
An excerpt from 50 Years in the OR: True Stories of Life, Loss, and Laughter While Giving Anesthesia.
Chronic long-term alcoholism causes many health problems, not the least of which is cirrhosis of the liver. In advanced cases of cirrhosis, the liver becomes full of …
A story of esophageal variceal rupture
“Is the ACA perfect? Not by a long shot. In Kentucky, where I live, there are only 2 insurers selling individual policies on the exchange. A Silver plan for my husband and myself costs $1,800 per month in premiums, with a $13,600 deductible and an out-of-pocket maximum of $14,600. Therefore, the total …
Why the preservation of the Affordable Care Act should matter to you [PODCAST]
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