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
Consider the following sports icons: tennis legend Billie Jean King, basketball veteran Larry Bird, triathlete Karsten Madsen, baseball pitcher Kenley Jansen, and cyclist champion Haimar Zubeldia.
What do all of these well-known professional athlete heroes have in common? They are athletes with atrial fibrillation, also called AFib. AFib is the most common heart rhythm disorder worldwide, accounting for 750,000 hospitalizations per year in the US alone. It is estimated that 6 …
Extreme athleticism and the risk of atrial fibrillation
Physicians in general are a pretty intelligent group of professionals. However, we sometimes make the mistake of thinking that we must also know a lot about almost everything because we know a lot about one particular thing. However, given the exploding pace of advancing knowledge, that idea is hubristic. But it isn’t just science and technology where we fall short.
During the COVID pandemic, one of the things most contentious has …
Why do people keep going to church?
“To understand how to create good shifts irrespective of external factors, I turned to the ancient philosophy of Stoicism. One of its core tenets is that we must focus on what is within our control. Epictetus said: ‘Happiness and freedom begin with a clear understanding of one principle: Some things are …
How to (almost) never have a bad shift [PODCAST]
I received my COVID vaccine on December 21st before starting an ER shift; sitting in the cold, plastic chair in a hallway-turned-vaccine-clinic, I tipped my head back to blink tears into submission as I reflected on making it this far in the pandemic without contracting COVID. Four days later, after three twelve-hour shifts, I tested positive for COVID.
The COVID vaccine did not cause my positive result; getting exposed …
COVID vaccines: side effects, myths, and madness
“Touted by some as a ‘great equalizer,’ the COVID-19 pandemic has brought to the forefront long-standing disparities in access to health for Black, Latinx, immigrant, and low-income communities. While we are all in this fight together, some are bearing the burden more than others. Studies have shown that Blacks in the …
Unmasking inequality: the power of community organization during COVID-19 [PODCAST]
The Wall Street Journal’s decision to publish an attack on Dr. Jill Biden’s right to be called “doctor” has appropriately unleashed a firestorm. According to Joseph Epstein, the editorial’s author, Biden should drop the title because she isn’t what people often think of when they hear the word “doctor,” namely a physician. For Epstein, ‘Dr. Jill Biden’ sounds and feels fraudulent, not to …
There’s a doctor in the house, and maybe also a physician: a view from osteopathic medicine
With COVID-19 vaccines being administered to our front-line health care workers and residents of long-term care facilities, we are beginning to see the light at the end of the tunnel of this pandemic. Yet, given the time-limited nature of the vaccine’s development, we have yet to learn the extent to which vaccinated people can spread the virus. The COVID-19 vaccinations prevent disease, but we know little about if …
How the vaccinated may become the next super-spreaders
“Today and for the foreseeable future, COVID-19 is a serious threat, virulent and contagious, not only leading to an impressive display of human vulnerability and arrogance, but also demonstrating how innovative and creative humans can be during a time of crisis.
On a daily basis, I am inspired by the outpouring of courage, …
General surgery, palliative care and the new meaning of the phrase, “going viral” [PODCAST]
For most clinicians, this will sound familiar:
I can feel the resentment bubbling up as I sit down to chart on a beautiful Saturday afternoon. I’ve got dozens of charts hanging over me, and if I don’t get them closed, there will be yet another miserable head thrashing with my practice admin. My kids are clamoring for my time, and every fiber of my being is resisting getting these charts done. …
The hidden reason you struggle with your charts and what you can do about it
I once attended a business coaching workshop for health care professionals. For one of the exercises, we had to draw our “ideal patient.” The instructor told us to be as specific as we could. We were encouraged to set up a full name profile, age, gender, race, and health challenges. Some of us even wrote two-page background stories about how our ideal patients grew up and who they were dating. …
It was September 11, 2001. My dad had cheated on my mom again, the building that I worked in at that time had received an anonymous tip that we were a potential target for the terrorist attacks, and my mom, who needed a reprieve from my dad’s crap, was vacationing in Florida and was worried for me and my well-being. Plus, my dad was threatening to kill himself, and I …
“I do want you all to know that shame is a very familiar brain track (like an 8-track tape, if you know what that is), but not one I am stuck in. The above experience of failing a class turned out to be amazing. I am now appreciative of how far I …
How shame almost ruined a physician’s life [PODCAST]
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 of a pre-medical application committee. I am no mathematician, but I do not think that it is a …
I am an orthopedic surgeon, and I only take cash. When I tell people this, it usually conjures up images of some money-grubbing doctor eager to make a dollar any way they can. Personally, I am not incredibly incentivized by money in and of itself. I try to live a reasonable lifestyle and keep my expenses under control. I started a cash-only practice not for the love of money but …
I am an orthopedic surgeon who decided to stop taking insurance
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