“The medical profession now understands that social determinants of health are probably the most important driver of a patient’s overall health, and these determinants are largely the result of political decisions. Clearly, we have a professional responsibility to teach our patients the science underlying their health issues. Don’t we also have a …
Talking politics in the exam room [PODCAST]
As cases exploded across the country, I watched with horror as I saw people go on with their daily lives as if hundreds of thousands of people were not dying, as if millions were not infected, as if our health care system was not collapsing. I watched our country – a country I once believed in – fail miserably in taking care of its own people.
In …
I am a physician who tested positive for COVID-19. My main symptom is anger.
“Doctors help patients, and they love us for it. We fix bones, replace joints, cure killer infections, and control diabetes with insulin. We use painless scans for diagnosis. Liver, kidney, and heart transplants are now routine. Some patients get cured of lymphomas, leukemia, Hodgkin’s disease, and testicular cancer. Lives are prolonged …
Why corruption is ruining your health care [PODCAST]
Forty-two years ago, when I had finally finished the seven revisions of my first novel, The House of God, my editor said, “Why don’t you add a glossary and a list of The Laws of the House of God.” Writing the Laws, I hardly needed to refer to the text; they just flowed out. The Laws became common parlance, not only tacked up in on-call rooms but even, recently, listed …
The laws of The House of God and Man’s 4th Best Hospital
I run outside, barefoot, and encounter natural phenomena along the way. One of these is dog poop. Ironically, there’s been recent chatter about dog poop on our community Facebook page. It’s a topic worthy of multiple posts and the impetus for the rather absurd bit of writing to follow.
The Facebook posts center on those anonymous people who fail to pick up their dog’s waste. Since I’m …
Why dog poop is a metaphor for challenge, controversy, and change
“When it comes to social media, embrace a micromedia mindset. That means sharing entertaining, informative content that provides value. Think of yourself as the editor of your newspaper. Newspapers include various content: current events, interviews, information and research, op-eds, and more. Some of these are news-driven — like current events and information …
How to develop a mission-driven personal brand [PODCAST]
In Finland, lawmakers recently voted to make an existing ban on female genital mutilation more explicit by outlining punishments for such manipulation under the Finnish criminal law. This bill’s passage was widely applauded as it furthers the global efforts to eradicate female genital mutilation (FGM). While the bill received majority support in the parliament, a contentious debate ensued around an amendment in the …
Why male circumcision should be delayed
“If I had $100 for every time I walked into a patient’s room, introduced myself as the doctor, and was immediately asked, ‘Hey, how old are you?’ I might be able to retire right now — at the age of 28. Of course, I am exaggerating, and yet this question echoes for …
Does your doctor’s age matter? [PODCAST]
While the current COVID pandemic has created serious health challenges, there has been a dramatic increase in research examining the effects of vitamins on COVID infections. Many studies report the positive effects of vitamin D in boosting our immune system and protecting against COVID. Studies and seminars have shown that for those people who do not receive vitamin D from outdoor sun …
The FDA should consider vitamin D as a pharmaceutical agent for COVID
“With the rapid growth of modern medicine and awareness in lifestyle and environmental influences, individuals can live longer and healthier lives. Approximately 15.2 percent of the U.S. population consists of individuals 65 years and older. To make the added years of life expectancy fulfilling, older adults need to stay socially connected and …
Don’t underestimate the value of intergenerational relationships [PODCAST]
As many of you know, burnout is an increasingly serious problem for physicians, affecting over 50 percent of clinicians in some studies conducted before our current COVID-19 pandemic. In fact, in an interesting study, one of every four physicians is looking to do some non-clinical work, in part, to ease the stress of today’s clinical practice.
In one survey just completed, more than 48 percent of physicians reported that since the …
An introduction to medical-legal consulting
“Studies have repeatedly demonstrated a vast majority of pain physicians don’t feel like they have adequate training in meeting the unique needs of this patient population, though most agree that such efforts are very necessary. This disconnect between demand and supply is a problem, a big one.
With the current pandemic stretching …
Issues faced by LGBTQ individuals in the operative setting [PODCAST]
A recent op-ed published by the Wall Street Journal, “Is There a Doctor in the White House? Not if You Need an M.D.,” has sparked a lot of controversy and immense backlash. The author Joseph Epstein, a former Northwestern University professor, first addresses the future First Lady as “kiddo” and continues with “’Dr. Jill Biden’ sounds and feels fraudulent, not to say a …
To Dr. Biden from an MD: Please keep using your deserved title
“The behavior of managers and supervisors in organizations affects the mental health of their employees. This is especially true during times of uncertainty, such as a global pandemic.
Does a leader’s health and well-being change how they lead?
Early evidence shows that when leaders are experiencing challenging conditions, they are more likely to become …
How to be a transformational, supportive leader during COVID-19 [PODCAST]
“What has kept me comprised during this entire time has been the realization that this whole situation is not normal. It’s not normal for me; it’s not normal for millions of other people. This is not how pregnancy is supposed to go. This is a pandemic and an uncertain time for …
What it’s like to be pregnant in a pandemic [PODCAST]
It’s been dubbed “COVID brain fog,” the neurological symptoms suffered by an estimated 80 percent of people who are hospitalized with COVID-19. These are early dementia-like neurological problems that patients face even after recovering from COVID-19, and there is a concern that people who recover from the disease have a higher risk of long-term cognitive decline.
We have always encouraged people age 50 and over to undergo a baseline cognitive assessment. …
Utilize a baseline test to uncover COVID brain fog
Throughout my years of pediatric training and being a mother, I have benefited from viewing medicine from both sides. I have also tried to hone listening to and understanding my patients’ parents and their perspectives. I have listed 10 things that I believe most parents wish their child’s pediatrician knew.
We are just worried about our kids
First and foremost, we are worried about and invested in the health and happiness of …
10 things parents want their pediatrician to know (from a pediatrician mom’s perspective)
“We can clearly see that exponential technologies are disrupting cars and phones. So why wouldn’t these technologies find their way into health care and gastroenterology?
What do stool tests have to do with self-driving cars? We’ll soon find out. But let’s first go back to the discussion we had earlier on the shift …
What does colon cancer screening have to do with self-driving cars? [PODCAST]
“I no longer start every day in dread,” Sheila (not her real name) told me as we completed a six-month coaching engagement. Her statement initially surprised me because that’s not how she described her interest in coaching when we began. She had simply and unemotionally told me that she needed a career change and didn’t want to jump into another not-quite-right situation. But as I recalled the time we spent …
Solving imposter syndrome in physicians
I saw a tweet recently from a medical resident training at another hospital that really hit home for me: “In response to a rumor that health care workers who treat COVID patients will be prioritized for vaccination in our health system, one of my co-residents asked unironically, ‘Does that include us?’”
“Resident” is a word coined in the twentieth century when physicians in training often physically lived (“resided”) at the hospital. …
Medical residents signed up to live in the hospital, not to die there
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