Stop judging: Sometimes terminating a pregnancy is necessary

Physician
March 13, 2017

The women’s health has a history of being a volatile sector, especially of late. It is an area of medicine where politicians think they can have access to intimate and confidential patient-physician relationships. This is unacceptable and an invasion of privacy.

Voluntary termination of pregnancy. Voluntary interruption of pregnancy. These are the medical terms for what the layperson thinks of as an abortion.

Missed abortion. Threatened abortion. Incomplete abortion. Spontaneous abortion. Septic …

Read more…

The secret horrors of sleep-deprived doctors

Education
March 12, 2017

Recently, the ACGME (Accreditation Council for Graduate Medical Education) made the reckless decision to increase work hours to 28-hour shifts for new doctors. Here are the catastrophic consequences of their decision. Here are actual quotes from physicians (de-identified with some patient details changed to protect confidentiality):

“I did my internship in internal medicine and residency in neurology before laws existed to regulate resident …

Read more…

Are primary care doctors referring too much?

Physician
March 12, 2017

“I can do that?”

During a recent morning practice session, a resident was presenting a patient who had had several episodes of syncope which culminated in a trip to the emergency room. She had a brief stay there, and on the discharge plan was written “follow-up with PCP and with cardiology.”

We went through her history and physical examination, we talked about how to further …

Read more…

Doctors don’t often follow their own advice

Education
March 12, 2017

If you were to sit in on any routine doctors visit, you are bound to hear a few things repeatedly.

“Do you smoke? How much alcohol do you drink, if any? What is your diet like? How much exercise do you get weekly?”

These are questions we are trained to ask as early as the first week of medical school. We are taught to treat not just the conditions a patient presents …

Read more…

Doctors are not God. Even if some patients want them to be.

Physician
March 11, 2017

I am not God.

Nor do I want to be, but I feel sometimes that my patients and their families do.

When I entered the ICU early that overcast morning I knew judging from the throng of anxious people waiting outside that things were not right. He came to me straight away, his eyes haunting and sunken as if he hadn’t slept for the whole night. His body barely able to support …

Read more…

We must challenge the health care status quo

Policy
March 11, 2017

In no other field is change received with so much resistance and skepticism than in medicine.  The oath taken by physicians to “do no harm” is profoundly ingrained in the medical culture that any deviation from tradition is regarded as near blasphemy.

As a physician, I frequently catch myself relying on superstition and past experiences more than on evidence and proof of progress.  As the world is witnessing an unprecedented technological …

Read more…

What this physician learned from a medical mission

Physician
March 10, 2017

In August of 1991, I became a family practitioner in the United States Air Force and was sent to Clark Air Force Base in the Philippines. During my time there, I was asked to go on a medical mission. This experience struck me with the missionary bug to provide my talents and to care for others in another country. With medications that were near expiration date in USAF stock and …

Read more…

Debt should have an ICD-10 code

Finance
March 10, 2017

Debt is destroying the lives of doctors everywhere. The cost of getting an education has moved into the ridiculous range. Many doctors are now starting their practice so far in the hole, that they do not see the way out.

I would not have been able to start on my debt-free journey (I peaked at more than $600,000) if I had not developed a new attitude toward debt. Putting debt into …

Read more…

I’m retired, but I’m disgusted with medical schools. Here’s why.

Education
March 10, 2017

The year was 1976. I was graduating from a small branch of my state university with a bachelor’s in chemistry when I first applied to medical school. I was living at home and paying my own tuition. There were no physicians in my family, but I became interested in medicine after I was impressed with a surgeon who had operated on my shoulder. I had a better-than-the-medical-school-acceptance-rate average on my …

Read more…

A letter from a grateful physician to his patients

Physician
March 9, 2017

To my beloved patients and your families,

Over the years, it has been an incredible experience and honor to be allowed to enter into your world. It is a world that I know few people are privy to, and it is an intimate world where the deepest questions about life tend to arise. I know that when you are confronted with sickness that leads you into this world, it can be …

Read more…

Retired at 37: Breaking up with a career in medicine

Physician
March 9, 2017

Leaving your career in medicine is like breaking up in a long term relationship. It may have all started out with lofty expectations, excitement about the future, and becoming your best self. However, somewhere along the way, things got messy and twisted and not what you signed up for.

There were hiccups along the way, signs that maybe it wasn’t good for you. There was the time you fell asleep at …

Read more…

The truth about Caribbean medical schools

Education
March 8, 2017

Dear Dr. Wible,

I want to fill you in on what really goes on behind the scenes at my medical school and maybe you can help inform other students about what happens here before they make a huge mistake. If students slip through the cracks of a U.S. medical school, then international med schools in the Caribbean may be the next choice. Some have better residency match rates than others so …

Read more…

4 scenarios surgeons need to explain to their patients

Physician
March 8, 2017

Among surgeons, it’s pretty common knowledge that residents and other providers may perform non-critical parts of a patient’s procedure. This not only helps residents and other trainees gain valuable surgical experience, it also gives patients better and faster access to high-demand surgical expertise.

The question is this: How well are surgeons explaining these facts to their patients?

Recent guideline updates by the American College of Surgeons (ACS) underscore the need …

Read more…

ADVERTISEMENT

All good doctors listen to nurses

Physician
March 7, 2017

Medicine, what a noble profession.  As the keepers of human health and longevity, we are entrusted with a huge but solemn responsibility.  It’s an ancient artwork, passed through the generations from pre-antiquity, hand in hand from physician to physician.  The Hippocratic oath ensuring that we first “do no harm” and commit ourselves to the honorable calling.  We often hear “see one, teach one, do one” and so propagates the training …

Read more…

Life coaching for physicians is an underused physician burnout tool

Physician
March 5, 2017

The onset of the new millennium has brought about a shift in not only the technological aspect of our industry, but also the mindset of physicians who are entering the field. Gone are the days of “work 40 years at the same practice, retire and live the good life.”  Physicians are finding more creative ways to be doctors including entering non-clinical careers, being entrepreneurs on the side, and moving into …

Read more…

Does Adderall make you underachieve?

Education
March 4, 2017

It’s rare for medical students nowadays to go through training without knowing someone who uses prescription stimulants to study. The ever-popular Adderall and Concerta seem to be omnipresent on college campuses and medical schools, while prescriptions for these medications are suspiciously less common. In environments where success and self-worth are often based on academic achievement, the temptation to succumb to using these pills is high.

The temptation is even higher as …

Read more…

ADVERTISEMENT

Compartmentalization failed me, and I’m forever grateful

Physician
March 2, 2017

I’m humbled by the honor to practice medicine.  We have the opportunity to be frontline participants in an ever evolving cascade of events in the lives of others.  Our decisions, directions, and split second actions have the ability to unite families, sustain breath or literally a beating heart.  Although biased, I can’t think of many professions more fulfilling and honorable.  There are issues and concerns, but they pale in comparison …

Read more…

We must remember to humanize our patients

Physician
March 1, 2017

I’m probably crazy. I ride my motor scooter to and from work at the hospital. Some consider it unsafe. Perhaps it is, but feeling the wind and rain, those unfiltered elements. And after 12 hours inside a controlled environment, it’s too refreshing to pass up. So at 2 a.m. Friday night, I’m zooming (you always “zoom” on a scooter) through the industrial district after a tiring admitting shift. I see …

Read more…

The medical profession has a bad reputation. Here’s why.

Physician
March 1, 2017

It is no secret that physicians are disenchanted with the changes in medicine and can be overheard saying that they do not want their children to go into the profession. Has the practice of medicine deteriorated to the extent we say it has, and are there more appealing options?

According to a Doctors Company survey of 5,000 physicians, 9 out of 10 physician respondents indicated an unwillingness to recommend health care …

Read more…

ADVERTISEMENT

Doctors serve the people not the system

Physician
February 27, 2017

Most health care professionals went into the field because of a calling. For many of us, it is not just a career but a sense of mission. While the system drives hoards to the brink and over the edge of burn-out, a sense of purpose remains. The goals are not the same for all, but it is a good time to re-examine our life goals.

Being a doctor, or any professional …

Read more…

544
pages