“Now, in her afterlife, she occasionally accompanied Maggie on excursions into my head, usually at night. Make that a double vodka.
I thought I had finally learned in sobriety how to put them in the past, encased in a box, and keep them there. Still, sometimes they found a way out to …
Ballad of a sober man: an ER doctor’s journey of recovery [PODCAST]
Over and over again, I find myself repeating the same words to myself as I watch the sunset over the Sacramento River on my dreary commute back from my job in clinical research: hope over fear.
It was with hope that 2020 began—a catalyst year in which we had the wind at our backs and the promise of a better future just over the horizon. 2020 promised the inevitability of change, …
In the face of uncertainty, choose hope over fear
“You have made difficult choices about your family’s health and safety already. Pediatricians help parents make these kinds of decisions all the time. The shared- decision model for practicing medicine encourages doctors like me to help provide information and counseling to empower you to make decisions.
You’ve already made decisions essential to …
Parenting in a pandemic: Making the best decisions for your family [PODCAST]
“These strategies on how the rich get richer do not only apply to the wealthy. These same opportunities and strategies are open to us as well. If we want to accumulate wealth, or simply keep more of the money we currently have without paying a large portion in taxes, then we should …
Financial tips that resident physicians need to know [PODCAST]
I enter the hospital to work again. I must work as I have three small children and a husband presently out of work because of COVID. He is “non-essential.”
A violinist is playing at the employee entrance. I know they do this to lift our spirits. But it’s a slow, sad string that reminds me of the titanic. And yes, every day I clock in, I feel as if it’s a …
Pay attention to science and medicine, or else you may be the next careless victim
A quick preview of any journal will note a plethora of physician jobs spanning the country. Many of these jobs offer a partnership track and promote a democratic philosophy.
As someone who has worked on both sides of the equation, I wanted to share a few thoughts. You may not agree with all, but here they are, nonetheless.
First, consider your long-range plan. While it’s exciting to contemplate a first job while …
Practical thoughts on pursuing a partnership track
“A majority of physicians see between 11 and 20 patients per day, and among all practices, the majority of doctors spend between 17 and 24 minutes with each patient. Assuming a five-day workweek, this translates to more than 900 patient interactions per year and over 1,066 minutes spent communicating with patients. Today, many …
Essential physician communication tips to improve the patient experience [PODCAST]
I am a critical care and emergency medicine physician, I have had COVID-19 infection twice, and I’m tired.
My first infection was early on in the pandemic. I had to place a Blakemore tube in a young man who was going to die from his massive bleeding from cirrhosis. I didn’t know then that the patient was positive for COVID, as he didn’t have any “typical” symptoms. I placed the tube …
I am an emergency and critical care physician. I had COVID-19 infection twice and I’m tired.
For students studying at Caribbean medical schools, success in the residency match is a major concern. And it should be, because Caribbean medical students have unique challenges. At the same time, strategizing early in your medical school career can significantly impact your ultimate success.
Here are five rules that are critical in residency match success:
1. Yes, your exam score matters. The reality of the current day residency match is that programs …
What Caribbean medical students need to know about the residency match
“Around the time of the coronavirus outbreak, 2019 also marked a full century since the death of Sir William Osler, who revolutionized medical training. Despite some lingering debate over whether Dr. Osler’s pneumonia-related death should be counted among the 50 million lost to the 1918 influenza pandemic, his notes suggest that he …
Why spiritual health is so important [PODCAST]
With the surge of information surrounding COVID-19 released in the news this year, an interesting concern arose regarding ibuprofen’s use in patients with COVID-19. In March of 2020, French authorities were the first to investigate anecdotal reports of severe COVID-19 infection in patients who had taken ibuprofen.
The initial concern involved the ACE-2 receptor. The theoretical concern was that NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen might …
The ibuprofen COVID-19 paradox
“Our country, and the world, is beyond exhausted by COVID-19 and the utter chaos and destruction of lives it has caused. All people, including physicians, are being pushed beyond capacity. What do we mean, collateral damage? Originally related to war: the unintended result of a terrible, unprecedented event or action. We …
Mental health care in children during COVID-19 [PODCAST]
“Antiracism requires action-oriented work and calls us to ask, how will we work to become antiracist? How will we change our institutional culture and systems to become antiracist? As Latina medical students, we have seen and experienced racism in many aspects of society and have felt the need to change our …
Declaring racism as a public health crisis from the lens of two Latinx student doctors [PODCAST]
“In medicine, empiric therapy is treatment that is administered based on the probability of success because we don’t have all of the information. We make our ‘best guess.’ Actually, empiric decision-making exists in our everyday lives — running the garbage disposal when the sink is clogged, jiggling the key in the …
An inflexibility and inflammation root-cause approach to treatment [PODCAST]
I recently met a student and aspiring surgeon who asked me if I was happy with anesthesiology and a career in medicine in general. I told him that aspiring to medicine is wonderful and that while I am indeed happy with my career choice, it does come with daily challenges, both professional and personal. This led to a discussion of work-life balance, particularly with regard to family life, in which …
Advice to aspiring medical students on work-life balance
“While there is a myriad of expert opinions on what long term effects this pandemic will have on our children and their physical and mental health, we must also remember the age-old idiom: this too shall pass. We must also be sensitive to not add to parents’ already full plates. Meditation …
Why the pandemic is the perfect opportunity to introduce meditation to children [PODCAST]
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 involved. One key method is through the development of meaningful …
The value of intergenerational relationships
“Appreciation in the personal finance world has two different components to it:
These are both important, but the qualitative is the best predictor of increasing …
Appreciation in the personal finance world [PODCAST]
“While the rise in substance use disorders during COVID will become more apparent as the pandemic eventually ebbs, the silver lining is that this is not a novel problem. We understand substance use disorders far better than we understand COVID-19, and we also know that one of the largest obstacles to treatment is the shame associated with admitting that one has …
COVID-related stressors and increasing instances of substance abuse [PODCAST]
Doctors are often called “heroes” – a surprisingly uncomfortable label. Physicians are already tired of being held to a higher standard than the average person; raising the pedestal is problematic. While doctors are compassionate individuals who care about bettering lives and curing illnesses, we are also human. At the end of a standard workday, we would like to live normal lives. Unfortunately, the hours are longer, and we are never …
The pedestal that’s killing doctors
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