“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
“We are social beings. Evolution has taught us that in order to survive, we must work together. Community trust (trusting your fellow citizen) is a very effective way to build community resilience when hardships strike. Studies have been done in the wake of natural disasters and have shown that social infrastructure and connections have equal, if not more, impact on the …
Let’s make compassion go viral [PODCAST]
First of all, congratulations on making it this far in your journey towards becoming a physician. It truly is a privilege to be in the position of a third-year medical student because unlike the previous two years, we are now able to address the needs of actual patients, and in many cases, their family members and caregivers, whether they be emotional, mental, physical, or socioeconomic.
I admit that it sounds trite …
To the third-year medical students who feel like they aren’t learning anything
“Why real estate?
By having a ‘why’ you want something, it’ll help keep you motivated to pursue your goals when setbacks and mistakes occur.
For our family, we wanted passive income streams.
Passive income gives you options. I love options.
It doesn’t matter if you want to work forever, retire early, or change careers, multiple income sources can make it happen.
Our passive income is not …
Hassle-free real estate investing for busy doctors [PODCAST]
An excerpt from Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare.
On a sunny Tuesday in March 2015, the steps of Capitol Hill were draped in white as nurse practitioners from across the United States descended on the nation’s capital. Their …
Proponents of independent non-physician practice make a dangerous assumption
“Like 9/11, we have a new reference point touching everyone on the planet: life before COVID-19 and life after. Regardless if you get it or don’t, the unknowns and secondary consequences are scary. Life before COVID was scary, too, minus the urgency.
Before COVID, we sensed the weight of living on a sick planet. We felt powerless to change the tide of …
A nontraditional approach to fear and stress [PODCAST]
“The inflammatory response elicited by the novel coronavirus can do great damage to the essential function of lungs. People with underlying lung disease are more vulnerable to this coronavirus, including people with asthma, emphysema, lung fibrosis, and even people with high exposure to air pollution. Smoking and vaping are perfectly preventable forms of high-intensity air pollution. We strongly urge city, county, …
A call for a moratorium on the sale of inhalable products [PODCAST]
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