Doctors make bad entrepreneurs. I know I told you they make great entrepreneurs. But there are always exceptions. There are a couple of reasons why:
Perfection stagnation
Our GPAs had …
Doctors make bad entrepreneurs
As someone who graduated from medical school with six-figure student loan debt, I’ve looked into several different loan forgiveness programs that will help repay what I owe. One of the most popular loan forgiveness programs is Public Service Loan Forgiveness (PSLF). Through PSLF doctors can get hundreds of thousands of dollars in student loans forgiven, tax-free. Although this seems great, when I attempted to …
9 things I learned when I signed up for public service loan forgiveness
I did a peer review once of an office note about an elderly man with a low-grade fever. The past medical history was all there, several prior laboratory and imaging tests were imported, and there was a long narrative section that blended active medical problems and ongoing specialist relationships. There was also a lengthy review of systems under its own heading.
In an over ten-page long printout, the final diagnosis was …
Where’s Waldo: Finding what’s important in the medical record
“Grandma Lilly is 87-years-old and in the ICU. She’s on a ventilator with her wrists restrained to the side of the bed. Grandma can barely see because her eyes are puffy: scleral edema. And her heart races: 140 beats per minute. Her blood pressure is low and Levophed and vasopressin drips are ordered.
Her family can’t talk to her as she phases …
Reflections of a critical care nurse [PODCAST]
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 my baby-faced colleagues and me constantly.
Whether it’s simple curiosity or blatant reverse-ageism, I find this question erodes trust …
Does your doctor’s age matter?
Each year, medical students across the country prepare to start the long-anticipated core clinical rotations. Suddenly, we’re thrust into a world of constant adaptation and evaluation, with many highs and many lows.
As I finish up the year and new students get ready to start, I’ve been asked time and time again for my advice. I decided to aggregate my key takeaways from the year, and what I wish I had …
13 tips for medical students starting their clinical rotations
“Lifestyle medicine equips practitioners with the tools to affect change. One of the biggest job satisfiers for physicians is positively impacting the trajectory of their patients’ lives. Having a parent tell you that their child is ‘a different person’ because of the time you spent with them is priceless.
This is why I believe if more physicians studied and applied the principles …
Lifestyle medicine is a prescription to treat physician burnout [PODCAST]
Taking a break from technology is a fine idea, but we don’t need a pseudoscientific new name for it: dopamine fasting. Launched with viral Silicon Valley memes, online reports, and articles in the New York Times and elsewhere, dopamine fasting is now a thing. Basically, the idea is to temporarily deprive oneself of the usual stimulations of life — largely …
Dopamine fasting, debunked by a psychiatrist
“As an oncologist, perhaps the hardest part I play is as witness. I am there to give a diagnosis that, more often than not, will alter someone’s life forever. For some, I see resignation—a sense that they’ve known something was wrong and that it’s what they thought they had. For others, I see an almost immediate acceptance and, with it, perseverance; …
Treating cancer patients in a pandemic [PODCAST]
You are doing all the right things: washing your hands frequently, wearing a mask when out in public, getting the requisite sunlight needed to reduce stress and maintain your health. And the reward you’re getting for all your diligence?
Dry skin, damaged nails, acne, and sunburns.
As we continue to live with the threat of COVID-19, more people find themselves wrestling with skin issues they never anticipated. Fortunately, there are easy and …
From a dermatologist: How to beat “maskne,” dry hands, and other safety-related skin problems
Despite the advances in modern health care, chronic wounds remain highly problematic. For the critically ill and those with mobility issues, missing just one routine repositioning could send them down a protracted path of intensive wound care therapies. Even our ambulatory patients develop non-healing ulcers from neuropathy and microvascular disease. For purposes of this discussion, the question of how the wound formed isn’t nearly as important as why it persists …
“Grocery shopping is not optional; it’s necessary. But if you go every day and to multiple stores, you are increasing the chance you will be exposed. From my informal survey, this practice is extremely common. Yet, experts advise to consolidate shopping. In fact, in my experience, there is always at least one person (shoppers AND workers) in every store I have …
Incremental risk amid COVID-19 re-openings: What do we value most? [PODCAST]
As many readers of my work know, I have a huge passion for preventive medicine, and balance my acute care hospital work with an outpatient wellness clinic. I have always been into exercise and outdoor activities since a young age but only became a regular gym-goer after I finished my medical residency training. I also became very keen on learning more about healthier nutrition habits. I don’t think I was …
Why this physician became a personal trainer
“Advocacy by moms is not new, but advocacy by physicians has been less common. Moms have been fierce advocates on a variety of causes ranging from Mothers Against Drunk Driving to Moms Demand Action, the anti-gun violence mom activist group led by Shannon Watts that has now helped launch moms into public office. As physician moms navigating a global pandemic, we are invested in …
Essential health messaging tips for physicians [PODCAST]
As a business owner, you have one primary role: Make money.
I hate to put it in such callous terms, but that’s the primary aim of any business. You have to make a profit first if you want to do anything else. Making a profit isn’t the most important thing. Your passion, your service, and your desire to help others should be the main motivation behind the business.
Money can not be …
3 reasons why you should take your profit first, before paying expenses
If you’re not intricately involved daily with SEO, let me explain what happened in May 2020 and why it will be a huge boost for content created by physicians.
First, what is SEO? In short, it is the process of optimizing content found online in order to help it be seen by those searching for the information found in that content. It used to be that people would just stuff their …
How the Google algorithm update helps doctor-written content rank higher
Why should we reform the health care system to a physician-led approach? How will that look like? Would a Medicare for all system cure what ails the system? What are some obstacles to implementation?
Ken Terry is a journalist.
He shares his story and discusses his book, Physician-Led Health Care Reform: A New Approach to …
A new approach to Medicare for all [PODCAST]
“There are two battles waging from the COVID-19 virus this year: the obvious fight for human life but also the attack on science. During philosophical and political debates, one steadfast weapon has been the scientific method. Opinion doesn’t matter. State the facts. The thing about facts are, though, that one has to be willing to change previously held points of view with new …
In the age of misinformation, here’s how physicians can help [PODCAST]
My small community ED has a fairly high acuity. As such, I was recently trying to transfer a couple of patients, one of whom was an NSTEMI, pain-free but with a rising troponin. In the process of trying to arrange things, I learned that our main regional referral center was holding a staggering 150 patients in their own ED, all waiting for inpatient beds.
I’ve spent the majority of my career …
We can’t expect large medical centers to absorb every case
“How long have you been married?”
The question came from a young woman kneeling down by the elevator in the hotel where my wife and I were staying while in Seattle. We were there to celebrate our 40th wedding anniversary with an Alaskan cruise. I hadn’t even noticed her as my wife and I were busy talking about the day. She appeared to be in her twenties. Her appearance was that of …
A silent cry from the woman in the elevator
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