“History cannot be changed and should not be erased. The First Amendment was placed first for a reason. It is the bedrock of our nation’s ability to overcome despots like Hitler and to abolish slavery. However, it comes at a price. You may hear things you don’t like or make you uncomfortable. You may see statues or places like the Old …
Free speech, cancel culture, and taking down statues [PODCAST]
Forums and Facebook groups abound with a frequently asked question that sounds something like this: “Should we sell our positive cash flow rental to buy (insert fun new toy), so we don’t have to attain a loan?”
When someone wants to buy a new car, boat or motorhome — but they have learned that buying toys with borrowed money is a bad idea — they start thinking about how they can …
The million-dollar ski boat mistake
“The disparity of women physicians in research is a systemic issue that should be mitigated appropriately. Women, especially minorities and immigrants, need institutional support to succeed as clinician-investigators. Medical institutions should actively participate in increasing funding mechanisms available solely for the development and promotion of female clinician investigators. Funding for research projects, in terms of time effort and supplies such as …
A physician receives a derogatory email. Here’s what she did next. [PODCAST]
This article is sponsored by The Nuance Dragon Ambient eXperience (DAX).
The COVID-19 pandemic has triggered seismic shifts in health care delivery. Never before has the health care system mobilized to handle a massive surge in one type of illness while bringing so many other services to an abrupt standstill. Elective …
The hallways were dark, and the door had a passcode that I didn’t know. What I knew was that I was nervous about entering the team room on my first day of internal medicine, my first rotation of the third year of medical school. Fortunately, it didn’t take long to realize that my main teachers, those I would spend the most time with, would be the residents, who were fun …
The role of residents in teaching and creating a positive clinical learning environment
The era of the empowered patient and patient-centered health care has been upon us for some time. Only a generation ago, there was a much more paternalistic approach to medicine. This has changed for the better across the western world. As somebody who teaches and coaches physicians on how to improve their communication skills, I would say that the newer generation of doctors is much more receptive than many of …
Doctors already are actors, whether they want to be ones or not
“We dealt with the death, uncertainty, and fear of COVID-19 with a stiff upper lip. But our hearts broke when George Floyd was murdered by the police on May 25. George is a symbol of an immense problem. A study reported that one in every thousand Black men can expect to be killed by the police. One in every thousand! Racially …
How physicians can be activists [PODCAST]
Racism is a pandemic that has long existed before COVID-19.
As a fourth-year medical student, I have been rotating in the hospitals and recently finished my sub-internship. Whether on the wards or in outpatient clinics, a recurring phrase would hover from one provider to the next, depending on how busy their week was: “black cloud” and “white cloud.”
In the medical world, the former has often been used to describe trainees or …
It’s time we stop saying “black cloud” and “black weekend”
“Government officials, regardless of political affiliation, should seek sound medical advice before communicating with their constituents. Appropriate public health information should be shared so that constituents are not harmed by following misinformed medical information. Government officials, news media, and social media platforms should account for the health information they spread. We must combat misinformation during the COVID-19 pandemic so that we …
COVID-19 misinformation is a public health crisis [PODCAST]
As a physician working in acute care medicine, one of the biggest delights of my job is regularly still having patients from the Greatest Generation. In the United Kingdom, I really enjoyed sitting with them and hearing their stories of mandatory city evacuations during World War 2, rationing, the Blitz, and the huge struggle to rebuild a devastated country after 1945. Visiting my grandparents in India when I was a …
The Greatest Generation is dying out. It’ll really be our loss once they leave us.
I love to mountain bike. The thrill of watching trees zip by and of “sending it” through rock gardens is intoxicating, and this thrill is accompanied by a feeling of accomplishment unlike any other I’ve experienced. However, two of my good friends are professional mountain bike guides, and for a long time, I did not love biking with them – I was unable to bike as fast as they could, …
Applying the growth mindset to health care
“Almost overnight, the COVID-19 pandemic has completely disrupted how we deliver primary care to patients. Before the pandemic, telehealth seemed to be a way to deliver urgent care for acute issues to a select group of tech-savvy patients. Now, at least in my practice, the majority of primary care (acute care, chronic disease management, and preventive care) is being delivered through …
What is the future of telehealth? [PODCAST]
A second opinion can be a powerful tool. It can help lower your risk of experiencing a medical error or misdiagnosis, allow you to explore all treatment options and their benefits and risks, connect you with physicians who have experience and success treating people with your diagnosis, and provide peace of that mind that your diagnosis and treatment plan are appropriate.
Research from the Mayo Clinic highlights the value of second …
5 situations when you should get a second opinion
“There is no single culprit responsible for this shift in medical education. However, two, in particular, should be noted. The first is the culture of defensive medicine, or more bluntly, CYA (cover-your-ass) medicine. This culture has been insidiously infusing itself within the modern health care system for decades. The fear of being sued for malpractice is ever-present. Undoubtedly, this has led …
Medical students are benched during the pandemic [PODCAST]
I have been a doctor for twenty years, but I’m also a patient. We are all patients. This summer, my previously mild heart rhythm problem got a lot worse. By July, I was having frequent episodes of heart rates four times normal, causing me to almost lose consciousness. It was dangerous and scary. I consulted with a highly specialized doctor to fix this for good. He threaded four wires …
Why socialized health care is not right for America
“Telehealth has come into focus during the COVID-19 pandemic as physicians face an immediate need to reduce exposure by providing care—or at least triage—remotely when appropriate.
Under usual circumstances, telemedicine is comparatively low risk. That said, telemedicine does bring specific risks to patient safety and physician/practice liability. Minimizing those risks calls for adapting daily practice routines around informed consent, documentation, and other …
How to minimize virtual medicine liability risk [PODCAST]
The United Nations designated 2016 to 2025 the “Decade of Action on Nutrition” in recognition of the growing importance of food and diet as it relates to all aspects of human health. We’re almost halfway through, and we’re not making the progress we need to.
A comprehensive study of scientific evidence for global diet goals and sustainability, the EAT-Lancet Commission Summary Report, stated, “Read more…
Put nutrition counseling in primary care
The little things?
The little moments?
They aren’t little …
I noticed the two of them shortly after I arrived for my shift. I was standing at the counter, immersed in a chart, when out of the corner of my eye, I saw them walk out of their treatment room. Together.
Slowly, they walked into the hallway, looking first to their left and then to their right, wondering which way to go. One of …
How blessed was I to witness this true love story
“As a physician working with human trafficking survivors, I have become accustomed to those with a history of surviving violence. But the patient in question is in my general primary care practice. This should highlight to care providers that there may be many more patients out there who have been exposed to trauma in their past, and we need to take …
Human trafficking survivors and trauma-informed care [PODCAST]
I am a psychiatrist. My field has been marred with human rights violations and treatments that though well-meaning, did not yield the results that were intended. I have always been at the watch and helm of speaking out when I see gaps and places where my colleagues and I are called to do better. I have been treating patients for over 15 years now. I have remained silent …
Doctors are killing themselves, and who is taking notice?
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