I was busy running around the ER on a particularly busy shift when my phone buzzed, and a text message from Jane’s ex-boyfriend David popped up on the screen. I was surprised since I had not talked to him in over three years; therefore, I ignored it until I had a moment to myself an hour later and finally opened the message.
The first line of his message got straight to …
My first physician colleague who died by suicide
Is it time to rethink how we determine the capacity of our patients who are addicted to drugs? I recently began debating this question after I took care of a young woman with endocarditis. She had a long history of IV drug abuse that had led to the development of endocarditis. She had been admitted one week earlier and was being prepared for surgery, but she left against medical advice …
Do patients addicted to drugs truly have capacity?
I’m here today to let you in on a little secret. It’s not something that I’m particularly proud of, and it’s work that I’m always trying to improve upon. But it’s true. And today you’re about to find out something I’m desperately trying to hide.
So here it is. Yes, I’m a doctor. And yes, I’d like to think that I’m pretty good at my job. But you know what? There …
Doctors: It’s OK to sometimes suck
Seattle is at risk for explosive coronavirus growth
We watched as the new viral outbreak happened in a remote place in China, wondering if this would be a quick flameout or if Mother Nature would again exert her majesty on us mortals.
My associate, Madilyn, and I watched with more interest, knowing that her sister was in South Korea teaching English. She was due to return in late February, …
A physician’s chilling COVID-19 diagnostic journey
Recently the Wall Street Journal reported on how many young people are now seeking “accommodations” at work for their anxiety, PTSD, depression, and other mental conditions.
The article provoked a lively discussion split largely on age lines. While older people accuse Gen Z members of being “emotional hemophiliacs,” Gen Z members often say they have real, palpable “mental illnesses” and need extra time to complete their …
Why does Generation Z require so many workplace accommodations?
An excerpt from Tough Decisions In Care Of Elderly Loved Ones (A guide for caregivers).
Empathy is more than just loving an elderly loved one. It is more than simply making the decision we may feel is best for our loved one. Empathy is different …
Empathy is a crucial component when working with older adults
An excerpt from The Physician Inventor: The Doctor’s Handbook to Patenting Medical Devices and Methods.
“I love my employees, even though I hit one of you with my car.”
– Michael Scott
When you are offered a position at a hospital or practice group, you will typically negotiate a …
Intellectual property provisions in physician employment agreements
Most Canadians are familiar with nursing homes or long-term care facilities that provide 24-hour care to seniors who are no longer able to care for themselves independently – but we don’t spend a lot of time thinking about them. Given our rapidly aging population, and the likelihood that someone we love, or maybe even ourselves, will be living there one day, maybe we should.
What might surprise …
Our seniors deserve better. It’s time we all paid more attention.
It has been nearly seven months since I made the decision to take a year off from medical school to pursue a master’s of public health (MPH) degree in Baltimore and nearly eleven months since I last saw a patient. From attending a Public Citizen workshop on access to pharmaceuticals to competing in my first business case competition to meeting several members of Congress to brushing up on my gym …
What it’s like to take a MPH gap year
The journey in medicine is a journey of goal setting. Doctors set goals all the time. We set the goal to become a doctor and then strive to achieve it. Once we decide on the chosen specialty, we set the goal for the residency training program we hope to match into, and we strive to achieve that. Match Day can be a day of great celebration for some, while it’s …
What can a doctor do to build confidence?
A case study seemed to confirm the presence of asymptomatic transmission within China, where a woman was afebrile with no chest CT abnormalities or laboratory abnormalities. She did not develop the virus, while five of her relatives did.
An earlier report out of Germany found a woman traveling to Germany from China with …
About three months ago, something awful happened. The oncology nurse practitioner (NP) whom I trained for the past two years in my subspecialty decided to seek employment elsewhere in order to have a more flexible work schedule.
My team and I lamented we had a going-away dinner to say thank you for her work. And for the next three months, I trudged through my days in a busy oncology clinic, seeing …
Should nurse practitioners complete medical residencies?
If you or a loved one has ever been hospitalized, by day two or three of your hospital stay, you likely remember the doctor visiting you every day but not staying more than seven or eight minutes or 10 to 15 minutes max.
It may have felt like he or she was just “dropping by and laying eyes on you.” A month or two later, you get a bill with the …
A peek behind that 8-minute $300 doctor visit
I believe in the practice of medicine and enjoy teaching others this amazing art. However, after experiencing nine months of interactions through medicine as the daughter of a sick patient, I struggle with my pride in the profession and fear of the health care system.
My mother would proudly tell all her physicians that her daughter was a doctor. I knew she was proud, but I didn’t believe in using my …
I struggle with my pride in the profession and fear of the health care system
My identity crisis attempted its first appearance five years ago. I had decided to leave my job as a psychiatrist in an outpatient, community-based practice. My professional role had become incongruent with the doctor I had envisioned becoming. In my misalignment, I had lost clarity in my identity as a physician. I was frustrated and felt ineffective and disconnected from my work.
I suspected that some of my colleagues were struggling …
Core values were key to reclaiming my physician identity
Every day we get bombarded in the news with health statistics. Coffee causes cancer! Coffee cures cancer! And so on. Many of these are meant to grab headlines (and, these days, web page clicks), and the articles they accompany are often very poor at telling the reader what they mean. They often have statistics, and health statistics can be complicated. Sad to say, even many physicians are pretty poor and …
Everyone needs rudimentary statistical training
This is not the career path I set out to practice when I left medical school; in fact, it’s a career path that didn’t even exist. But after making a number of lifestyle choices this is where I find myself today. I am sitting writing this article from the hot, tropical lowlands of Colombia, on the site of Pablo Escobar’s Hacienda where, in a few hours, I will …
Working as a digital nomad physician practicing telemedicine while travelling the world
At nearly every stage in our education and training, we find “our people.” Maybe it’s your table-mate in kindergarten, or the kid with the really cool light-up sneakers in preschool who becomes your best friend. Maybe it’s your next-door neighbor who you play with after school or a coworker from your first job in high school. These people become part of our squad — even if their membership is only …
How to find your squad in residency
I remember lying in my bed after my second delivery in severe pain. With my first delivery, I had already endured a C-section. Four years later, I wanted to experience a “natural” delivery. I opted for a vaginal delivery after C-section (VBAC).
The VBAC quickly turned into an emergency where the maternal-fetal medicine (MFM) physician gave me two options: Get this baby out now or emergent C-section.
My mind flashed back to …
Confessions of a bed-sharing pediatrician mom
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