Save the economy: Choose a surgery center for your procedure
“In this short Life
That only lasts an hour
How much – how little – is
Within our power.”
—Emily Dickinson
Health care around the world faces an existential crisis. While the quality of medicine continues to improve, its cost remains unbridled and out of control. Better means more expensive, be it a drug or an imaging modality. The whole world is aware of this impending financial crisis, and heads are hunched together to find …
Stop using “whole person care” if you are not assessing and providing whole person care
The latest term hitting the health care benefit, insurance company, and point solution ecosystem is “whole person care.” This term is beginning to be used as a marketing buzzword and is losing its meaning.
What is the definition of whole person care? The DHHS/NIH National Center for Complementary and Integrative Health defines it as “looking at the whole person—not just separate organs or body systems—and considering multiple factors that promote …
The shocking fall of a respected ICU nurse
In the ICU, there was an experienced nurse. She was full of information and knew the policies and procedures inside and out. She was proficient in her role as an ICU nurse.
But she was flawed. Something was wrong.
Each day, she came to work wearing a gold bracelet, which she made sure everyone knew was valued at $15,000. She wore two-carat diamond rings. She would arrive, showing off her fancy pocketbook …
Don’t let the SECURE Act devastate your legacy [PODCAST]
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We sit down with Freddie Rappina, a financial advisor, chartered financial consultant, and accredited investment fiduciary, to explore how the SECURE Act and SECURE Act 2.0 have changed the landscape of retirement and …
Redefining failure in neurosurgery: a student’s perspective on growth and learning
Failure is a word that carries a heavy burden, particularly in the field of neurosurgery, where precision is paramount and the stakes are often life and death. As a 4th-year medical student preparing to enter this demanding specialty, I have come to realize that failure is not something to be feared, but rather an essential part of the learning process. During my rotations, I have witnessed and experienced firsthand how …
What you need to know about near-death experiences
Imagine a medical syndrome so common that as many as one in five patients who nearly die in a medical setting experience it. Also, imagine that this syndrome has a profound, lifelong effect on both the patient and their family. Finally, imagine that if this syndrome is mishandled by the patient’s physician, it may have major adverse consequences for the patient and their loved ones.
Sounds like something all physicians and …
Performing in the clutch: lessons from a pediatric airway surgeon
I have a confession to make: I have blood on my hands. My actions have led to the death of children. Now, that sounds extreme, and in reality, it is. Not in the course of everyday life, of course. But as a pediatric otolaryngologist (ENT) and airway surgeon, I have had to make near-instantaneous decisions with life-or-death consequences for the patient. Fortunately, the vast majority of the time, things go …
Why postpartum care is failing new mothers [PODCAST]
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We sit down with Phindile Chowa, an emergency medicine physician, to discuss her personal and professional journey through postpartum care. Phindile shares her harrowing experience of childbirth and postpartum depression, shedding light on …
Failure is not the end: Creating space for grace in the medical field
A medical school classmate recently said to me, “You won’t be remembered for your failures.” Her words were exactly what I needed to hear after failing my medical school licensing exam. She was right—I am more than my failures. I have failed, but I am not a failure. There is a difference. Failing is something that happens to you. Failure is what can define you, but only if you allow …
Celebrating silver: 3 best practices for meeting people where they are with diabetes adherence
During the Olympics and Paralympics, all eyes turn to the best of the best: incredible athletes who have dedicated their lives to the pursuit of greatness in hopes of earning one of the most sought-after titles in the world.
“Gold medalist” has a glorious ring to it, and the athletes who earn this honor have every right to be proud. But the mantra of the Olympic movement isn’t “get gold or …
How one food truck saved a chaotic hospital shift
“Thank God for the food truck,” said the charge nurse to no one in particular.
It hadn’t been a great morning at the no-name hospital in Upstate New York. They were short-staffed to begin with, and a nurse had called in sick. Her staff was used to working with bad ratios, but today was worse than usual. Everyone and their mother had decided to come to the ER. She knew not …
Postpartum crisis: a physician’s call for comprehensive maternal support
The moment my daughter was placed on my chest, I knew something was wrong. Her skin had a blue-purple tinge, and she barely cried. I instinctively began rubbing her tiny body, trying to stimulate her, but she remained quiet and minimally responsive. When I tried to put her on my chest to nurse, she did nothing. My doctor quietly left the room, and soon after, a team of medical professionals …
Teaming in health care: Why the future of patient care depends on collaboration [PODCAST]
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We explore the evolving dynamics of health care teams with guests Matthew Sherrer, an anesthesiologist, and Brooke Vining, a nurse anesthetist. We discuss the shift from traditional team structures to a “teaming” mindset, …
How drivers of health screenings led to immediate patient impact and practice sustainability
Recently, an elderly patient at my practice unexpectedly began to miss her monthly appointments.
I was alarmed. The patient has atrial fibrillation—a condition characterized by irregular heart rhythms and an increased risk of stroke. The condition demands consistent and timely medical care. For elderly patients like the one in our care, these appointments are not just check-ups. They are vital for adjusting medications, monitoring heart health, and preventing serious complications like …
The role of AI in improving health care: artificial intelligence and appreciative inquiry
Kim Downey:
Part of my work supporting physicians involves facilitating connections, both among physicians and with others who assist them. In this vein, I introduced Dr. Wael Saasouh to Lisa Scardina. Our discussion touched on AI, with Dr. Saasouh sharing positive ways we can use technology and Lisa offering her perspective on AI, which also stands for Appreciative Inquiry. How we connect and have conversations matters! We talked about hope and …
Solving the health care dilemma: Why older adults are skipping vital care
As a gerontologist, it is disheartening to engage with older adults who express disinterest in routine medical check-ups. Many of these individuals outright refuse to follow doctors’ orders or take prescribed medications. This troubling trend is not only a growing problem in America but also a critical issue that warrants our collective attention and action.
The advancements in modern medicine have significantly prolonged life spans and improved the quality of life …
Money dysmorphia: Why you feel like you’ll never have enough [PODCAST]
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In this episode, we dive into the emerging trend of money dysmorphia—a distorted perception of one’s financial situation that’s affecting people across all income levels, especially younger generations. Our guest, Shane Tenny, a …
The choice between integrity and power in a world of chaos
The world is benefited by a variety of human beings. Almost everyone can contribute greatly to our societies, no matter what their personal drives. Even the selfish and hate-filled can give us people like Henry Ford, the antisemitic supporter of Hitler who had union organizers beaten, but also doubled the standard wage for his workers and gave us the assembly line, standardized production, and vertical integration. His closest parallel today …
Internal medicine physicians: leaders and the foundation of comprehensive health care
The nickname bestowed on us residents by our internal medicine residency program director was “city savages.” There was a tremendous amount of pride amongst the residency programs in Boston back in the late 1980s, and it was no different in my program.
I recall exploring residencies in Boston. While interviewing at another highly regarded Boston Hospital, I asked the …
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