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Pediatric endocrinologist Shara Bialo discusses her article, “Why type 1 diabetes screening should be part of back-to-school.” She highlights that back-to-school visits are a critical window to screen for type 1 diabetes …
Catching type 1 diabetes before it becomes life-threatening [PODCAST]
Across society, AI is being adopted at an staggering rate. In medicine in particular, AI is helping physicians analyze diagnostic tests, calculate disease risk, summarize patient history, and formulate treatment plans. Health care administrators are using AI to manage and optimize workflows. Insurance companies report that AI is improving consumer service, expediting claims, and detecting fraud. AI-assisted medical research is discovering new drugs to combat Parkinson’s, …
The consequences of adopting AI in medicine
I am a pediatrician. I am a mother. And now, a grandmother. These identities don’t always move in harmony.
When I learned my twin granddaughters had been born at home, the physician in me reacted immediately. My mind began cataloging risks, reviewing worst-case scenarios, mentally scanning for everything that could have gone wrong.
The grandmother in me, however, was called to show up differently: with love, not fear. With presence, not panic. …
Pediatrician vs. grandmother: Choosing love over medical advice
I grew up hearing stories about my grandfather, Dr. Luis Torres Díaz, the way some children hear stories about national heroes. In our family, he was one of them. He was not a war hero or political figure but a quiet, thoughtful, and brilliant scientist. My grandfather was a chemist, a poet, a professor, a dean, a museum founder, a man whose life seemed to stretch across disciplines with an …
How I got Dr. Luis Torres Díaz on Wikipedia: a grandson’s journey
I read Zoe Crawford’s thoughtful KevinMD essay on the limitations of direct primary care (DPC) with great interest. Her frustration as a medically complex patient navigating a fragmented health care system will resonate with anyone who has struggled to obtain timely imaging, referrals, or specialty care. As a clinician who has spent a career thinking and writing about how health systems fail both patients and physicians, I agree with …
Direct primary care vs psychotherapy models: Why they aren’t interchangeable
Today I am a urologist, a cardiologist, a psychiatrist, a rheumatologist. But truly, I am a rural family medicine doctor in one of the most underserved counties in the country. And I am tired.
I do not pretend to have the depth of each specialist. What I have is necessity, a toolkit built on scarcity. Practicing medicine on an island, where specialists are rare, calendars are full for months, and visiting …
The hidden depth of the rural primary care shortage
For years, hospitals have been urged to modernize. We are told to digitize workflows, optimize performance, and rely on dashboards and algorithms to improve efficiency. Much of this advice is reasonable. Medicine cannot function without systems.
But recently, while observing hospital transformation from within, I began to feel a familiar unease, one I had encountered before outside of medicine.
It reminded me of how digital platforms operate.
Platforms are not inherently unethical. They …
When hospitals act like platforms, clinicians become content
The frequency and severity of physician burnout have resulted in an epidemic that is impairing the American health care delivery system. Herbert Freudenberger coined the term burnout in 1977, referring to a syndrome characterized by emotional exhaustion, depersonalization or cynicism, and a lack of personal accomplishment. He noted that burnout reduced health care workers’ ability to provide excellent patient care and adversely affected their well-being.
Physician burnout is rampant in the …
Preventing physician burnout: an educational approach
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Double board-certified obstetrician-gynecologist and reproductive endocrinology and infertility specialist Erica Bove discusses her article, “Why do high-quality IVF embryos fail.” Erica explores the heartbreaking reality of recurrent implantation failure, challenging the assumption …
Why high-quality embryos sometimes fail to implant [PODCAST]
Adapted from Searching for Normal: A New Approach to Understanding Mental Health, Distress and Neurodiversity. (Penguin Random House Canada/Signal, 2025.)
February 1992. I’m in the consulting-room side of a one-way mirror divide. Opposite us in the room are four people: thirteen-year-old Sofia, her older sister Julieta, and their mother and father. The parents speak with a strong Spanish accent. The girls’ mother has an anxious look on her face. She …
The risk of diagnostic ideology in child psychiatry
Most of us have heard the ancient Indian and Buddhist parable “the blind men and the elephant.” Regardless of source, the parable usually contains these elements:
A ruler assembles several blind men and brings an elephant before them. One feels the head and says the elephant is like a pot; another the ear and says it is like a fan; another the leg and says it is like a pillar; another …
The blind men and the elephant: a parable for modern pain management
As a medical student, I’ve seen firsthand how stress and cognitive overload can wear people down, both in patients and in myself. During one particularly difficult exam block, a friend casually mentioned L-theanine, a supplement found in green tea, that supposedly helps with focus and calm. That got me curious: Was this just hype, or is there actually something to it?
So I took a closer look at the research.
L-theanine is …
L-theanine for stress and cognition
I’ve been thinking about “choice” a lot lately, not the rich, ethically grounded version we teach in medical school, rooted in autonomy, informed consent, and shared decision-making, but a thinner, more selective version now circulating in political and legal discourse. The kind that sounds principled until you read the fine print.
The message goes like this: You may choose, just make sure you choose correctly.
It’s the literary equivalent of Animal Farm: …
The political selectivity of medical freedom: a double standard
Artificial intelligence has transformed pharmaceutical science more rapidly than any other part of health care. AI can now:
Recent analyses in Drug Discovery Today and …
The AI innovation-access gap in medicine
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Physician advocate and physical therapist Kim Downey and counselor Shari Morin-Degel discuss their article, “Why burnout prevention starts with leadership.” Shari shares her personal journey from a trauma-exposed mental health professional to …
Leadership buy-in is the key to preventing burnout [PODCAST]
Every week in clinic, I meet patients who carry lab results like heavy burdens. Their cholesterol is “slightly high,” their thyroid level is “borderline,” or their blood sugar is “just above normal.” They arrive anxious, wanting certainty: Do I need treatment? Am I sick?
The truth is, much of medicine exists in the gray zone (values that are not clearly normal, but not clearly dangerous either).
What the research tells us
Borderline numbers …
What to do if your lab results are borderline
All of the arguments for direct primary care (DPC) from a provider perspective are valid. As a psychotherapist and psychoanalyst, I have essentially run a direct care practice for the last 15 years. I don’t accept insurance and see patients as often and for as long as therapeutically necessary. So when DPC practices started rising in popularity, I was excited to try it. Unfortunately, as a patient who is medically …
Direct primary care limitations for complex patients
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Health care executive Kevin King discusses his article, “How to stay safe from back-to-school illnesses.” Kevin explains why the return to classrooms often triggers a surge in respiratory illnesses (like the flu, …
Understanding the unseen role of back-to-school diagnostics [PODCAST]
On a winter evening in Taipei, random violence erupted across two of the city’s busiest metro stations. Within minutes, lives were lost, dozens were injured, and a familiar cycle followed: shock, fear, calls for more security, and questions about public safety. But for those of us in health care, this should not be framed as a failure of policing alone. It should be recognized for what it truly is: a …
Public violence as a health system failure and mental health signal
A few years ago, I met a talented internist who had been practicing for 15 years. She owned a small clinic, worked long hours, and ran a thriving patient base, but when we reviewed her financials, I realized she’d been paying far more in taxes and taking far more risk than she needed to.
Her response was one I hear often: “Clint, I’m not a businessperson; I’m a doctor.”
It’s a mindset …
Physician asset protection: a guide to entity strategy
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