Part of the challenge in oncology is the balance between hope and reality, and that is probably the most important thing to strive for for patients living with metastatic disease. Often times, the important conversations relate to treatment options, goals of care, and patient preferences (i.e., how frequent the visits to the doctor and for …
The challenge in oncology: balancing hope and reality
Your partner’s residency is hard for you both, but it is possible to both survive and thrive throughout it! Finding happiness and success while your partner is in residency comes down to a handful of simple lessons, at least in theory if not in practice.
1. It’s your residency, too. It’s a simple but powerful departure point: residency is both your partner’s job and a significant period in your life together. Your …
10 tips for surviving and thriving throughout your partner’s residency
Cars are incredible inventions. They allow you to transport yourself hundreds of miles, whenever you want, in a relatively short time period. Cars allow you to arrive at your desk job without any sweat or dirt on your face. They also allow you to take amazing road trips and might even act as a camper on a rainy night.
Cars are a depreciating asset
However, don’t forget that cars are a luxury …
Physicians: Get rid of car debt. Or, how to buy a car with cash.
There are a lot of competing goals when you first get out of residency.
You have hundreds of thousands of student loans to pay off.
You need to build up your investment accounts, which lag far behind your college classmates who have been working for the past decade.
You need to save up for a down payment for your dream home.
If you have kids, you need to begin saving for their college educations.
And of course, you’ve been living like …
Pay down student loans or invest: What should doctors do?
It’s 10 p.m. on Wednesday night, and I’m finishing up my notes for my patient visits from this morning while I do my bowel prep for my colonoscopy tomorrow.
Now, I know we can argue the biomechanical challenges of doing both of these tasks at the same time, and this certainly may be TMI, but it struck me as I was sitting there trying to do both of these things how …
Doctors: Don’t forget to take care of yourselves
My testimony is quite an odd one, similar to my professional journey.
I came to believe in God on a medical mission trip in Honduras when I was about twenty-one years old. A staunch atheist at the time, I was interested in beefing up my medical school application. A local church donated thousands of dollars for my college group’s mission trip; I was stunned. I had never even attended church! Finally, …
I was a four-year-old kid when I was about to begin my first day of school. I was born and raised 20 kilometers away from the big city in a small rural area with minimal essential amenities — schools, roads, and hospitals. Like all other kids, it was a momentous occasion for me to start my first day of school, and I remember how exciting it was.
As I started to …
A patient becomes a medical student
“Why are you in seminary?”
As a “non-traditional applicant,” I was asked this question on every medical school interview four years ago.
I’ve come to learn that seminary training engenders stereotypes and mythopoeia. My mentors knew this, and advised me to have examples ready related to the importance of being trained in fields that both study the human condition and provide the skill set necessary to critically assess paradigms.
Some interviewers appreciated the …
Why seminary? Or, why are you non-traditional?
An excerpt from Physician: How Science Transformed the Art of Medicine.
While working at a community hospital in the Midwest in the early 2000s, I came to know Walter Stephenson (name changed), who was under my medical care during a lengthy …
Do doctors see patients as machines?
HIPAA (Health Information Portability Accountability Act of 1996) is the privacy care act involving electronic transfer of records so that the identity of a patient remains unknown. It includes any electronic, written or oral transfer of information. When I was a kid, there was no such thing. As a grown-up medical professional, you are surrounded constantly by HIPAA. Charts are placed on doors, so the names are hidden, instead of …
One of the definitions of “academic” is the following: Not of practical relevance; of only theoretical interest.
When we look at the term academic medicine, sadly the descriptor “academic” increasingly falls under this definition.
To be fair, there have been some wonderful scholars in the field of medicine: Semmelweis, Fleming, Salk, Sabine, Starzl, and Marshall to name a few. And these few were not readily embraced by their peers in medicine. Barry Marshall was ridiculed …
If academic medicine is to avoid becoming academic, it must prioritize patient care
Eight-year-old Tommy has trouble paying attention in school, is always restless in class, unable to complete his tasks, hyperactive both in school and home and his teacher discusses the possibility of him having ADHD with his parents. They decide to take him to see a pediatric psychiatrist. After some analysis, he’s diagnosed with ADHD, prescribed with Ritalin and is on his way home with his medicine. Classic childhood ADHD story, …
Many things in life can only be truly appreciated once reflected upon — like the onset of dementia, depression, and cancer, just to name a few. This got me thinking about the onset of burnout and how the true presentation in life is quite different than reading about it.
The term “burnout” is often thrown around loosely but is an actual syndrome comprised of the progression of “exhaustion, cynicism and reduced …
Is your spouse experiencing physician burnout?
When my friend was in her fourth year of medical school, she and her boyfriend sat down with their dean to discuss their residency applications. Both have since gone on to have successful academic medicine careers, but on that day in the dean’s office, they were nervous. My friend asked the dean for reassurance.
“I’m sure it will all work out,” she recalled the dean saying. “After all, in 20 years …
Medicine systematically disadvantages women physicians at every stage of their careers
Patients have a lot of choices when it comes to physicians. Making sure your online profile is up to date, complete, and contains these five items will improve the chances that a website visitor will become a patient.
Create a personal connection. Having good rapport with patients is important, and that process starts before patients ever walk in the door.
How often have you seen a physician bio that only contains a single, …
5 must-haves for great physician online profiles
Those of you that follow me know that I write and speak often on the topic of physician burnout. About a year ago, after my grandmother passed away, my extended family and I got together for a few days. One night, my cousin and I got to talking about my work, and he pressed me on a question that so many have asked me before, “What makes physician burnout different than that which every other profession experiences — and if …
If physicians are burned out, why don’t they just quit? Here’s why.
I’m about two-thirds of the way through my 3rd year of medical school, and I have hit my wall. I have become so fed up with the set up of medical school. I think a decent amount of this comes from the fact I am on my 6th week of an eight-week surgery clerkship (an area of medicine that I literally have zero interest in). I’m tired of waking up …
Is apathy needed to survive medical school?
If you’re a physician-parent, no doubt you’re familiar with the helplessness associated with the phone call informing you that your child is sick — and needs to be picked up within the hour. You know, the one that coincides with when you were about to start a procedure or a time where there’s no backup available to take over your responsibilities. Murphy’s law.
Many of us have nannies exactly for this …
You’re a physician and a parent. Which comes first?
Recently, a form showed up on my desk to sign, approval for something or other. Not uncommon, given my role at the time as a chief psychiatrist, I signed dozens of such letters, memos, or forms, drafted by an administrative assistant. I signed so many; I never looked at the last line — at how my name had been typed out. Just once my eyes wandered to the end and …
How psychiatrists became lesser physicians
Dr. Pramela Ganji had just finished her lunch when she was told that the appellate court had reversed and vacated her conviction. At first, she didn’t believe it.
After all, this whole experience had been surreal. Dr. Ganji, a 68-year-old well-respected medical doctor and married mother of 3 children, had practiced medicine for 40 years without incident. Her patients loved her, and she had dedicated her life to helping others. …
The unjust prosecution of physicians is not unique
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