Walking out of the cath lab one night after taking care of a patient with an acute myocardial infarction, a thought crossed my mind. In cardiology, we would never deploy a new device without vetting it. Before a stent ever touches a coronary artery, it undergoes bench testing, animal trials, and human studies to prove safety and efficacy. This process typically takes years, and in some cases, decades. Data points …
Physicians must lead the vetting of AI
In a unique episode of the Wealth Planning for the Modern Physician podcast, host David Mandell, JD, MBA, sat down with a resident, although not your typical resident! Dr. Wendell Cole, an orthopedic surgery resident at the time, is also a fellow podcaster, author, and entrepreneur. Despite being in the early stages of his medical career, Dr. Cole had already built a track record of innovation and initiative. His story …
Physician entrepreneurship and financial freedom
This past August, our local hospital celebrated its 50th anniversary. The media published photos from 1975 of the ceremonial groundbreaking with hospital officials, including future Chief of Staff, Dr. David Mysko.
Dr. Mysko was the first doctor I met when I joined the staff in 1987. We played on “The Hospital Mashers,” competing with other community softball teams in a city league. As a family practitioner, he probably delivered many readers …
Honoring medical veterans and health care heroes
As a psychiatry resident, I have been closely monitoring developments in the proliferation of AI chatbots for therapy. The moment feels like the ground shifting below my feet, and I have just started my career. In my clinical practice I feel unprepared to discuss how these new technologies are impacting my patients’ lives, but from my digest of national media, I am certain that a substantial number of my patients …
Illinois’ new AI therapy ban has a loophole
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Patient advocates Alan P. Feren and Joyce Griggs discuss the article “Why agency and partnership are vital in modern health care.” In this episode, Alan and Joyce explore how collaboration, advocacy, and shared …
Redefining health care through agency and partnership [PODCAST]
“Why don’t they see?” “Why can’t they understand?” “Why are they doing this to us?”
These questions echo in exam rooms, in meetings, in the hallways of hospitals and clinics across the country. They are often sparked by policy changes, institutional decisions, or administrative mandates that feel disconnected from the physicians providing the care. Underneath the questions is the hope that the reality in front of us isn’t actually true. That …
Physician burnout and the cost of resistance
For decades, cholesterol (LDL, HDL, triglycerides) has been the central focus of cardiovascular prevention. But in recent years, another player has emerged: lipoprotein(a), or Lp(a).
Many patients have never heard of it, yet research shows it may be one of the most important genetic risk factors for heart disease.
What is lipoprotein(a)?
Lipoprotein(a) is a particle in the blood similar to LDL cholesterol, but with an added protein called apolipoprotein(a). This structure makes …
Why you should get your Lp(a) tested
America’s mental health system is failing its seniors, caught in a perfect storm of: a rapidly growing population, a severe shortage of geriatric psychiatrists, and a Medicare model buckling under the weight of chronic, costly conditions. For millions of older adults living with anxiety, depression, or isolation, the system offers little or no treatment; often, the nearest provider is hours away, and waitlists stretch for months. …
Why Medicare must embrace AI support
As a physician with decades of experience, I have watched health care in this country change from a patient-centered calling into a profit-driven corporate enterprise. Much of the current political rhetoric surrounding the Affordable Care Act (ACA) conveniently ignores the real structural issues that drive up premiums and reduce access for ordinary Americans.
The recent claim that, if Republicans “get their way” and ACA tax credits expire, insurance costs will skyrocket …
Why ACA subsidies aren’t the main issue
For the longest time, I believed that if I gave myself fully, 24/7, to work, to my son, to my marriage, to my friends, then eventually, everything would fall into place. That maybe, just maybe, I would finally be able to answer every message, refill every prescription, kiss every scraped knee, and fix all the things.
But what I’ve come to understand is that we, especially women, though not exclusively, often …
The myth of balance for women in medicine
As a physician, I know all too well what clinicians in the U.S. today are up against. We’re being asked to do a lot more with a lot less. We’re tasked with producing more complete and accurate clinical documentation, reviewing endless notes, coding our own charts, and improving patient flow, all while providing the best patient experience and ensuring quality scores are optimal. All in a day’s work, right?
Our hippocratic …
Modernizing health care with AI and workflow
They tell me the physician’s art lies in the stitching of skin,
the analysis of shadows on X-rays,
and interpreting numbers in a medical chart.
Yes, there is skill involved.
a steady hand, a quick eye,
and a good memory for pathways and procedures.
But I wonder.
where, in the span of 20-25 minutes,
is the art that cannot be quantified
or coded?
It’s found in the stillness of listening,
in the weight of one person’s story
resting in another’s hands.
A doctor …
Is modern medicine losing its soul?
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Family physician Grace Yu discusses her article “The backbone of health care is breaking.” In this episode, Grace reflects on the urgent decline of the primary care workforce and the growing crisis …
Rebuilding the backbone of health care [PODCAST]
This past summer, I was diagnosed with prostate cancer. For more than three decades, I have taught, examined, and guided patients through various types of illnesses. However, nothing prepared me for the disorienting effect of becoming a patient myself. The diagnosis itself (a less aggressive prostate cancer amenable to robot-assisted radical prostatectomy) felt, at first, like a technical problem with a straightforward surgical solution. But what I did not fully …
A doctor’s own prostate cancer recovery
It’s no secret, is it? Health care organizations and institutions are struggling, some more than others. However, all are faced with seemingly insurmountable challenges. Demand outstripping resources, failing cultures and disengaged staff, and everywhere blockages and lack of flow are but a few of the common themes.
Big money, large initiatives, and great minds have all been thrown at the problem. The result? Well, if there was an answer we would …
How Olympic cycling can improve health care
Peace in the Middle East was once considered impossible until someone had the courage to take a stand and chart a new course. Mr. President, we need that same clarity and boldness now in health care.
The government shutdown over health care isn’t about medicine, it’s about money. Costs have exploded while premiums skyrocket. Paradoxically, doctors earn less, hospitals consolidate, and patients wait longer. The focus has shifted from healing to …
Give the health care dollar back to patients
The Trump administration recently released a long-promised report decrying the sorry state of the health of American children and saying how it planned to change this.
They correctly begin by noting that “Despite outspending peer nations by more than double per capita on health care, the United States ranks last in life expectancy among high-income countries and suffers higher rates of obesity, heart disease, and diabetes.” Unfortunately, they then largely focus …
The flaws in the new child health report
I spent 11 years becoming a family physician.
Four years in undergrad, four in medical school, three more in residency.
That’s a decade of delayed income and about $300,000 in debt, all for the privilege of practicing in one of the most critical, underappreciated corners of medicine: primary care.
I came out idealistic. I wanted to build relationships, prevent disease, and guide people through the chaos of a broken system. But I quickly …
The 5 percent problem: the low value of primary care
Introduction: a crisis of pain
The opioid crisis is one of the most significant public health emergencies of our time, defined by staggering rates of addiction and overdose. Yet, behind the headlines is a story of profound and often overlooked human suffering. In an effort to save lives, public health policies were enacted to aggressively reduce opioid prescriptions. While well-intentioned, these policies have inadvertently precipitated a parallel crisis of iatrogenic harm, …
The opioid crisis’s other victims
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Psychiatrist Yekaterina Angelova discusses her article “Are you addicted to false urgency?” In this episode, Yekaterina explores how modern professionals, including physicians, get caught in a cycle of constant busyness and fabricated …
Escaping the trap of false urgency [PODCAST]
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