Not long ago, a patient came to my busy clinic holding her phone. She had recently watched one of my short educational videos on heart attack warning signs, in Bengali. She told me, “Doctor, I did not know women can have different symptoms than men. That is why I came in today.”
That heartfelt conversation might have truly saved her life. And it was made possible not inside a hospital, but …
Why doctors must fight misinformation online
As a urologist, I consider myself an expert on the subject of prostate cancer. Here is a urologist’s view of a hypothetical announcement from a former U.S. president, five months after leaving office, of widespread high-grade metastatic prostate cancer.
Prostate cancer is the most common cancer in males. It begins as a cancer in the prostate, and with progression, metastatic disease occurs, primarily in the axial skeleton. Prostate cancer is known …
A urologist’s perspective on presidential health transparency
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Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article “It’s time to operationalize physician wellness.” Muhamad explains why wellness cannot remain a slogan or a poster …
Why physician wellness must be treated as a core business strategy [PODCAST]
I thought of this while watching the Cincinnati Open tennis today. Between games, a sports drink ad flashed on screen claiming it “hydrates better than water.” The players kept chugging neon bottles, and the announcer repeated the tagline like gospel.
That is when it hit me: For recovery, I would still reach for milk.
Hydration is more than water replacement.
Hydration is not just about replacing fluids; it is about keeping them in …
The science of hydration: milk vs. sports drinks
I can sit with patients and families and talk about hospice, dementia, or end-of-life care without hesitation. Years of training as a physician and geriatric psychiatrist have prepared me for those conversations. But when my own parent needed care, all that training suddenly felt useless.
Medical knowledge didn’t shield me from fear or guilt. It didn’t stop the second-guessing that came with every decision. It didn’t help me navigate the family …
Why caring for a parent is hard for doctors
I was not just a contributor. I was the pediatrician in the room, the one who translated clinical reality into research clarity, even when the system preferred abstraction.
From 1997 to 2003, I lived a six-year burst of energy: equal parts clinical invention, research precision, and institutional resistance. It was my Trinity Site: a catalytic moment where everything fused: rural care delivery, editorial rigor, and systems reform. The fallout still shapes …
A pediatrician’s role in national research
A demographic shift in viewership
With the rise of streaming, one platform is surging to prominence. According to Nielsen’s March 2025 report, YouTube now commands the highest total TV usage share of any media company at 11.6 percent. This marks a 53 percent increase in viewership compared to two years ago. But it is not because of younger generations sensationalized “addiction” with phones. It is a surge driven largely by …
How older adults became YouTube’s steadiest viewers and what it means for Alphabet
The idea that medicine is a “calling” has been entwined deeply within our profession. From white coat ceremonies to recruitment posters featuring smiling doctors holding stethoscopes, we are told that to enter medicine is to answer a higher purpose. This framing is powerful. It inspires loyalty, fuels commitment, and builds identity. That is how the brainwashing begins as it also hides a dangerous truth: Labeling medicine as a calling has …
The danger of calling medicine a “calling”
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Licensed counselor and coach Mary Remón discusses her article “A mindset shift for physicians: Retrain your brain to see what’s going well.” Mary explains how physicians are trained to scan constantly for …
How retraining the physician mindset can boost resilience and joy in medicine [PODCAST]
The alarming relationship between artificial intelligence and adolescent body dysmorphia
That is what the American Health Law Association called the global increase in social media usage: an epidemic.
Indeed, social media usage and reliance, especially by youth, is becoming a mental health phenomenon quickly escalating out of control.
Nearly 25 percent of youth report spending over four hours on social media daily, with 46 percent of adolescents claiming that social media …
How AI on social media fuels body dysmorphia
As a parent and a doctor of nearly four decades, I’ve often found myself navigating the rugged terrain of a dual existence: the life of a devoted physician, and the life of a dedicated parent. I have not always succeeded in both arenas. My wife and I both bear the weight of our professions, drawn into the noble yet demanding world of medicine. Our missions and ambitions, while fulfilling, have …
Physician work-life balance and family
In the quiet that follows a routine pediatric check-up, a single word, “vaccines,” can suddenly change the air. Where vaccines were once a simple part of childhood, they have become something parents scrutinize, debate, and sometimes outright resist. The shift is palpable, and it is increasingly showing up in clinic rooms every day.
As a medical student training in New York City, I am constantly struck by a paradox: We live …
Why hesitation over the HPV vaccine threatens public health and equity
There is an old parable about a farmer whose horse runs away.
The neighbors cry, “Such bad luck!”
The farmer only replies, “Maybe so, maybe not. We will see.”
The next day, the horse returns with two wild horses. “Such good fortune!” they cheer.
Again, the farmer answers, “Maybe so, maybe not. We will see.”
Soon after, the farmer’s son breaks his leg taming one of the horses. “Such misfortune!”
The farmer answers, “Maybe so, maybe …
What psychiatry teaches us about professionalism, loss, and becoming human
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Amanda Heidemann, family physician and senior clinical content consultant for clinical effectiveness at Wolters Kluwer Health, discusses her article, “Gen Z’s DIY approach to health care.” Amanda explains how digital natives are …
How Gen Z is reshaping health care through DIY approaches and digital tools [PODCAST]
In the quiet moments of illness, I witness love and loss unfold.
I usually place the beds of relatively sick patients closest to my workstation. While I can monitor all the patients, except for a few female beds behind curtains, this arrangement helps me keep a closer eye on those who are more ill, particularly those receiving chemotherapy.
Directly in front of my counter lies a 50-year-old gentleman recently diagnosed with primary …
Love and loss in the oncology ward
An excerpt from Held Together: A Shared Memoir of Motherhood, Medicine, and Imperfect Love.
Scott and I held hands as the last few minutes of waiting expanded to rival the anticipation of the days that had already passed. Two weeks ago at this same medical center, our perinatologist had performed a chorionic villus sampling, the procedure to collect the fragment of placenta that would determine our course. I had been …
The weight of genetic testing in a family
For over forty years, I worked as a general and vascular surgeon. For the last ten of those years, I was employed under an RVU-based compensation model. That period is when my dissatisfaction with medicine truly began. Complex, life-saving operations were reduced to “productivity units.” The pressure was relentless, the system unforgiving.
And unlike primary care physicians, surgeons do not have the option of concierge or direct-pay models. We are necessarily …
A surgeon’s view on RVUs and moral injury
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Infectious disease physician Tyler B. Evans discusses his article “Meeting transgender patients where they are: a health care imperative.” Tyler, an infectious disease specialist and author of Pandemics, Poverty, and Politics: Decoding …
Meeting transgender patients with compassion and equity in health care [PODCAST]
I’m not a financial advisor. But after 35 years in internal medicine and lipidology, I’ve realized that physicians are essentially wellth managers, stewards of human energy, rhythm, and resilience.
We help people diversify their time, protect their emotional capital, and build habits that generate compound interest in the form of years, vitality, and peace. In a way, our patients are portfolios: living, breathing balance sheets of choices and consequences.
It’s not money …
Why your health is a portfolio to manage
When I started practicing medicine more than thirty years ago, I believed the system was imperfect but noble. We worked hard, we cared deeply, and I thought that if we just kept doing our best, things would gradually improve. I trusted that technology, new policies, and better organization would eventually bring us closer to the ideals of medicine. Some of those changes helped. Many did not.
If I am honest, there …
Reclaiming moral ambition in health care
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