Howera is a twenty-nine-year-old Ethiopian woman. She saw me in the neurology clinic for headaches. Two years previously, she had come to America to join her husband. Since her arrival, he beat her physically and abused her sexually. Being a stranger in a strange land and not speaking English, she suffered in silence. Finally, she could take it no longer. She ran away. For the past six months, she had …
Negotiating a contract can be daunting, but it’s a critical skill every physician must master. When I received my first contract, I was overwhelmed by the legal jargon and the sheer number of clauses. It wasn’t just about the salary; it was about securing a fair and comprehensive agreement that would set the stage for my entire career. Through trial and error and a lot of research, I’ve gathered these …
When actress, model, and reality star Denise Richards came into my office, she had been suffering from chronic pelvic pain for years. Doctor after doctor had given her the same advice: ignore it.
It’s just a hernia.
By the time Richards consulted me, she was experiencing more than just a hernia. It was four: two inguinal hernias and two femoral hernias, all needing immediate repair.
Richards’ situation is far from unique.
In case after …
One of the best safety strategies in anesthesia is the anticipation and prevention of complications and errors at every step of preparation. An intact intravenous drug delivery system is essential for almost every anesthetic plan. In this article, we will specifically discuss the intravenous drug delivery system, focusing on its vulnerabilities, strategies for preparation against potential complications, and error prevention. We visualize this concept as an educational endeavor and as …
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In this episode, we delve into the profound emotional experiences of Ryan McCarthy, an internal medicine physician. Ryan shares heart-wrenching moments from his practice, including the day his heart metaphorically rolled off his …
On my outpatient clinical rotations last year, I saw ample management of heart disease and smoking cessation counseling. I also saw the annual physicals and checkups. But what surprised me was how many patients were on medications that were just now becoming more mainstream. I’m sure you’ve heard of one in particular—Ozempic. But it wasn’t just Ozempic. There was also Wegovy and Mounjaro. These medications, in the family of semaglutides, …
The wait is over! The highly anticipated 2024 MGMA DataDive, a federally recognized gold standard for physician compensation data, has finally arrived. This comprehensive analysis offers unparalleled insights into physician and advanced practice provider (APP) compensation, making it a crucial resource for staying informed in today’s health care landscape. While some may consider it the current “gold standard,” it is essential to remember that even the best data sets can …
For two years, I have used this venue to expose medical malpractice litigation as a serious threat to society and the medical profession. From your responses, I conclude that patients and doctors are ready for a paradigm shift. Two elements are essential: rational decision-making and stakeholders like yourselves who care. I have the decision-making model, and you have the desire. However, you are paralyzed by hopelessness.
Meanwhile, 85,000 medical malpractice lawsuits …
My deep dive into this topic started after examining a New York Times article regarding the abuse of medical technology within my specialty of vascular surgery. The knowledge this article presented, along with my love of innovation and acquisition of an MBA focusing on entrepreneurship, prompted further probing into the field. Ultimately, my work led to an editorial in the periodical The Vascular Specialist and, subsequently, a TEDx …
Michael Foti, MD, and Tushar Bhagat, PhD, recently reached out to me, each expressing that we are committed to the same goal: well-being for others, especially physicians. I paired them up for an episode of my YouTube channel, where they poignantly shared their journeys to becoming advocates for physician wellness. Through their work, they are creating synergistic loops of feeling better! Here are their stories:
Michael Foti, MD:
At a time when …
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In this episode, we sit down with Caissa Troutman, an obesity medicine and family physician, to delve into the pervasive stigma and shame associated with obesity and perimenopause. Caissa shares her personal experiences …
My friend and colleague, Alex Berezow, wrote a piece titled “Is the U.S. doctor shortage intentional?” The writers at ACSH share their work before publication to get feedback, and in the case of Alex’s latest, we disagreed. While much of what he wrote is factual, without the nuance of the setting, it fails to tell the entire story. So here is not so much my rebuttal but the rest of …
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Unless planning to issue an update on practice guidelines for obstetric anesthesia, the American Society of Anesthesiologists (ASA), along with its subspecialty organization, the Society for Obstetric Anesthesia and Perinatology (SOAP), should formulate a consensus statement for peri-anesthesia management during out-of-hospital cesarean sections (OHCS). Florida has become the first state to allow OHCS, an infrastructural relaxation for obstetric care that other states may follow. Whether the ensuing outcomes among pregnant …
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We sit down with Carrie Atcheson, a board-certified anesthesiologist and co-founder of Business Mindset MD, to explore the transformative potential of physician-led innovation in health care. We delve into how the acquisition of …
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We welcome Jennifer Obel, an oncology physician, who shares her personal journey of retiring from a fulfilling medical career due to Ehlers-Danlos Syndrome. Reflecting on the recent presidential debate and the health concerns …
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Writing is something I really enjoy. I take pleasure in writing, especially because of my beautiful handwriting. When I started school, we had to write with a lead pencil until fifth grade. I was so excited to write with a pen when I started sixth grade. After I learned how to write with a pen, I have been writing nonstop since that day. I found my writing mesmerizing. While my …
In medicine, we were taught to anticipate, diagnose, and predict conditions. Examining our patients allows us to assess the problem and make a plan. We generally know what is coming next unless some action or treatment is taken.
Personal and professional transitions are unlike medical conditions because we can rarely predict what will occur. Our life transitions can seem demanding, often onerous, because we female humans do not like change. In …
Near-death experiences (NDEs) have fascinated both the medical community and the general public due to their profound and often transformative effects on individuals. These experiences typically occur in situations where a person is close to death or facing a life-threatening condition. Common elements reported during NDEs include feelings of peace, out-of-body experiences, traveling through a tunnel, encountering a bright light, and meeting deceased loved ones or spiritual beings. The aftermath …
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I had been looking forward to and, at the same time, dreading this appointment. Her husband had been ill for many months, but that had not stopped the verbal abuse that superseded the physical blows he could no longer inflict. She had, over many previous visits, told me stories, chronicled the behaviors, and responded with an icy coldness that left me chilled of heart and spirit every time she walked …
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