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Cardiologist and author Eric Topol discusses his article, “What super agers can teach us about longevity and health span,” which is an excerpt from his new book, Read more…
The author of a recent article claimed that “we all lose” when an experienced physician prematurely leaves clinical medicine. Of course, it is inevitable that a clinical career will end, but whether patients and society suffer depends on what that retiring doctor does next. Increasingly, it seems, they pursue other ways to help patients and add value to the system by pursuing non-clinical careers. That’s a good thing, because:
In the noble pursuit of healing, physicians, especially those in pain clinics, are increasingly caught between the growing burden of patient expectations and a tightening web of regulatory scrutiny. A recent clinical study and a related article on KevinMD converge to highlight a deeply troubling reality: Clinicians are not only being harassed by distressed patients but are also being punished by the systems meant to regulate or protect health care.
A …
An excerpt from Tales from the Trenches: A life in Primary Care.
For nearly four decades in medical practice, I’ve been asked countless times about the best supplements or vitamins for improving health. Despite widespread hopes that pills can unlock vitality and longevity, the truth is less glamorous and far more powerful: The single best prescription for health is regular physical activity. Exercise, not supplements or medications, is the most …
We often speak of weight as a matter of simple math—calories in, calories out. But the body doesn’t work like an equation when it’s grieving or under chronic stress. It behaves more like a survivor, clinging tightly to resources in the face of perceived danger. And in that physiological equation, cortisol—our primary stress hormone—plays a central role.
The cortisol connection
Cortisol is released by the adrenal glands in response to stress through …
Have you ever asked yourself, “Why do your patients select you and your practice for their medical care?” Most medical practices offer the same service, i.e., evaluation and treatment, at approximately the same cost, and produce similar outcomes. After all, how many ways are there to treat a urinary tract infection, diabetes, hypertension, or arthritis? Most doctors are trained to offer similar services, which typically produce identical outcomes. So, why …
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Cardiologist Lauren Weber and critical care physician Jess Bunin, co-founders of All Levels Leadership, discuss their article, “Not all heroes wear capes: Sometimes they just speak up in meetings.” They reframe medical …
This past weekend, my wife and I made our way to Winnipeg, a sleepy town nestled in the Canadian province of Manitoba. The occasion? A family celebration. My niece and her husband had just welcomed a beautiful baby girl, and they insisted, almost reverently, that my wife become the godmother. It was a request we could not, and frankly, did not want to, refuse.
Winnipeg, or “Winterpeg” as some Canadians jokingly …
I’ve practiced outpatient internal medicine for over a decade, joining my current group straight out of residency. Since then, I’ve watched the landscape shift—corporate takeovers, tightening regulations, staffing shortages, and endless debates over salary, documentation, and work-life balance.
And yet—I still believe in this work.
Reimbursements have been cut. Morale has taken hits. But that’s not just an internal medicine problem—it’s a health care problem. Across every specialty, we’re navigating a system …
The slow beeping of the monitor comes to a halt and someone eventually shuts it off.
Click clack.
The machines are quiet now. I take one more look at the innocent, boyish young face and wonder what kind of life he had led. I leave the room, along with the rest of the team. A hand draws the curtain closed.
Death.
Quite literally, the most final force on Earth. The permanent, irreversible cessation of …
Locums can be a very challenging space, at least for anesthesiologists. Environments are frequently disrupted. There is often animosity between clinicians coping long-term with turmoil and inadequate staffing, and the temporary locums who fill a gap and are often paid substantially more for their intrusion. In anesthesia, the quality of the relationship between clinician and the total environment is essential. This includes nuances of the culture, scheduling structure and expectations, …
Imagine going to a restaurant where, instead of being charged separately for your appetizer, main course, and dessert, you pay a fixed price for the entire meal. That’s the idea behind a bundled payment plan in health care. Instead of billing patients and insurers for every individual test, treatment, or doctor’s visit during a medical episode—like a knee replacement—providers receive a single, comprehensive payment for all services related to a …
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Pediatrician Daniel Johnson discusses his article, “From isolation to innovation: the power of learning communities in health care.” He reflects on the collaborative, case-based learning that makes medical training exciting and contrasts …
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For thousands of International Medical Graduates (IMGs) every year, the third week of March is defined by a single, gut-wrenching question: Did I match? The entire future seems to hinge on a single email. We spend years navigating exams, clinical rotations, and visa applications, all for a shot at a residency spot in the United States. But what happens when that email doesn’t bring good news? For many, it feels …
Menstrual health is one of the most neglected aspects of adolescent care—especially for teens living in poverty. For these adolescents, getting a period doesn’t just mean discomfort—it means missing school, hiding pain, and facing daily choices between basic needs and menstrual products.
In both low- and high-income countries, period poverty is a quiet crisis. In the U.S., nearly one in five teens has missed school because they couldn’t afford menstrual products. …
In the current era of rapid health care changes, a very effective tool for workforce development is research mentorship based on evidence-based principles. As the health care industry faces a worsening shortage of professionals, the need to cultivate talent, empower early-career clinicians, and guide them through structured research and professional development is becoming more urgent. Research mentorship offers a replicable and transformative framework for addressing the health workforce crisis.
Research mentorship …
As we move through life, questions of identity echo through our minds—bouncing like a pinball, scattered and relentless.
Am I a doctor? A friend? A colleague? A leader? A husband? A parent? A son? These questions don’t just arise—they linger. Because every day, we’re asked to balance who we truly are with who we’re expected to be. We carry the weight of responsibility, chasing clarity, meaning, and success. We show up …
In the high-stakes, knowledge-driven world of medicine, we’re taught from day one to project an aura of certainty. From the anatomy lab to the hospital wards, the message is clear: know the answers, lead with confidence, and never let them see you sweat. But what if that fixation on “knowing” is holding us back? What if the very traits we’ve been trained to cultivate—the resolute certainty, the surgical precision, the …
An excerpt from Heal Your Wound: A Doctor’s Guide For Hard-To-Heal Wounds.
Chronic wounds are more than just a medical issue, they can be a daily challenge that can impact every part of a person’s life. From physical discomfort to emotional stress, these wounds often linger for weeks or months, especially when tied to conditions like diabetes, poor circulation, or limited mobility.
But here is the good news: With the right …
Specialist pain clinics and addiction management services are vital in addressing some of the most complex and costly health care conditions. However, their success depends on stable and robust primary care systems. Without strong primary care as a foundation, these health care initiatives risk fragmentation, poor continuity, and low patient accountability. Stable primary care ensures timely access, coordinated care, longitudinal monitoring, and patient engagement, all essential elements for the value-based …
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