“Mens sana, in corpore sano,” goes the old Latin saying. “A healthy mind in a healthy body.” It’s vital that way pay proper attention not only to our physical existence but to our minds and souls; to the intangible but essential part of who we are.
While I write a lot about things we need to do to keep our bodies healthy, it’s important to remember that our eyes and minds …
Why social media may be causing real emotional harm
I would like to share six lessons that I learned from my dad. Parents have a big responsibility in bringing up the next generation. Our kids learn from watching what we do more than hearing what we say. So doing what’s right pays dividends with our kids. As physicians, we miss a lot of time with our family due to our schedules. When we do have time with our family, …
6 lessons this physician learned from his father
Words have meaning. And when it comes to cancer, especially advanced cancer, there aren’t many words that have more meaning than the word “cure.” It is that very word and concept that is top of mind for some of us these days.
We clinicians are guilty as charged when it comes to reluctance declaring those who have had a remarkable response to treatments for advanced cancer “cured.” Experience has taught us …
What should a cure for cancer look like?
Every day I receive all kinds of emails and other ads telling me about services offering me help to meet MIPS quality metrics. While they may be helpful, most doctors don’t see the need for such a program. It drives up costs in administering and time in needless metrics reporting. Yet, give us a new regulation and a whole industry is going to pop up to profit off of our …
Why MIPS is a useless mental exercise
Whenever I tell people outside of medicine how bad doctors are with money, they are always shocked. Almost universally, they wonder why we don’t save enough money. They understand that – to become a doctor – you must be hardworking, intelligent, and dedicated to the cause. These are the same attributes – when they are applied correctly – that result in financial success. How in the world can …
4 reasons why doctors are bad with money
The common practice in this country (although not everywhere — Europe, for example) has long been to treat all acute middle ear infections (otitis media) with antibiotics. This is not necessarily needed. We now know that for many children another reasonable approach is to wait a day or so to see if the symptoms get better on their own without antibiotics. Parents have an important role in making this choice. …
Are antibiotics needed for your child with an ear infection?
Every week there is another health pronouncement saying what is now good for you and what is going to kill you. Unfortunately, the “what” is often interchangeable — what was supposed to kill you last week is now suddenly good for you or vice versa.
Foods, supplements, and activities, all studied extensively and determined to be either good or bad, then subject to a new study, with the opposite conclusion. How …
When medical science becomes fake news
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 62-year-old woman is evaluated during a follow-up visit for recently diagnosed stage IIIA high-grade serous ovarian cancer. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and completed six cycles of chemotherapy with cisplatin and paclitaxel. The patient’s paternal aunt was diagnosed with breast cancer at age 52 years. …
MKSAP: 62-year-old woman with ovarian cancer
A patient walks into the doctor’s office and says:
I hate feeling this way. Yes, I know it’s not cancer and it won’t kill me, but this shaking has made me a different person. I can’t sign my name. I drop and spill things all the time. I’m afraid to pick up my baby grandson. I don’t go out anymore because I’m embarrassed. And I don’t know what can be done. …
Steadying patients’ fears about shaking hands
An excerpt from In Two Voices: A Patient and a Neurosurgeon Tell Their Story.
Linda, the patient, writes:
Years later a compassionate optometrist acknowledges my eye pain and frequent headaches. I try different lenses, various prescriptions. When they don’t work, he arranges for me to see one of his mentors at …
A patient and a neurosurgeon tell their story
Long-time “Jeopardy!” host Alex Trebek announced in March that he had been diagnosed with stage 4 pancreatic cancer. Within days, he offered thanks to “the hundreds of thousands of people who have sent emails, texts, tweets, and cards wishing me well regarded my health.” Then last month, Trebek reported that his cancer was in “near remission,” saying that his doctors “hadn’t seen this kind …
The Trebek effect: the benefits of well wishes
An opinion article was recently published in Stat by Daniel Sokol, PhD, who is a London-based bioethicist and lawyer specializing in medical law. His article, entitled “Doctors should use social media with restraint,” discusses the role of doctors on social media. This was very interesting timing for me as I have only very recently embarked on a professional online presence. Mr. Sokal uses Sir William Osler as …
A physician shares her positive experience with social media
Nearly half a million individuals with opioid use disorders are hospitalized each year in the United States. While they are in the hospital, medical providers often treat complications of this disorder, such as bloodstream infections, but rarely directly address their addiction. That’s like pumping up a flat tire without ever looking for the nail that caused …
How hospitals can help with the opioid epidemic
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To my residency class:
The clock is ticking, its hands spinning around its face faster and faster until I feel dizzy and disoriented. The remainder of the academic year can be measured in days, even hours for some. The carousel is slowing down to let some off, some on. Some, like me, will remain in the saddles of their brightly painted ponies. The cheerful calliope melody becomes distorted with the change …
Words of wisdom to a residency’s graduating class
A patient groans in agony lying atop a rigid spine board, carried by paramedics into the ER, his neck in a protective collar. The paramedics shout a summary of the accident. Monitors are attached to the man, flashing and beeping the cadence of vital signs. Nurses and physicians swarm. Gloved hands comb through brown hair for bumps or lacerations. They remove his clothes, feeling for pulses in the neck and …
Fasting for Ramadan and being the on-call orthopedic trauma resident
In a recent People article, Jeopardy! host Alex Trebek shared some good news. Diagnosed with stage 4 pancreatic cancer in March, Trebek said he was told that he has been responding very well to his chemotherapy regimen, and that he’s in “near remission.”
He went on to say, “It’s kind of mind-boggling. … The doctors said they hadn’t seen this kind of positive …
How is Alex Trebek doing with his pancreatic cancer treatment?
It is honorable to fight a battle in the face of an inevitable ending while not knowing when that end may come.
First day of third year — the year most medical students take a sigh of relief as they put their Step 1 book on the shelf and prepare to face the wards:
I happened to draw the short straw by having my surgical rotation first, one that often brings an …
A medical student’s reflection of “firsts”
Several weeks ago, as I was walking through the halls of our hospital, out from an intersecting hallway drove a robotic delivery cart.
Unmanned and adorned with sensors so it could tell where it was in the world, it motored along on its way, heading somewhere with a bunch of flashing lights and audible warning signals.
I was told this was part …
What health care can learn from a robotic delivery service
A great deal has been written about physician burnout, especially in emergency medicine.
Inefficient electronic medical records, rapidly decreasing resources, increasing job demands, litigation risks, huge debt burdens from training, and on and on.
But in my opinion, much of this is common to any career. Show me a person that doesn’t ask themselves at least once, no matter what their occupation, “Why am I still here?” and I’ll show you someone …
Being an emergency physician is magical
Physicians have a long history of discriminating against patients, and racial discrimination only scratches the surface of current problems facing patients who seek access to care. The Tuskegee Syphilis trials demonstrated how the medical community exploited and compromised the trust of African American patients. Recent research indicates that out of a study of 222 residents and medical students, about half demonstrated false beliefs concerning biological differences between white and black …
What happens when doctors discriminate against patients?
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