The first time I witnessed someone die in front of me will stay with me for a long time. I was only eighteen, early in my EMT experience, and transporting a patient home from the hospital while my colleague drove the ambulance. The patient was an eighty-seven-year-old man, and although I do not remember the exact diagnosis, I knew he was on hospice, nonverbal, and expected to pass soon. He …
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Physician executive Tim Wetherill discusses his article, “Why AI is the perfect neutral arbiter for health care claims.” Tim explores how deeply embedded incentives, inefficiencies, and subjectivity in the current claims adjudication …
Chronic kidney disease (CKD) often develops unnoticed, gradually impairing kidney function. Approximately 950 million people worldwide are affected by CKD, and it is now the 9th leading cause of death, projected to become the 5th leading cause in the near future.
For years, I was unaware of the severe health battle brewing beneath the surface—until a routine pregnancy scan in 2015, at the age …
Disclaimer: I respect and appreciate my male colleagues. No hard feelings, gents, but bear with me as I get real in this article.
Let’s break it down with some sexy stats.
Several studies, including from Annals of Internal Medicine, The Journal of the American Medical Association, and even a fancy meta-analysis (yep, the holy grail of evidence), confirm that you’re less likely to die and less likely to be readmitted to the …
We have all been asked the infamous question as medical students: “What kind of doctor do you want to be, or what specialty do you want to specialize in?” If you have already made up your mind, answering this question can be exciting; if not, it can be extremely intimidating.
Regardless of what drew you to medicine—parental pressure, a strong desire to rescue lives, or simply just a few too many …
This article is sponsored by Set for Life Insurance.
We have a special sponsored episode from Set for …
Maybe you’ve struggled to put the shattered mirror of yourself back together, and you don’t want to unearth what you’ve been able to put to rest. Plenty of people decide that psychotherapy is not for them, and we are, as our own individual, sovereign self, the best judge of our needs. As someone looking from the outside, we can only know a fraction of the depths of another person and …
John Németh, winner of multiple Blues Music Awards, built his life and musical career as a singer and harmonica player. But X-rays taken during a routine dentist visit threatened to change that.
John’s dentist discovered an ameloblastoma, a benign but aggressive tumor, that was rapidly growing in his jaw and chin and needed to be surgically removed. This was a reality that could mean the end of his career and the …
I am a true crime buff, and I work in the emergency department. Sometimes the two seem to blur together.
In my career, I have followed my patients to the coroner’s office, going to see the autopsies on traumas, sudden deaths, or sometimes murders. We can do CT scans or MRIs. I can look at images and labs galore, but there’s nothing like looking at a fresh dissection to really appreciate …
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Gastroenterologist Mark Pimentel discusses his article, “SIBO and IBS: the hidden link keeping millions in pain.” Mark explains how small intestinal bacterial overgrowth (SIBO) is frequently misdiagnosed or overlooked due to its …
Life can feel overwhelming at times, with busy schedules, unexpected challenges, and daily pressures that never seem to slow down. While stress is a normal part of life, it can take a serious toll on your body—especially your digestive system. If you’ve ever experienced stomach cramps, nausea, or bloating during a stressful period, you’re not alone. The gut and brain are closely connected, and when stress levels rise, digestion often …
In a revealing snapshot of American mental health, the CDC recently reported that nearly 1 in 4 adults in the United States may be taking psychotropic medications. This staggering number should both draw attention and raise questions. Are we truly addressing the root causes of psychiatric illness, or are we sedating a nation in pain?
As a psychiatrist and internist who has worked at the intersection of …
The term “core competency” was coined by management experts C.K. Prahalad and Gary Hamel in their influential 1990 article titled “The core competence of the corporation,” published in the Harvard Business Review. Prahalad and Hamel defined core competencies as the unique capabilities or advantages that a company possesses, which are critical to its ability to achieve competitive advantage and long-term success. These competencies are not just about the skills or …
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Have you ever marveled that a new patient will share with you their most intimate secrets just minutes after you initiate their medical history in the exam room? Patients will discuss what they might not share with friends, spouses, significant others, and even their clergyperson. This privilege should not be taken for granted.
It is time to pause and think about patients’ trust in physicians. This article will describe the current …
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Physician coach Seema Pattni discusses her article, “Why racism in health care is still an emergency.” Seema reflects on a painful encounter with an eight-year-old Black patient who wished to be white, …
A familiar ding echoes from blue scrub pants. My conditioned frontal cortex reflexively shoots my hand to the back pocket. Fingers encircle a black smartphone. A ricochet of notification vibration still tickles my right buttock. Several semi-autonomous thumb swipes ensue. The joy of Microsoft Outlook’s blue glow reveals a new email—one of nearly a hundred emails jostling for self-importance that day. But this one is different. The ominous phrase “Effective …
An excerpt from Dr. Koop: The Many Lives of the Surgeon General.
In spring of 1946 the young Koop was sent to Boston for several months to spend time with the giants of the nascent field of pediatric surgery, William E. Ladd (1880–1967), and his trainee and successor Robert Gross (1905–1988). In his survey of the history of the discipline, Judson Randolph …
It has long been said that Alzheimer’s disease or a related dementia (ADRD), like some other conditions, is a disease of the family. The ramifications of the disease extend well beyond the periphery of the person with cognitive decline to other family members, such as parents, adult children and siblings, and children under 18.
Yet, the latter, the most vulnerable, are often left in the dark.
Whether young children are living with …
Test anxiety is common among medical students, especially with the high-stakes USMLE. While some anxiety can drive performance, too much can spiral into paralyzing “what-ifs.” Here’s how to turn anxiety into an ally and perform at your best on exam day:
1. Recognize the role of anxiety. Accept that a certain level of anxiety can be a motivating force. It keeps you alert, focused, and prepared to tackle the task ahead. …
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Health care executives Susan L. Montminy and Marlene Icenhower discuss their article, “Solving a hidden challenge: 10 tips to reduce diagnostic error in the emergency department.” Susan and Marlene explore the complex, …
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