The culture of medicine is shaped in quiet ways, by the way meetings begin, the pregnant pauses before a response, and the energy transmitted in emails sent and received. These seemingly insignificant experiences ripple outward, setting the tone for entire teams, shaping what is spoken and what is not, shaping what feels possible and what feels unsafe.
The culture of medicine is not an abstract force. It is built moment by …
In the bustling environment of modern health care, the loudest voices frequently attract the most attention. Yet, a special category of physicians who are less visible but no less significant exists: the efficient, quiet clinicians who are usually underestimated. This physician type blends high productivity with a calm demeanor, allowing skill and results to speak louder than words.
Underestimation can undermine leadership opportunities for quiet physicians because visibility may play a …
In the late 1970s, a Japanese biochemist named Akira Endo discovered a compound from fungus that inhibited HMG-CoA reductase, the enzyme responsible for making cholesterol. It was an academic curiosity at the time. No one knew if lowering cholesterol would prevent heart attacks—it just lowered a number on a lab slip.
That compound eventually became lovastatin, and in 1987, Merck brought it to market with no proof of improved outcomes—only a …
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Physician executive Bhargav Raman discusses his article, “Why fearing AI is really about fearing ourselves.” He argues that the common doomsday predictions about artificial intelligence are a projection of our own human …
It is time we talk about a critical, yet often overlooked, factor contributing to physician burnout: attention-deficit/hyperactivity disorder (ADHD), particularly in those with high IQs and a history of academic and professional success.
Many physicians, often driven and intellectually gifted, develop sophisticated coping mechanisms that mask their ADHD symptoms for years, even decades. Their high IQ can, paradoxically, compensate for executive function deficits, allowing them to excel in demanding environments like …
Sometimes, the stethoscope doesn’t catch what the heart is really saying.
It was just another morning during my surgery posting. I was reviewing pre-op workups when I was asked to assist with the echo evaluation of an elderly woman scheduled for a routine procedure. Her echo report flashed across the screen: smooth curves, rhythmic contractions, and valves opening and closing like well-oiled gates. The left ventricular ejection fraction was over 60 …
It is happening more often than most people realize. The same physicians who seem unshakable in the OR or clinic, the ones who handle chaos without blinking, are quietly scheduling therapy appointments. Not because they have “hit rock bottom” or cannot do their jobs anymore, but because they are realizing they do not have to slowly carry it all alone. Nor can they sustain this level of burnout anymore.
As a …
Over the past several years, each time a periodic U.S. hospital closures report is released, the number failing financial stress tests and at extreme risk of closing rises. The number now approaches 800 nationwide.
Meanwhile, many project that the just-passed One Big Beautiful Bill will rapidly increase these closures and further degrade health care access for American citizens.
Touted reasons for accelerating hospital closures, especially impacting …
How many times have we heard “Whatever you say doc, I know you will do right by me. You always have and I know you will.” Or, “What do you think, doctor? Do you think I should do this?” Or, …
Emergency medicine residency: where the pager announces before your coffee cools, and your personal life takes a number far behind sepsis alerts and trauma activations. Amidst this storm, there’s an unexpected survival manual—not found in Tintinalli’s or Rosen’s, but in Mark Manson’s self-help book, The Subtle Art of Not Giving a F*ck.
Manson argues that life’s meaning isn’t found in chasing positivity, but in embracing struggle, choosing your battles wisely, …
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Renowned fertility specialist Oluyemisi (Yemi) Famuyiwa discusses her article, “When bleeding disorders meet IVF: Navigating von Willebrand disease in fertility treatment.” She explains that von Willebrand disease (VWD), the most common inherited …
It’s all fun and games until your health becomes one big puzzle to solve, and little do many people know what risks and hazards might surround us during our favorite summertime activities. I learned this personally after what should have been an innocent business trip turned into a year-and-a-half nightmare for me after contaminated water made me sick. I contracted bacteria that led to a secondary chronic inflammatory breast disease. What …
When people think of Parkinson’s disease (PD), they often picture Michael J. Fox or Muhammad Ali, iconic figures who bravely shared their diagnoses. But the real face of Parkinson’s is much more diverse than what we see in the media, and the research that shapes our understanding of the disease has not caught up.
Despite affecting people of all racial and ethnic backgrounds, …
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I knew there was a cost when I chose to become a physician: The long hours, delayed gratification, the strained relationships. I could understand these things as familiar from my lived experiences. I knew there would be a financial burden, and having been raised by two immigrant parents, an electrician and a nurse, I was no stranger to the pressures of financial insecurity. I was fortunate too: my parents did …
A few weeks ago, I heard Michelle Obama say something that stopped me in my tracks:
“We have to learn to be OK with the regular days. The in-between. The parts of life that aren’t exciting.”
I thought of my kids in the back seat during a long car ride, sighing dramatically, claiming they were “literally dying” of boredom. I thought of patients sitting in a waiting room with nothing but their …
I first grasped the disconnect between health care professionals and the public while designing a brochure for a cornea donation campaign.
My original concept featured a young boy smiling, wearing an eye shield—an approachable image meant to encourage public participation. But the overseeing specialist rejected it. He insisted instead on a clinical close-up of a post-surgical eye, sutures and all. To him, it represented medical success. To potential donors, it was …
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Physician executive Steven Lane discusses his article, “Why interoperability is key to achieving the quintuple aim in health care.” He explains that true interoperability is not just about technology but about aligning …
I became a respiratory therapist at 28, after years of trying to get into nursing school. It wasn’t until a friend, an RT at my city’s only level one trauma center, said, “You don’t want to be a nurse. You want to be an RT,” that something clicked. He let me shadow for a shift in the medical cardiac ICU, and I fell in love with the work instantly.
Watching him …
Sickle cell disease (SCD) is frequently referred to as an invisible disease and is often overlooked due to a lack of research and overall resource shortages resulting in substandard clinical care. Part of the problem is difficulty objectively identifying SCD characteristics due to lack of laboratory markers and poor objective pain indicators. This disease mainly affects African American populations. Systemic marginalization of stigmatized populations results in less funding; and therefore, …
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Pediatrician and certified coach Jessie Mahoney discusses her article, “Why the future of medicine depends on leading from the heart.” Drawing from her experience leading a workshop for women cardiologists, she explores …
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