I had a dismal start to the second year of my psychiatric residency, and my subpar performance was noted by many faculty members. One professor approached me and told me to discuss the situation with my psychotherapy supervisor, adding, “Don’t let your supervisor sugarcoat it.” The professor knew that my advisor was an extremely kind and gentle person who would prefer to leave out the details of my performance so …
Read more…
This is a highly encapsulated but accurate portrayal of the emotional weight of the conversation and the tension between a physician’s personal challenges and the desire to heal, both for themselves and their patients.
Patient/Physician (P): I’m an old blues man, and I think you understand I’ve been singing the blues ever since the world began.
Psychiatrist (Me): I hear you. That timeless blues spirit runs deep, carrying the weight of lived …
Read more…
The fourth major concussion recently suffered by Miami Dolphins quarterback Tua Tagovailoa – his third in 24 months – brings into sharp focus the balance between patient/player autonomy and treatment decisions. The right to self-determination, even in sports, has become as much a moral as a medical issue. If Tagovailoa is not able to pass concussion protocols for a third time in his NFL career, he could be forced to …
Read more…
An excerpt from Story Treasures: Medical Essays and Insights in the Narrative Tradition.
The Gish gallop – named after American creationist Duane Gish, who challenged the science of evolution – is a rhetorical technique often used by a debater to throw out a fast string of lies, non-sequiturs, and specious arguments, so many that it is impossible to fact-check or rebut them in the amount of time it took to …
Read more…
In the mid-1960s, the Grateful Dead were the house band for Ken Kesey’s Acid Tests, parties in which people were “tripping out” on LSD, parties that helped bring psychedelics into the counterculture. Psychedelic drugs have been the focus of extensive clinical research since then, and their potential therapeutic benefits have seen renewed interest in recent years. It’s been a long, strange trip for certain because, despite extensive research, there are …
Read more…
Paolo Macchiarini, MD, is a thoracic surgeon and regenerative medicine researcher who gained international fame for pioneering surgeries that involved implanting synthetic tracheas seeded with the patient’s own stem cells. However, Macchiarini’s career came to a halt when allegations of scientific misconduct, ethical breaches, and fraudulent practices surfaced. Several of his patients experienced severe complications, and some died as a result of his experimental surgeries. Investigations revealed that Macchiarini …
Read more…
The term “Dainty Maids” could refer to various subjects depending on the context—ranging from historical groups to fictional characters.
Historically, women in service roles, such as maids or attendants, were referred to as Dainty Maids. They were noted for their refined manners and appearance, women who embodied ideals of delicacy and decorum. In literary works, poetry, and plays from various periods, particularly in the Victorian era, Dainty Maids were often described …
Read more…
“21st Century Schizoid Man” is a 1969 antiwar song by the prog rock band King Crimson. It appeared as the lead cut on their debut album In the Court of the Crimson King. “Schizoid Man” is considered an epic, described by Rolling Stone as “a seven-and-a-half-minute statement of purpose: rock power, jazz spontaneity, and classical precision harnessed in the service of a common aim.”
Schizoid personality disorder is much …
Read more…
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 …
Read more…
The breakdown in security leading to the attempted assassination of Donald Trump can be compared to the multifactorial failure inherent in medical errors. Both scenarios involve complex systems where multiple layers of defense and prevention are designed to avoid catastrophic outcomes. When these layers fail, it often results from a combination of human error, systemic issues, and procedural flaws.
Both presidential security and health care systems are highly complex and require …
Read more…
“Rules and regulations, who needs them? Throw them out the door.”
— Graham Nash (lyrics), from “Chicago,” sung by Crosby, Stills, Nash & Young
Business entrepreneur and billionaire Michael B. Kim recently was quoted as saying: “Leadership without ethics is a body without a soul.” Kim donated $25 million to his alma mater, Haverford College in suburban Philadelphia, Pennsylvania, to start a new Institute for Ethical Inquiry and Leadership. His goal is …
Read more…
Former House Speaker Nancy Pelosi, D-Calif., said that it is valid for people to ask whether Joe Biden’s June 27, 2024 debate performance against Donald Trump, which was weak at best and incoherent at worst, was just “an episode” or part of a “condition.”
“I think it’s a legitimate question to say, is this an episode, or is this a condition,” Pelosi remarked less than a week after the debate.
“It was …
Read more…
Shortly after publishing a book, I received what seemed like a promising film adaptation offer from a reputable-sounding company. Despite initial excitement, I discovered it was a sophisticated scam. This experience taught me to stay vigilant and verify unsolicited offers—not only book and movie deals but any business promise that appeals to your ego and seems like a get-rich-quick scheme.
Many accounts similar to mine have been reported on the internet. …
Read more…
In early 2022, during the coronavirus pandemic, I considered practicing psychiatry via telehealth. I looked into two telemental-health companies in particular—Cerebral and Done Global, Inc. (hereafter “Done”)—and turned them both down. I did not believe their ethics measured up. In the case of Done, I asked to be withdrawn from consideration as medical director because I believed the company lacked adequate infrastructure and was exclusively focused on treating patients with …
Read more…
I find myself becoming more passionate with age, swept into a sea of emotions during certain movie scenes, and even crying during my favorite rock songs as the lyrics and melody crescendo and become one.
The brain’s ability to adapt and change over time, known as neuroplasticity, means that our emotional responses can evolve based on the kinds of experiences and stimuli we are exposed to over the years. It is …
Read more…
One of my all-time favorite quotes from the original Star Trek episodes (“Balance of Terror”) is spoken by Dr. McCoy to Captain Kirk: “In this galaxy, there’s a mathematical probability of three million Earth-type planets. And in all of the universe, three million million galaxies like this. And in all of that, and perhaps more, only one of each of us… [pause]… Don’t destroy the one named Kirk.”
McCoy is waxing …
Read more…
All writers want recognition of some sort. No?
Recognition can take many forms, such as positive feedback, awards, or simply the knowledge that their work is being read and appreciated. However, it is important to note that motivation can vary among writers. Some may write primarily for personal satisfaction, to express themselves, or to contribute to a specific field or cause.
Some writers write to make a living. In fact, professional writing …
Read more…
The ancient adage, “Every picture paints a story,” is a testament to the power of visual imagery in conveying narratives, emotions, and ideas. This phrase encapsulates the ability of images to tell tales without using a single word, to transport viewers to different realities, and to evoke a myriad of emotions. However, the communicative power of stories should not be underestimated either. In fact, stories can paint pictures just as …
Read more…
The practice of seeking second opinions in medicine has a long history, dating back to ancient times. The concept is deeply rooted in the ethical and professional principles of medical practice.
In ancient Greece, Hippocrates, often considered the father of modern medicine, encouraged patients to seek second opinions. He believed that a different physician might have a different perspective or alternative treatment suggestions. This practice was considered a way to confirm …
Read more…
