Arthur Lazarus is a former Doximity Fellow, a member of the editorial board of the American Association for Physician Leadership, and an adjunct professor of psychiatry at the Lewis Katz School of Medicine at Temple University in Philadelphia. He is the author of several books on narrative medicine and the fictional series Real Medicine, Unreal Stories. His latest book, a novel, is Standard of Care: Medical Judgment on Trial.
Arthur Lazarus is a former Doximity Fellow, a member of the editorial board of the American Association for Physician Leadership, and an adjunct professor of psychiatry at the Lewis Katz School of Medicine at Temple University in Philadelphia. He is the author of several books on narrative medicine and the fictional series Real Medicine, Unreal Stories. His latest book, a novel, is Standard of Care: Medical Judgment on Trial.
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 In the case of Done, I asked to be withdrawn from consideration as medical director because I believed the company lacked adequate infrastructure and was exclusively focused on treating patients with …
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 …
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.”
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 …
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 …
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 …
In the midst of moving and changing my residential address, and at 70 years of age, I finally figured out my encore career: building Bankers Boxes. Perhaps my skills will transfer to folding pizza boxes.
This is as good a time as any to use humor, i.e. while winding down your career. Most people glumly retire. It has to be done with a modicum of planning and foresight, as well as …
Many Baby Boomers have been quick to point out that 2024 is not 1968. When students occupied buildings at Columbia University 56 years ago, at least their objectives were clear – to put an end to the Vietnam War. Do students today who have camped out at Columbia, and a multitude of universities across the U.S. and disrupted graduation ceremonies want to end the war between Israel and Hamas, …
I work for an organization that manages the medical and mental health needs of children and adults who are severely and persistently ill. Typical diagnoses in the population I serve include intellectual/developmental disorder, autism spectrum disorder, disruptive mood dysregulation disorder, bipolar disorder, schizophrenia, substance use disorder, and many other conditions that impact mood, cognition, reality testing, conduct, and …
Trauma in the form of war is one of the worst forms of trauma to endure. How do people remain objective about events and the involved nations when they have been directly or indirectly affected by war?
For example, how are Holocaust survivors and their families able to unemotionally relate to present-day German citizens? How do the descendants of the more than 2,000 allied civilians who were imprisoned in the infamous …
“The Greatest Story Ever Told” is a phrase often used to refer to stories that have had a significant impact on humanity and continue to resonate across cultures and generations. Paul Simon’s song “Old” praises the Bible as the greatest story ever told. …
Do you remember times when your dreams, hopes, and aspirations were crushed by teachers and other authority figures? We’ve all encountered such times. These experiences shape our character in negative ways and can lead to devastating psychological effects. This kind of negative influence can greatly impact our self-esteem and self-worth, instilling a deep-seated fear of failure. It can cause us to question our abilities and potential, leading to imposter syndrome.
In the realm of medicine, cause-and-effect relationships are those where a specific cause, such as a disease, condition, or treatment, directly leads to a specific outcome or effect. An example of this is the established fact that smoking causes lung cancer. Similarly, it is well-documented that regular, heavy alcohol consumption directly leads to liver cirrhosis.
On the other hand, phrases like “associated with,” “linked to,” and “tied to” denote a correlation …
The sad news of Princess Kate Middleton’s cancer diagnosis is a sound reminder of the sanctity of a person’s health status and their right to privacy.
I wasn’t sure which adjective I should use to describe Kate’s diagnosis – “sad,” “tragic,” or “devastating.” All are equally true, depending on whose perspective you consider. No doubt a cancer diagnosis is “sad” in the public’s eyes and even harsher in Kate’s. In my …
“Get Over It” is a 1994 album track that marked the Eagles’ reunion after a 14-year hiatus. The tune reached number 31 on the Billboard Hot 100 chart.
The song was written by band members Don Henley and Glenn Frey (1948-2016). Henley is known for his biting, often cynical lyrics, and “Get Over It” is no exception. The song is a commentary on the ‘victim mentality’ that the songwriters felt was …
“If you don’t take a temperature, you can’t find a fever.”
— Samuel Shem, The House of God
I enrolled in a creative writing course at a local university to better understand the parameters of narrative medicine. I learned about the pillars of the narrative, such as poetry and creative nonfiction, and our class …
This essay is part satire. The trouble is, I don’t know which part.
As far as I know, time travel is fodder for science fiction thrillers and movies. It doesn’t actually exist on Earth. However, I can time travel in my mind, and I do it frequently, reminiscing about the 40 years between the time I completed my psychiatric residency (in 1984) and now. What has changed in my specialty in …
It’s been said that the challenges neurodiverse people face are the ones that neurotypical people view as easy, and vice versa. It speaks to the hard-wired diversity of cognitive styles and perspectives among different individuals.
Neurotypical people, who generally fit within the societal norms of cognitive functioning, might find certain tasks or social situations easier due to their alignment with mainstream expectations. On the other hand, neurodivergent individuals, who have variations …
Dr. Shaun Murphy (played by Freddie Highmore) stars in ABC’s The Good Doctor, a television drama that centers around an autistic surgeon whose job at the hospital was frequently threatened and would be lost if it were not for the practical and emotional support from the hospital president.
I don’t know how many “Doctor Murphys” practice medicine in real life – autism spectrum disorder (ASD) prevails in about 1% to 2% …
I read about a psychiatrist whose interests are in medical ethics and the improvement of medical care for youth coping with the complexities related to neurodivergence and significant mental health conditions. Additionally, she specializes in work with twice-exceptional (2e) individuals – those with exceptional talents and abilities who also navigate challenges related to disabilities or psychiatric illness.
Neurodivergence and 2e individuals are fairly new concepts for me. Back in the day, …
