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Ni-Cheng Liang is a pulmonary physician and founder, the Mindful Healthcare Collective.

Telemedicine exhaustion is real

Ni-Cheng Liang, MD
Physician
January 22, 2022

I’m angry. The sound cut out again, for the fifth time in the last hour. “Why can’t I get through one telemedicine visit without some technical problem?” I ask myself. I can feel the chest discomfort, my shoulders tense, I start to flush, tell-tale signs of frustration and anger bubbling up. I did not go to medical school to become tech support. After 12 patients, it’s finally time for lunch. …

Read more…

Telemedicine exhaustion is real

Reflections from a former intern

Ni-Cheng Liang, MD
Physician
July 10, 2021

July 1 is a day that marks the new era when student truly becomes doctor, where hundreds of residency programs start day one of the three-year or longer residency, a life-changing rite of passage. Where the initial hours start the tens of thousands of hours of experiential full immersion training. Looking back, intern year was one of the hardest years of my training and definitely one of the hardest years …

Read more…

Reflections from a former intern

Anti-Asian racism magnified during COVID-19

Ni-Cheng Liang, MD
Physician
February 25, 2021

The “model minority” is a term that denotes Asians in the U.S.  East Asians, in particular, have been the target of xenophobic hate crimes and microaggressions since the outset of COVID-19. When a former presidential administration used hate and fear to garner power, it does not surprise me, that Sinophobia runs rampant during these times. The NYPD reported a 1,900 percent increase in Asian-American hate crimes in 2020. As an …

Read more…

Anti-Asian racism magnified during COVID-19

A physician waits in uncertainty

Ni-Cheng Liang, MD
Conditions
November 27, 2020

It started with diarrhea.  Then fever before the patient sought care.  The infiltrates were impressive.  A dry cough with paroxysms that were sometimes uncontrollable.   The rapid test came back negative, as did the send out PCR.  The patient returned from international travel two days before admission.  My index of suspicion was extremely high.  Yes, please keep the patient on enhanced respiratory droplet precautions because her viral load in the nasopharynx …

Read more…

A physician waits in uncertainty

COVID-19 becomes a magnifying glass for health disparities

Ni-Cheng Liang, MD
Policy
July 8, 2020

The daily email update on COVID-19 affecting our hospital system is a glaring reflection of the health disparities amongst those in marginalized groups. The farther south you go, generally in San Diego, the higher the number of socioeconomically disadvantaged persons, and that tends to include a disproportionate number of persons of color.  These populations may be unable to physically distance due to living conditions and job conditions.  Perhaps there is …

Read more…

COVID-19 becomes a magnifying glass for health disparities

Undergoing an appendectomy in a pandemic

Ni-Cheng Liang, MD
Conditions
April 5, 2020

The world is paused. But is it? Just because the world is experiencing a pandemic does not mean that the rest of the world’s ailments all of a sudden go away.  Their priority may fall in ranking, but they persist. Health and disease continue.

I ate lunch and had severe abdominal pain shortly thereafter.  Perhaps a bout of bad acid reflux, I thought, but the pain persisted into dinner, and when …

Read more…

Undergoing an appendectomy in a pandemic

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  • Most Popular

  • Past Week

    • The Blanket Sign: Recognizing difficult patient encounters in the ER

      George Issa, MD | Physician
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • The future of U.S. medicine: 10 health care trends in 2026

      Richard E. Anderson, MD & The Doctors Company | Physician
    • The passion vine: a lesson on restraint in medicine and life

      Rao M. Uppu, PhD | Conditions
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
    • American health care policy reform: Why we need a bipartisan commission

      Steve Cohen, JD | Policy
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
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      Ivy Oandasan, MD | Policy
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
  • Recent Posts

    • Hospitals must establish safety guardrails before deploying AI [PODCAST]

      The Podcast by KevinMD | Podcast
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      Joshua Salabei, MD, PhD | Physician
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      David Wild, MD | Physician
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      Corina Fratila, MD | Physician
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    • Names as social texts: Navigating cultural identity in medicine

      Esiri Gbenedio | Education

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