As I enter the patient exam room, the first question is no longer “When can I get my COVID-19 vaccine?” but rather, “Are you leaving? My old doctor left. You are my fifth doctor in three years. What is happening?”
Nowadays, I spend more time educating patients about the visible cracks our medical system flaunts. They were present before the pandemic and will remain as it ends. In my health care …
Presently, two-thirds of all physicians are demoralized and experiencing a less than satisfied work experience for a number of reasons other than it being “our fault” (please do not let them call it “burnout”). The future of finding happiness in practicing primary care medicine does not appear to be promising.
The combination of more complicated medical problems in addition to an increased volume of older patients on the horizon and less …
Imagine you found your dream home and hired an inspector to check it out. They walked around for an hour, kicking the tires on the furnace, taking pictures of the roof, peering up the chimney. In the end, they informed you they were done. You ask, “When will I get the report?” They reply, “What report? You hired me to inspect it. A report would be an undue burden.” Wouldn’t …
I signed up for yet another program in my relentless quest for self-improvement (and perhaps recovery from decades of physician hood). This one features Dr. Lisa Lahey, co-author of Immunity to Change.
This is my second encounter with the book (when the student is ready the master will re-appear?) in which she and her co-author, Robert Kegan, lay out a model to uncover “the disjunction between understanding the need for …
As I write this, a friend from my church is going through terrible setbacks as he awaits a new heart. He has been lovingly supported during his lengthy trials by church members. They visit him in the hospital and at home and support his wife with meals as she cares almost around the clock for her husband. His journey into medical care began several years ago when he experienced heart …
For some, it may seem strange to think of the doctor-patient interaction as a relationship. In the most basic sense, a relationship is a connection; it is how two or more people or groups regard and behave toward each other. Relationships are not static – they are influenced by an ever-changing social, cultural, and political environment. They must try to adapt or risk tension and strife; the doctor-patient relationship is …
Lifestyle change is a first-line treatment for many diseases. However, change is inherently challenging. This difficulty is exacerbated by a lack of lifestyle change “breakthroughs,” whereas multiple pharmaceutical breakthroughs have occurred over the years. Thus, pharmaceutical interventions are emphasized.
For example, the American Academy of Pediatrics issued new obesity treatment guidelines that included medications and surgery. 60 Minutes recently aired a segment with physicians claiming that obesity was mainly genetic and …
Dan died, and I became a writer. I didn’t know it, but I did. Back then, I wrote one story, almost by accident, trying to make sense of my personal chaos. That essay chronicled a small-town doctor losing a beloved middle-aged friend who was rapidly fading from pancreatic cancer. It felt like being dropped into a horrible Lifetime movie come to life, where one day in August 2016, Dan developed …
Gatorade’s commercial featuring Michael Jordan from 1992 and its catchy song, “Like Mike,” is now part of pop culture history. The lyrics were likable. “I dream I move, I dream I groove, like Mike, if I could be like Mike, oh if I could be like Mike.” Let’s face it, growing up, many of us dreamed to be like Mike. As their first athlete endorser, Michael Jordan elevated the Gatorade …
My mother passed away in early December. She had been battling Alzheimer’s disease for several years. Her communication was poor due to the disease. The caregivers in the memory care unit where she was located stated that she had been vomiting the night before her death. The next morning, she was moaning, and they believed she was in pain. An ambulance was called, and she was taken to the local …
A sobering study by the American Association of Medical Colleges (AAMC) predicts an unthinkable shortage of between 37,800 and 124,000 doctors by 2034. If underserved populations had fewer barriers to medical care, that shortfall could reach over 180,000! Successfully navigating these uncharted waters will require strategic planning and innovation.
Even the current state is so dire that the American Medical Association (AMA) developed a critical action plan: AMA’s Recovery Plan for …
An excerpt from Lean Out: A Professional Woman’s Guide to Finding Authentic Work-Life Balance.
In the third grade, my teacher identified me as a high achiever. Aside from recognition, he “rewarded” me with the opportunity to write an extra report on a topic of my choosing every month. Being young and …
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Medicine is both a business and a profession, with the business aspect being the provision of health care services for a fee and the professional aspect being the delivery of medical care for the patient’s benefit.
The business of medicine refers to the broader economic and political systems that shape the health care industry, such as government policies, insurance regulations, and the influence of pharmaceutical companies and other industry stakeholders.
The terms …
A lot has been written about physician burnout, often it is attributed to the administrative burden, with some estimates that U.S. physicians spend an average of 1.84 hours a day completing documentation outside work hours. I’ve felt for some time that the administrative burden in primary care is increasing, but not due to the commonly cited endless EHR clicks or the burden of insurance companies’ forms and prior authorizations. It’s …
I retired as a physician at age 70, when COVID-19 came to town and the clinic I was working closed. During these past three years, I have had the luxury of a long view of my career. Every now and then, I feel the urge to pick up my stethoscope again and return to the practice of medicine. I’m tempted by the several good aspects of being a doctor.
The good
The conversations …
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I recently read a story in which a woman named H. Lee, who has muscular dystrophy, details a decade-long struggle to receive adequate cervical cancer screening. Providers have been unable to find her cervix due to the curvature of her spine, examined her in her wheelchair because there were no height-adjustable examination tables, and outright turned her away for “liability reasons.”
By the time she finds an accessible provider, she …
For over 14 years, the last day of February, a month known for its rare number of days, has been recognized by organizations across the globe as Rare Disease Day. With over 300 million patients worldwide impacted by 7,000+ rare diseases, the day serves as an international campaign to raise awareness around rare diseases and advocate for improved care for rare disease patients.
An often overlooked aspect of the rare …
In the United States, physicians are typically categorized as either academics or private practitioners. However, a case can be made that it is possible to construct a career path that incorporates both professional avenues. I was put in an excellent position to realize this during my fellowship at LSU, which structured some parts of its community medicine program in a way that resembled private practice.
I enjoyed my experience as a …
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In residency, we are trained to follow our intuition. In pediatrics, this translates into learning how to recognize a sick kid. Of course, we are taught what to look for on the physical exam and the labs and what protocols to follow, but we are also taught how to listen to our instincts. When our gut tells us we have a sick kid, we don’t overthink; we set into action. …
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