Sure, going on a hike is great exercise. Every step brings you closer to your healthiest body. But did you know, hiking confers brain benefits? What’s more, if you do it right, hiking is magic for your mind. If you’re feeling scattered and your mind is drifting without direction, a properly curated hike can lead you to the right mental path. The color of your hike (green, blue, or red) …
A hike filled with color is mind magic
Up until a few years ago, I was living my life entirely in fear. In my earliest years, I remember lying awake at night judging if the creak I heard was significant enough to mean someone was breaking in. I was scared of basements, scared of strangers, worried if my parents would come home safely—the usual collection of childhood fears. During adolescent years, the fears of my approval-seeking self focused …
How I conquered fear and reclaimed my life—a doctor’s story
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In this episode, nurse consultant Beth Boynton joins us to discuss the transformative power of the Medical Improv Toolkit in clinical settings. We dive into how playful, experiential activities can enhance communication, reduce …
Transforming health care communication with simple playful activities [PODCAST]
For the second time in my life I visited the ER. I woke up early yesterday morning with unremitting, 7.8/10 left lower back pain accompanied by chills, nausea, and vomiting. Why 7.8? Well, I definitely could have imagined pain worse than an 8, but it seemed bad enough to go to the ER, so it surely must be worse than a 7, right? Just like all my patients, I have …
Inside the ER: What my visit taught me about patient care
When I was doing my medical training at St. Vincent’s Hospital in New York City (a proud and fine hospital that has sadly closed), the official word was that we could not counsel patients to use condoms to prevent HIV transmission. Like many other doctors in training, I was bothered by this edict but kept in mind that St. Vincent’s had been at the forefront of providing compassionate care to …
Why are we allowing politicians to practice medicine?
I have often wondered where I would be if I had never been accepted to medical school. After all, I got in by the slimmest of margins. I even failed at one application round, finally matriculating at Boston University after an icy post-college winter delivering UPS packages through the snow-covered streets of Cambridge and a depressingly lazy summer punching receipts at the exit to BJ’s Wholesale Club. Now, thirty years …
What would we do if we weren’t doctors?
Dedicated to my friend and colleague Pat Irving to whom I first told the story.
I’m 80 years old and I’ve been writing for over 60 years—first in systems engineering, later in advanced technology, and more recently in public health policy for the regulation of pain medicine. At this stage of my life, some of my writing is introspective, in an attempt to extract and share “lessons learned” with others. Thus, …
5 questions in mental health counseling – and life
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We sit down with William Lynes, a urologist, to discuss the complexities surrounding the inclusion of SGID athletes in female sports. William explores the impact of biology on performance, the potential risks for female athletes, …
Controversies surrounding transgender athletes and competitive fairness [PODCAST]
As physicians, we are often collectively gaslit—made to believe that somehow, we are responsible for system failures. Many physicians are brainwashed to “drink the Kool-Aid” and accept phrases like, “This is the way things have always been done.” We are made to feel inhuman when we advocate for ourselves as if we are somehow to blame. The system uses terms like “unprofessional,” “unable to cope with the rigors of being …
Physician gaslighting looks like this
An excerpt from The Medical Improv Toolkit: 10 Simple Activities to Promote Safe Care, Healthy Workplaces, & Rewarding Careers!
“Were there none who were discontented with what they have,
the world would never reach anything better.”
~Florence Nightingale
The expectation for dedicating time to playful activities can seem like a waste of time, especially with relentless clinical priorities and limited resources. In order to justify the time needed to proceed with this work, …
Transform your health care team with these 5-minute communication exercises
An excerpt from 21st Century Schizoid Health Care: Essays and Reflections to Keep You Sane on Your Medical Travels.
Over a decade ago, a landmark ten-year study by the MacArthur Foundation shattered the stereotypes of aging as a process of slow, genetically determined decline. Researchers found that 70 percent of physical aging and about 50 percent of mental aging are determined by lifestyle and the choices we make every day. …
Live longer, die shorter: the surprising health secrets to a vital old age
In medical school, we are taught that the well-being of the patient is our highest priority. This principle is central to our training, constantly reinforced through lectures, simulations, and clinical experiences. However, this notion was challenged in an unexpected way when I found myself caring for an incarcerated patient.
The start of the interaction was unsettling. As I approached the patient’s room, I hesitated, unsure of how to proceed. Should I …
To care or not to care: reflections on treating incarcerated patients
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We’re joined by Wael Saasouh, an anesthesiologist; Lisa Scardina, a health care executive; and Kim Downey, a physician advocate and physical therapist, to discuss the urgent need to restore human connections in health …
Why collaboration is the key to solving health care burnout [PODCAST]
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I introduce myself to the patients as a nurse practitioner (NP), but they still call me a doctor. Even worse, some of the staff refer to me as “doctor.” I imagine they do so out of respect, but no matter how many times I correct them, the erroneous title lives on. The reason I ask not to be called doctor is not because I have not earned my doctorate nor …
Stop calling me “doctor”: the nurse practitioner’s fight for recognition
The COVID-19 pandemic was war, and I served in a foxhole. I survived, in part, by drowning my sorrow in song—music I abused as if it were drugs. I heard “Spaceman” by Nick Jonas today while driving to the hospital, and, at the peak of the chorus, dopamine surged in my brain, making me queasy. My neck hair stood up, and I went clammy. This was not a monstrous rush …
The World Health Organization (WHO) reports that 4.5 billion people do not have access to primary care. In the US alone, the American Medical Association (AMA) claims 83 million Americans do not have access, and the National Association of Community Health Centers (NACHC) puts the number even higher at one-third of the US population or over 100 million, including many children (NACHC).
Since losing my brother, a cardiologist, to a misdiagnosis …
Towards a future for semi-autonomous AI-powered primary care providers
I’m primary care and I see a patient in a 10-minute appointment who tells me she now has a disabled daughter who is 22, had a stroke, and currently cannot cope with all that her disrupted life is demanding of her. I am also expected to fill out that FMLA paperwork for that patient and respond to 20 back-and-forth portal messages on that same patient over the next two days, …
The overwhelming reality of primary care: Why doctors still persevere
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We sit down with Michael J. Grace, attorney and author of The Mumbo Jumbo Fix: A Survival Guide for Effective Doctor-Patient-Nurse Communication. We explore how health care communication has evolved before, during, and …
How COVID changed doctor-patient-nurse communication forever [PODCAST]
In December 2019, I reached out to the grief counselors at the hospice organization that cared for my mother as she passed. It had been almost a year since her death, and I was running out of time to seek help. I had spent so much energy ensuring my daughters were OK, believing, as I was taught in medical school, that grief just passes. Back then, I learned grief lasted …
Refill your cup to pull yourself back from the ledge
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Join us in this episode as we sit down with Janet A. Jokela, an internal medicine and infectious disease physician. Janet reflects on her transformative residency at Boston City Hospital, where the “city …
From residency to leadership: the evolution of internal medicine [PODCAST]
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