Primary Care
Sexual health is health: It’s time to embrace that in medicine
For many of us, while in medical school and residency, sexual health history was mostly taught from a disease standpoint. If a patient had a complaint about sexual dysfunction, had a symptom or concern about a sexually transmitted infection, needed contraception, or had specific questions related to the reproductive system, then we took a sexual history. Sexual health history taking in many programs is limited to an elective in the …
How women manage and mismanage their health [PODCAST]
You’re not being frivolous. You’re being fabulously human.
[Frivolous: not having any serious purpose or value]
For years, I’ve noticed something that’s bothered me. I see it almost daily within social media women’s physician groups. The post starts with, “I know this is a frivolous question, but …” What follows are questions about topics ranging from cosmetic recommendations to travel advice.
Questions like:
“Where can I find concert tickets?”
“What color should I paint my bedroom?”
What do you all think of this …
The unstoppable momentum of a medical “fact” with no source
When I started my company in 2009, personal experience was a driving force in identifying the problem I wanted to help solve. As a neurosurgeon, I often treated patients who were neurologically devastated by acute bleeding in the brain after years’ worth of poorly controlled high blood pressure. In many cases, when I asked the family why the patient quit taking their hypertension medication, they described the patient as “not …
Bring the real You to your workplace
Life is short, so make yours extraordinary. Capitalize on what makes you, YOU, and be your own unapologetic self.
The Almighty designed us as unique but imperfect and flawed individuals, prone to sin and blundering error. But that’s the great part of being human; we’re expected to sin, blunder, and make mistakes. We’re made to err for the sake of learning and growth; otherwise, we’d wither into uninspiring nothingness. Keep this …
Why even doctors need regular doctor visits
After a great game of doubles tennis, a good friend brought up a recent visit with his primary care physician while sitting with friends, trying to cool down. He expressed appreciation for his position but complained about the need to see his doctor every three or six months, all the while acknowledging various medical problems being addressed.
This led to general comments by several non-physician friends about how they feel that …
Has medicine lost its why?
From the halls of ancient Greece to the heights of television screens, the myth that the physician is more god than mortal has stood the test of time. As such, we are held to moral and superhuman standards no matter how tough things get. And thanks to our friend Hippocrates, we are oath-bound in our virtues to help anyone in need; while putting OUR personal needs aside, of course. Many …
Why every doctor needs a translator
Twenty years as a medical malpractice defense attorney has given me a superpower. I’m an extraordinary translator. In the courtroom, we occasionally hire translators to interpret when a witness speaks a language other than English. They help the jury understand the witness and collect the information they need to make a decision. But we need someone able to translate for the jury when a physician starts speaking “medicine.” This also …
The physician’s real problem isn’t burnout
I read an article recently suggesting that physicians were burned out from hearing about burnout. The proposed solution was to create systemic changes to help alleviate the burden of complexities of care that have polluted health care delivery. The solutions involved adding a team of individuals, including nurse practitioners, physician’s assistants, pharmacy assistants, and other physician extenders.
Once again, rather than focus on the physician-patient relationship on which medicine is based, …
Why HIV and COVID-19 vaccine screening should go together
During the COVID-19 pandemic, Americans got accustomed to regularly answering a series of questions about our risk of exposure to COVID and our possible symptoms. For more than two years, our country remained laser-focused on this protection, demonstrating our health care system’s ability to mount a strong response to a public health crisis. So why haven’t we taken similar precautions in the face of other crises, particularly HIV?
For too long, …
Medical support staff is neglected, disrespected, and mistreated
Medical support staff is leaving in droves and leaving patients’ health at greater risk. Calls and messages to doctors’ offices have surged as patients try to access care. Wait times skyrocket to book visits.
News stories about the current state of the health care system typically focus on the plight of doctors and nurses. Studies detail the “Great Resignation” impairing the health care industry–a new report published …
How can doctors slay their Goliaths?
An excerpt from Doctor and Goliath.
We’ve all heard about David and Goliath, correct? In one of the most epic underdog stories ever written, a young boy defeats a giant Philistine warrior. But how did that happen? What tools did David employ to win his battle? Was it the five round …
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The slow death of primary care: a Canadian perspective
Loss of autonomy, gaslighting, abuse, exploitation, and hypocrisy are all strong words. Just writing them brings to my mind the harsh reality of my experience and the collective experience of others who have dared to speak up. These words come to mind when I think about primary care in Canada. I recognize similar sentiments are heralded by my U.S. colleagues and those in the United Kingdom.
The system is failing. …
Ambulatory medicine today: Focus on what you can control
Patient volume has recovered across the country, and most medical offices are back to a steady state of care delivery—but ambulatory care has changed irrevocably. We’ve entered a phase shaped by crisis and marked by even more intense cost pressure and consolidation. What steps can independent medical practices take now to help ensure stability and prosperity moving forward?
Offer employees a more rewarding work experience.
The great resignation—unprecedented turnover in the labor …
Why physicians should go on a retreat
Have you ever gone on a retreat?
I’m not talking about the Scouts of America kind, and I’m not talking about the one day the residents took off training to do team-building exercises and trust walks. Nope, family vacations do not count, as we all know that we need a vacation from our vacation when we get home.
Have you ever just gone away, disconnected from everything else, and connected to yourself?
Does …
Ensuring equitable, quality treatment of pain in Black and marginalized people
In my recent TEDx Talk titled, Why Black Patients Don’t Trust the Healthcare System, I explored racially-based medical algorithms and their impact on health outcomes for Black patients. As a physician, I believe such algorithms have no place in the modern healthcare system, as they can affect how Black patients are diagnosed and the morbidity and mortality rates in the community.
A study published as recently …
Institutional betrayal vs. courage
The pandemic has brutalized health care such that the term “institutional betrayal” (IB) is becoming part of the physician vernacular. This cringe-worthy term is being used to point a finger of shame at health care leaders and systems who presumably are failing to support and protect their workers adequately.
Indeed, we depend on our employers for our safety and well-being. With staffing shortages, lack of supplies and lower revenue, employees bear …
Can love fight burnout?
Symptoms of burnout that are plaguing physicians and society include feelings of cynicism, apathy, depersonalization, and fatigue. These are associated with anxiety, depression, and suicide. In fact, more than 400 physicians each year die by suicide.
So much is written about the causes and what can be done to change these statistics. Whether it’s from the leadership standpoint, the autonomy of physicians, the burdens insurance places on physicians and their practices, …
Not listening carefully to a vulnerable patient can become a matter of life or death
Paula came to my office on a Monday afternoon, a few months after burying her husband. She and John had been inseparable. They were both my patients, so I knew John had spent the last six months battling lung cancer. They had been married forty-five years when John died. I sincerely offered Paula my condolences on that Monday afternoon. I could tell she was in pain and shared how she …
Past Week
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Health care as a human right vs. commodity: Resolving the paradox
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My wife’s story: How DEA and CDC guidelines destroyed our golden years
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The gastroenterologist shortage: Why supply is falling behind demand
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Why voicemail in outpatient care is failing patients and staff
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Alex Pretti’s death: Why politics belongs in emergency medicine
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U.S. opioid policy history: How politics replaced science in pain care
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Past 6 Months
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How environmental justice and health disparities connect to climate change
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Will AI replace primary care physicians?
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A physician father on the Dobbs decision and reproductive rights
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What is the minority tax in medicine?
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Why the U.S. health care system is failing patients and physicians
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Alex Pretti: a physician’s open letter defending his legacy
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Recent Posts
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AI censorship threatens the lifeline of caregiver support [PODCAST]
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Demedicalize dying: Why end-of-life care needs a spiritual reset
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Physician due process: Surviving the court of public opinion
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Spaced repetition in medicine: Why current apps fail clinicians
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When the doctor becomes the patient: a breast cancer diagnosis
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My journey with fibroids and hysterectomy: a patient’s perspective
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Past Week
-
Health care as a human right vs. commodity: Resolving the paradox
-
My wife’s story: How DEA and CDC guidelines destroyed our golden years
-
The gastroenterologist shortage: Why supply is falling behind demand
-
Why voicemail in outpatient care is failing patients and staff
-
Alex Pretti’s death: Why politics belongs in emergency medicine
-
U.S. opioid policy history: How politics replaced science in pain care
-
Past 6 Months
-
How environmental justice and health disparities connect to climate change
-
Will AI replace primary care physicians?
-
A physician father on the Dobbs decision and reproductive rights
-
What is the minority tax in medicine?
-
Why the U.S. health care system is failing patients and physicians
-
Alex Pretti: a physician’s open letter defending his legacy
-
Recent Posts
-
AI censorship threatens the lifeline of caregiver support [PODCAST]
-
Demedicalize dying: Why end-of-life care needs a spiritual reset
-
Physician due process: Surviving the court of public opinion
-
Spaced repetition in medicine: Why current apps fail clinicians
-
When the doctor becomes the patient: a breast cancer diagnosis
-
My journey with fibroids and hysterectomy: a patient’s perspective
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