Forty-two years ago, when I had finally finished the seven revisions of my first novel, The House of God, my editor said, “Why don’t you add a glossary and a list of The Laws of the House of God.” Writing the Laws, I hardly needed to refer to the text; they just flowed out. The Laws became common parlance, not only tacked up in on-call rooms but even, recently, listed …
The laws of The House of God and Man’s 4th Best Hospital
Let me begin by extending my gratitude to all physicians who have served our country during this time of the coronavirus pandemic. During this trying time, your dedication and service have given a sense of stability and confidence in our health care systems at a time filled with so much uncertainty and turmoil.
As a member of the “Baby Boomer” generation, I’ve seen my fair share of physicians over the years. …
What it takes to be called a great doctor: a patient’s perspective
With the rapid growth of modern medicine and awareness in lifestyle and environmental influences, individuals can live longer and healthier lives. Approximately 15.2 percent of the U.S. population consists of individuals 65 years and older. To make the added years of life expectancy fulfilling, older adults need to stay socially connected and involved. One key method is through the development of meaningful …
The value of intergenerational relationships
An excerpt from Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare.
On a sunny Tuesday in March 2015, the steps of Capitol Hill were draped in white as nurse practitioners from across the United States descended on the nation’s capital. Their …
Proponents of independent non-physician practice make a dangerous assumption
It’s good to have options, isn’t it?
So why isn’t there an option when it comes to taking your boards? In other words, can’t residents have a say with which board to become certified with once they’re done with their residency?
Well, there’s good news for you. The answer is yes. You definitely have options. There are other boards for your initial written exams. (And that also includes the oral exams for …
You have options when it comes to board certification
Most health care providers are aware of the FIGS scrubs advertisement that depicted a female physician with a DO badge holding a Medical Terminology for Dummies book upside down. In one fell swoop, FIGS enraged the entire medical community causing backlash towards their company. This ad mocking female osteopathic physicians sparked outrage. Many in health care have vowed not to purchase FIGS, prompting the #boycottFIGS response posted as a result …
A DO’s take on the FIGS faux pas
It was distressing to hear and read recent and ongoing disparaging comments about osteopathic medicine, attacking one of our own, from remarks by Rachel Maddow to tweets by Cher and a derogatory video, since removed, portraying a female DO by Figs Scrubs.
Navy Commander Dr. Sean Conley, DO, serves as the Physician to the President. This emergency medicine-trained combat veteran graduated from the Philadelphia College of Osteopathic Medicine and is well-qualified …
Attacks on osteopathic medicine are attacks on all physicians
The era of the empowered patient and patient-centered health care has been upon us for some time. Only a generation ago, there was a much more paternalistic approach to medicine. This has changed for the better across the western world. As somebody who teaches and coaches physicians on how to improve their communication skills, I would say that the newer generation of doctors is much more receptive than many of …
Doctors already are actors, whether they want to be ones or not
As a physician working in acute care medicine, one of the biggest delights of my job is regularly still having patients from the Greatest Generation. In the United Kingdom, I really enjoyed sitting with them and hearing their stories of mandatory city evacuations during World War 2, rationing, the Blitz, and the huge struggle to rebuild a devastated country after 1945. Visiting my grandparents in India when I was a …
The Greatest Generation is dying out. It’ll really be our loss once they leave us.
A second opinion can be a powerful tool. It can help lower your risk of experiencing a medical error or misdiagnosis, allow you to explore all treatment options and their benefits and risks, connect you with physicians who have experience and success treating people with your diagnosis, and provide peace of that mind that your diagnosis and treatment plan are appropriate.
Research from the Mayo Clinic highlights the value of second …
5 situations when you should get a second opinion
The United Nations designated 2016 to 2025 the “Decade of Action on Nutrition” in recognition of the growing importance of food and diet as it relates to all aspects of human health. We’re almost halfway through, and we’re not making the progress we need to.
A comprehensive study of scientific evidence for global diet goals and sustainability, the EAT-Lancet Commission Summary Report, stated, “Read more…
Put nutrition counseling in primary care
I did a peer review once of an office note about an elderly man with a low-grade fever. The past medical history was all there, several prior laboratory and imaging tests were imported, and there was a long narrative section that blended active medical problems and ongoing specialist relationships. There was also a lengthy review of systems under its own heading.
In an over ten-page long printout, the final diagnosis was …
Where’s Waldo: Finding what’s important in the medical record
As many readers of my work know, I have a huge passion for preventive medicine, and balance my acute care hospital work with an outpatient wellness clinic. I have always been into exercise and outdoor activities since a young age but only became a regular gym-goer after I finished my medical residency training. I also became very keen on learning more about healthier nutrition habits. I don’t think I was …
Why this physician became a personal trainer
If you’re not intricately involved daily with SEO, let me explain what happened in May 2020 and why it will be a huge boost for content created by physicians.
First, what is SEO? In short, it is the process of optimizing content found online in order to help it be seen by those searching for the information found in that content. It used to be that people would just stuff their …
How the Google algorithm update helps doctor-written content rank higher
I have written, or more accurately ranted, about electronic medical records (EMR) systems throughout this blog. While the systems have clearly improved since their mandatory introduction into the medical universe, they have still not delivered on many of their promises.
Of course, EMR has brought tremendous advantages to the medical profession, and we are all grateful for the technology. But this progress has exacted a cost. Many of them are clumsy …
An EMR frustration that is still torturing us
I’m glad you’re looking at a career in medicine. I hope you will be happy with your choice forever. To help you out, these are a few myths I wish somebody told me about when I was in your shoes.
1. You’ll be rich. You likely won’t. After two decades or so of med school and residency, you’ll be paying back student loans with exorbitant interests for a few more decades …
So you want to be a doctor? Here are 10 myths debunked.
While there are certainly instances of malicious intent in thoughts, feelings, and actions, most people operate with the intent to do good, be good, offer good to the world – but what we do isn’t always received in the way we set out to offer it.
In the words of Oscar Wilde, “No good deed goes unpunished.”
It can be frustrating and even paralyzing to consider this consequence, resigning us to, “What …
Intentions don’t sanitize impact
The COVID-19 pandemic and the consequent drop in patient visits have led some observers to conclude that primary care physicians would be better off financially if they were capitated than if they were paid fee for service. If they received a fixed amount of money per health plan member per month, they’d have a guaranteed income stream regardless of how many patients came to their offices.
However, a growing number …
Direct primary care: Great for some doctors, but challenging for patients
What does a primary care visit look like from the patient’s point of view? I often wonder this myself, as a resident physician currently seeing patients at an FQHC in Austin, Texas. A brief look at the process reveals an often tumultuous ordeal for patients and providers alike. Consider the following steps: Finding an available appointment day and time in an overbooked schedule, requesting time off from work in order …
An alternative to the current model of primary care
During my first year of medical school, a professor in my clinical skills course shared a timeless adage in medicine: “If you listen closely enough to the patient, they will tell you the diagnosis.” I accepted this statement as a fact of medicine – if I could develop astute history taking skills in my first year, this skill would serve me well throughout my medical training. However, when I volunteered …
A medical student’s experience at an urban free clinic
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