If you have been to the circus and toured the tent where the elephants rest and are fed, you will see that large, two-to-three-ton elephants are tethered to a small wooden stake with a small chain around the ankle of one of their hind legs. This tiny wooden stake driven into the ground could be pulled up in a nanosecond, and the elephant could run away.
But the large …
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Urologist Diana Londoño discusses her article, “From healers to influencers: How fear took over health care advice.” Diana addresses the concerning trend of physicians using fear-inducing tactics on social media, which she …
I was scheduled to see a prominent federal judge in my office at 9:00 a.m. The judge requested the first appointment of the day and expected to be seen promptly at 9:00 a.m. I had an emergency providing care for a patient in clot retention. As a result, I was not able to see him at the designated time. At 9:15 a.m., he approached the desk and asked when he …
Venous leak syndrome (VLS) affects all men. In time, every man gets it. Yet no one talks about it. Fortunately, for most men, there is an easy, non-pill solution.
Men with this condition get it up, but can’t keep it up as easily and as long as they could in their youth. In short, VLS is blood leaking from the penis’ veins. By age 70, men may be …
Admiral William McRaven is a Navy SEAL and was the president of the University of Texas. In 2014, he gave a commencement speech that has been viewed over 10 million times. It is considered one of the greatest contemporary graduation speeches of all time.* Although the speech was directed at 8,000 graduates at the University of Texas, his message certainly applies to the health care profession.
So, here …
Critical to success in the restaurant industry is the practice of preparation, referred to as mise en place, a French term meaning “putting in place.” In a culinary context, mise en place signifies preparing all utensils and ingredients before you start cooking. Mise en place is required in culinary schools and high-end restaurant kitchens.
Mise en place is a guiding principle in any field, increasing productivity and improving workflow.
Here are three …
Kidney stones are painful, frustrating, and unfortunately common. I see this brutal problem every day as a urologist. When my wife had her first kidney stone while celebrating her 40th birthday, this issue became deeply personal. Seeing her in pain and struggling to navigate the confusing world of kidney stone prevention made me realize just how difficult this journey is for patients.
Many people are given generic dietary advice – drink …
In the previous article, I offered four ways (other than growth) a practice can compensate for declining reimbursements: improve efficiency, boost collection ratio, increase productivity, and consider a practice merger. As promised, here are four more.
Stay focused.
Focused strategies lead to better outcomes and lower costs. It is no accident that the best outcomes and lowest price for open-heart surgery are achieved …
Have you ever marveled that a new patient will share with you their most intimate secrets just minutes after you initiate their medical history in the exam room? Patients will discuss what they might not share with friends, spouses, significant others, and even their clergyperson. This privilege should not be taken for granted.
It is time to pause and think about patients’ trust in physicians. This article will describe the current …
Just imagine when you felt hurt or betrayed by a colleague, patient, staff member, friend, or family member. Now, picture life if you could somehow free yourself of that hurt, pain, or discomfort. This article will discuss the concept of forgiveness and how it applies to our medical practice.
Examples of forgiveness
A white male racist burned down a predominantly African American church. The arsonist was convicted and sentenced to prison. He …
If you have followed my blogs for the past few years, you know that I have focused on practice management, the business of a medical practice, and recently AI. This blog will depart from those topics and discuss a clinical topic, the orgasm gap, that I have written with a colleague, Dr. David Mobley, a urologist at Weill-Cornell Medicine.
Everyone, both men and women, deserves to experience an orgasm or the …
Have you ever thought of someone, and then a few minutes later, they called or texted you?
Have you ever felt or had a whole conversation in your mind to later be told that is exactly what someone was saying about you at the same time, even though you were physically in a different place?
How can that be? Is it merely a “coincidence,” or are these beautiful hints from the universe …
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We sit down with Justin Houman, a urologist specializing in the treatment of erectile dysfunction, to explore the latest advancements in inflatable penile implants. Justin discusses how these innovative devices have evolved to …
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As a man, the idea of worsening erectile function as we age is quite daunting. Although Viagra and Cialis provide relief for many, there are many more who do not respond well to these medications. In these situations, the inflatable penile implant is a valuable option for addressing erectile dysfunction.
As a urologist dedicated to improving the quality of life for men dealing with erectile dysfunction (ED), I have witnessed remarkable …
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We tackle the important topic of urinary incontinence with Sarah Boyles, a urogynecologist. Join us as we explore the often overlooked but impactful effects of urinary incontinence on individuals’ quality of life, its …
I’m sitting in a windowless room in the hospital’s urology department waiting for my second prostate biopsy, feeling surprisingly calm and relaxed.
It’s a surveillance biopsy. Two years ago, the first one revealed “a few scattered cancer cells” while zeroing in on what turned out to be a harmless nodule. I’d learned then that a prostate biopsy will never make anyone’s list of fun things to do. In addition to being, …
As a urogynecologist, my clinic is full of women with bothersome bladder issues. And while this likely does not appeal to you, curing incontinence is my favorite clinical endeavor.
Urinary incontinence seems like a minor medical problem. After all, it isn’t heart disease or cancer. However, urinary incontinence has a dramatic and negative impact on the quality of life. On any given day, I talk to women who have stopped exercising …
First, a disclaimer. I do not know Secretary of Defense Lloyd Austin, and I am not involved in his medical care. As an academic infectious disease physician, I am ignorant of the internecine hierarchy of the Defense Department. However, I listen to the news and thus am aware of his recent prostate cancer diagnosis and treatment. On National Public Radio, reporters were discussing why the secretary of defense did not …
“Should I get a PSA?”
It depends. Who is asking, and why?
If the question is being asked by a 45-year-old man, the answer is going to be different than if it’s being asked by a 75-year-old. If a primary care clinician is asking, he/she may be confused about current recommendations regarding screening for prostate cancer. The answer is complicated and fraught with bias. Unfortunately, the controversy over PSA screening for prostate …
1. Eat a healthy diet rich in fruits, vegetables, and whole grains. Eating a healthy diet is an important way to help prevent prostate cancer. Fruits and vegetables are packed with antioxidants, which can help protect your cells from damage that can lead to cancer. Fruits and vegetables that are particularly beneficial for prostate cancer prevention include cruciferous vegetables (such as broccoli, kale, and cauliflower), tomatoes, citrus fruits, berries, apples, …
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