I’m often asked about how to pursue a physician entrepreneurial career pathway. Like Peter Medawar opined in his “Advice to a young scientist”, allow me to offer some advice:
You will not learn about innovation or entrepreneurship in medical school or residency. Medical education is designed to teach students clinical care and research methods. If you have an entrepreneurial interest, you will have to pursue it using alternative …
At any given time, about five percent of men and nine percent of women, just like you and me, suffer from incontinence. This means that they cannot hold their urine or feces until they reach a bathroom. In other words, that affects one in twenty men and one in ten women. Incontinence in adults can be caused by old age, injury, neuromuscular disorders, and cancer, to name some of …
The overlapping challenges of chronic pain and substance misuse overwhelm health care systems. Many people live with persistent pain, while others struggle with substance misuse, and some face both conditions simultaneously. This complex public health crisis is marked by rising opioid-related deaths, widespread under-treatment, and significant barriers to accessing care. Implementing a telehealth-based pain and substance misuse service represents a transformative response, bringing evidence-based, patient-centered treatment directly to individuals wherever …
Today I helped a family friend in a medical crisis. My friend’s elderly mom had been admitted to the hospital after a series of falls. In hospital medicine, this is a tale as old as time. Falls often herald the beginning of a downhill trajectory.
Experienced docs know to look for urinary tract infections, electrolyte abnormalities, dehydration, constipation, over-medication and more. We know that delirium (an alteration in mental status that …
Tough and tender at the same time, Linda is a woman with a broad smile, the kind who likes to “fish all weekend at the lake, a place where I don’t think about anything. Or, anyone.” I often smelled cigarette smoke on her, and she has the raspy voice that comes from a lifetime of stepping outside on the porch to light up. She embodies the physical strength that comes …
Imagine a dedicated physician, after years of rigorous training and countless lives saved, facing a medical board complaint over a minor issue—perhaps a clerical error in documentation or a subjective interpretation of a clinical decision. What should be a straightforward matter escalates into a career-threatening ordeal. State medical boards, endowed with significant authority, often wield it with little accountability. Armed with prosecutors who prioritize winning over truth, boards can distort …
Come sit down and I will start
To tell a tale of Harvy heart,
And how his feud with Brian brain
Flushed their friendship down the drain.
Brian brain and Harvy heart
Were never very far apart.
Harvy fast and Brian slow,
They worked together, don’t you know?
Then one day they had a spat
Over whom to point their loving at.
Harvy thought that he should lead
Since hearts are much like trusty steeds!
Brian brain thought he was best
Since loving …
In today’s interconnected society, individual health shapes the well-being of communities. This is evident in the role of pain clinics, which have evolved beyond their traditional mandate of managing chronic pain. A recent peer-reviewed research publication in the SVOA Medical Research journal highlights how pain clinics are contributing to societal safety by addressing risks that extend beyond the clinical setting; promoting safer roads, stronger families, and healthier workplaces.
The clinical …
Frivolous medical malpractice lawsuits are endemic and infect everyone whether they realize it or not. The greed of plaintiffs, attorneys, medical experts, and malpractice carriers, coupled with the ineptitude of the tort system, causes hopelessness in physicians. Everyone else pays the price.
Plaintiffs sue for malpractice even when a claim has no attributable merit. Plaintiff attorneys, who are looking for business, advertise “if we don’t win, you don’t pay.” Once …
A veteran came into my clinic with quiet frustration in his eyes. He was 100 percent service-connected and medically retired, struggling to survive in San Diego. He handed me a DMV disability form—something that could save him hundreds of dollars in car registration fees. But another VA doctor had already refused to sign it.
The form asked whether his disability caused “an impaired gait.” It was vague. He had chronic back …
I have only recently started thinking about strikes. They seemed like something other people did: railway workers, bus drivers, teachers, dockworkers. People with contracts. People who clocked in and out. Not doctors. Not surgeons. Certainly not me.
You and I were supposed to absorb and adapt. To advocate from within. And we did, for a long time. We bent ourselves into shapes that did not fit. Worked around all the broken …
It begins with thunder. Not just the kind that splits the sky, but the kind that settles into the chest — low, rolling, remembered. It’s been years since the hurricane, but each crack of lightning still pulls my body into defense. I never used to be afraid of storms. Now, my body remembers before my mind does.
That night, I was post-call. Exhausted, planning to ride out the storm the way …
Words matter.
In a recent conversation with a physical therapist friend who lives with chronic illness, she shared that the term “wellness” doesn’t resonate with her—it feels like an impossible state to attain. She prefers “well-being,” explaining that it more accurately reflects how she feels and functions in daily life.
Over the past couple of years, I’ve spoken and written about physician wellness and well-being, often using the terms interchangeably. But that …
ADVERTISEMENT
Surthriving in the brave new world of sick care requires not just a new playbook, but players with new skill sets to execute the plans. Knowledge technicians are as obsolete as an NFL team with a running game but without a passing and special teams plan. Unfortunately, HR managers are getting it wrong. The biggest risk to future success and becoming a disruptor is a company’s existing …
I like quails. They resemble sparrows but are slightly larger. Quails are relatively quiet and easy to keep since they cannot fly much, unlike sparrows. They have a good lifespan as well. Since childhood, I have raised many quails, and I currently have two that I bought in 2023.
The quails have aged significantly, and the male has plucked many feathers from the female’s body. As a result, there are bald …
When most of us as providers think about success in primary care, we focus on patient volume, quality of care, or time management. But in my opinion, there is a less glamorous (yet absolutely vital) area that can determine both our income and our liability: billing accuracy.
Billing is not just about codes and claims. It is the foundation of our financial health and a critical layer of legal protection. When …
Pain management physicians, who often prescribe controlled substances like opioids, face intense scrutiny. Critics argue that investigations are overly aggressive, resembling fishing expeditions where investigators search broadly for any evidence of wrongdoing, often beyond the original complaint. A 2023 Los Angeles Times report noted that nearly 10,000 investigations were conducted in 2021–2022, with pain physicians disproportionately targeted due to outdated guidelines predating modern evidence-based practices. For example, the reliance on …
Physicians are masters at holding it together.
You walk into a patient’s room, and no matter how little sleep you have gotten, how chaotic the last shift was, or how much is weighing on you personally, you put on the calm, capable, competent face that patients and colleagues expect. That ability to compartmentalize (to suppress your own emotions so you can stay functional) is often what gets you through residency, twenty-four-hour …
Sepsis, multi-organ failure, near death
I fought back to the work I loved.
Life shifted; teaching’s call opened another door.
Not time yet.
The student clinic, a rebirth at the bedside,
Watching timid M1s bloom into confident, caring M3s: pure joy.
Being a doctor, teaching, healing, helping those in need.
Not time yet.
The pure fun of light bulbs igniting in small groups,
Connecting with so many bright, caring young minds,
Knowing medicine’s future is secure through them.
Not time yet.
Another …
We don’t send SEAL teams into the field without backup, but we routinely send health care workers into no-win situations and tell them: don’t fail.
I celebrated friendship and teamwork during a Change of Command ceremony this week—full of honor, tradition, and those stirring reminders of what it means to lead. But one repeated phrase stuck in my craw: “This is a no-fail mission.”
It’s meant to inspire. It’s meant to light …
Get free updates delivered free to your inbox.
