As a physician and mom, I hate the work culture that generates the glass ceiling for women. Like many professional environments, Medicine is a hierarchical culture dominated by men. The leadership positions are mostly filled by men- including the hospital CEOs, department chairpersons, and medical school deans. This reality begs the question: if nearly half of medical school graduates are women, why don’t we see more female ...

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This morning, I diagnosed a 49-year-old female with stage 4 colon cancer. She will probably not be alive in 5 years. She could have possibly prevented this diagnosis if she had known her family history. Many people don't know the health history of their family. This holiday season is a perfect time and opportunity to delve into this history and prevent more senseless deaths. The apple really doesn’t fall too far ...

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asco-logo I was sitting in a meeting, listening and participating, but at the same time keeping an eye on my email. I always do this, sometimes to my peril. Email is distracting, and more than once I have been called on to say something and I have no clue where the discussion had gone as I glanced at my inbox. At this ...

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asco-logo We’ve come a long way from the 1940s and 1950s when men didn’t cry — not when they stubbed a toe or came back from the war and certainly not in front of strangers. In the last 20-plus years, we have seen a loosening up of the "stiff upper lip," and we now see men crying in all sorts of places. ...

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asco-logo Sometimes, I think that many folks see oncology as an acute care specialty: patients get cancer, get sick, and then they die. There’s an impression that we meet patients only for a moment in time before they are gone forever. But speak to any oncology specialist, and you will see nothing is farther from the truth. While ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 57-year-old man is evaluated in follow-up for a right-sided pleural effusion. He initially presented with increasing dyspnea and a constant dull ache on his right side. He also has lost 9.1 kg (20.0 lb) over the last 6 months. Medical history is otherwise unremarkable, and he takes no medications. He ...

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A letter from a physician to her former employer. This may seem to come out of the blue for you, but for me, it is something I have thought about often. You will likely not remember the details like I do, so let me spark your memory. It was a Thursday, and my husband, who I have known since I was 19 -- not unlike you and your wife -- was diagnosed ...

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asco-logo Milly* was 82 years old and had been diagnosed with a recurrent ovarian stromal tumor — one that is typically seen in much younger women. Surgery was ruled out, and a colleague from outside of Boston sent Milly to me for an opinion about medical treatment. I reviewed her case before I met her: no significant medical problems, ...

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asco-logo My background in nursing has given me a perspective that many physicians don’t have. From the beginning of my career, I have valued the information that patients have provided me about the context of their lives, family, work, and beliefs. I have never cared for a knee or a prostate, but rather I have cared for a person whose life experiences ...

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img_1365 When I graduated from medical school, my dad gave me several hundred dollars with instructions to buy something special. It was a kind gesture, but the pressure to self-select a meaningful gift was almost too much. I wanted something to commemorate my transition from student to doctor. Books, stethoscopes, and the like seemed so uninventive. I wanted something for residency that would be ...

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