STAT_Logo My older sister, Jan, visited me in San Francisco last spring. “You look great,” I told her, noticing that her clothes were hanging loose; she’d been heavy most of her life. “I’ve lost 60 pounds,” she said, and I automatically congratulated her. “I wasn’t trying,” she replied. It hit me then that something was very wrong, first with ...

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Last month, thousands of medical students donned their white coats as they took their first steps into hospitals nationwide to begin clinical rotations. This marks an important transition from the classroom into an actual inpatient setting to demonstrate the knowledge they’ve accumulated over the past two years. For most students, this means pretending to hear and correctly identify heart and breath sounds while agreeing with whatever the attending says. During ...

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There is a feeling that you get when you’re out at a dinner party standing and smiling at strangers as they walk by you -- a temptation to rest on the “wow" factor of your medical training. Partly because peacocking is inherent to social events such as these, but partly because you fear that you’re inherently boring to people outside your field. The surest way, you think, is to announce ...

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At the beginning of this year, I bought a ukulele. I started intern year at a sprint, like anyone does, arms full of hope which was quickly extinguished, lost in an atmosphere so devoid of hope that all of it flew out of my arms to settle into places so far in between it might as well have been floating in the vacuum of space. The cloak of physicianship burdens upon ...

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The rise of the Internet has changed many things in the world of the customer.  Now, in the age of the online consumer, a person can search for not only the exact item or service he or she wants, but read hundreds of reviews on that particular item or service.  Thanks to Yelp and a host of other online rating sites, a person can find a reputable painter or contractor ...

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As you look at the above image, please let me ask you a simple question: “What do you see?” Do you see a sick man lying on a bed with a friendly looking doctor standing by his bedside? Do you see only men in the picture and wonder, “Why not women?” Do you see a clinical setting of an engaging sketch of a doctor and ...

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The National Academy of Medicine has launched an Action Collaborative on Clinician Well-Being and Resilience, but there is one missing stakeholder. On July 14th, NAM hosted its first public meeting on establishing clinician well-being as a national priority. The inaugural sponsors include nearly many medical specialty societies, the major insurance companies, the American Associations for hospitals, nurses, physicians and medical colleges, Johns Hopkins, Mass General and ...

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On a daily basis, I am introduced to new people from all walks of life. Some sit on the board of directors, some are CEOs, some are presidents, some are middle managers and other administrators, some are investors, others are entrepreneurs, and some are physicians, nurses, case managers and even patients. I listen to people talk about the big challenges in health care. It costs too much, we have a shortage ...

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“He is the best physician who is the most ingenious inspirer of hope.” - Samuel Taylor Coleridge I was a third-year medical student on a Sunday morning when the reality of what I had chosen as my life career truly hit me in the gut. At that moment, I realized how intimate the practice of medicine was and that I would have to bring not only my brain and skills to work ...

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This is the patient's eight admission over the course of two weeks. The patient is a heroin abuser and has bacteremia and endocarditis. Their heart valve is failing and they are in and out of congestive heart failure. Every day, dozens of medical professionals converge on the patient to give treatment and advice. And every day after hearing that advice, the patient leaves the hospital against medical advice and goes ...

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