He was known to the hospital as someone who would try to manipulate his caregivers. And I fell for it anyway. Frequently admitted for pain crises associated with a chronic illness, he spent most of his hospital course avoiding eye contact with the team. So, too, were avoided answers that involved more than a few words. Providing care for him was business-like; we knew better than to expect pleasantries. The day of ...

Read more...

As I sit home spending Christmas with my family this year, I look back on the past few years of my practicing medicine and realize how much of a luxury this is. While most jobs allow employees time off for particular holidays, health care is a profession where we are called on numerous occasions to sacrifice our time in order to care for others. Frequent are the calls we make ...

Read more...

It is a heart pounding, head spinning, edge of your seat page-turner; the sort of rare saga that takes your breath away as it changes you, forever.  It hints at a radically different future, a completely new world a few years away, which will disrupt the lives of every man, woman, and child.  Available now, from the National Coordinator for Health Information Technology (ONC), Office of the Secretary, United States ...

Read more...

shutterstock_152411498 Dr. Mehmet Oz, also known by many as America’s doctor, is a very influential face within American medicine.  An accomplished cardiac surgeon and Columbia University faculty member, Dr. Oz has impressive academic credentials. However, in the last year, Dr. Oz has received significant criticism for claims he has made about nontraditional medical treatments on his nationally syndicated television show where he has ...

Read more...

In the United States, we train health care providers on poor people. This is no secret -- most medical schools and residencies are in lower income areas. If you have Medicaid or no insurance, you are more likely to find care in an office or hospital where medical students, residents, nursing students, and other trainees rotate; Blue Cross patients don’t let interns watch their childbirth. Even though my residency emphasized ...

Read more...

shutterstock_213079828 Question: We are currently in the last year of med school, and I’m wondering; what are some practical, everyday things we can do to keep our marriage strong? Especially with intern year coming up. Answer: Don’t confuse character with situation. When the demands of life become overwhelming, it is easy to attack your spouse’s personality when in reality it is the situation you are angry ...

Read more...

A lot has been written about how awful electronic health record (EHR) systems are. They are overwrought, overengineered, dreadfully dull baroque systems with awkward user interfaces that look like they were designed in the early 1990s. They make it too easy to cut and paste data to meet billing level requirements, documenting patient care that never happened and creating multipage mega-notes, full of words signifying exactly nothing. They have multitudes of ...

Read more...

In the world of medicine, we often feel like we’re swimming upstream without a paddle. Like we’re the only ones having problems out there. With no one to lend a hand. No wonder health care providers suffer from major burnout. You would think when one is away on a great vacation, it’d be easy to rein in that feeling, to appreciate what truly matters. Not always. Until it is presented to you ...

Read more...

I recently spent time at the New York eHealth Collaborative's Digital Health conference. The meeting was full of interesting seminars, informational sessions, presentations on innovative technology looming on the horizon, and talk about the future digital face of health care. The hallways outside the conference rooms were full of administrators, legislators, consultants, and representatives of companies building and designing new resources to help transform the health care system as they see it. Over and ...

Read more...

Vivek Murthy was recently confirmed to become the surgeon general of the United States. Much of the press in the past few hours have been celebrating the political victory over the GOP objections, particularly the National Rifle Association. But does this mean anything for the health of America? Supporters cite his medical credentials about being educated at the most prestigious institutions in the U.S. People also site his public health credentials, like ...

Read more...

Most Popular