For those who are not avid followers of President Trump or his decisions, often his decisions have far-reaching consequences that affect lives and people.  As a health care provider, I understand quick decision making, but also the importance of risk versus benefit and consequences of your decisions.  I would like to tell you my story and how his actions have affected my life, the lives of my patients and their ...

Read more...

I was recently part of a panel aimed at helping physician trainees make the transition to becoming full-fledged independent practitioners, and a member of the panel said something that struck an important chord with the audience when he mentioned that new doctors are probably the most developmentally delayed professionals in society. When you think about the fact that for some of us, the first “real” job we have starts as ...

Read more...

My generation of physicians was much like yours. My were also “the best.” We’d risen to the top of every academic pyramid: middle school, high school, college. We could be anything we wanted to be. We chose medicine, partly for noble reasons. Our bodies were wondrous and we got to help people. But also for some not so noble reasons: the money was good, everyone would look up to us, and we’d ...

Read more...

In hospitals today, administrators are eager to impose guidelines and metrics onto any facet of patient care they can measure. The sentiment that business people and clinical people are at odds flares with each new initiative. Clinicians feel ignored. Patients complain about how little attention they receive. Administrators try to distill complex pieces of information into smooth line items. We all spend as much time with computers as we do ...

Read more...

Jamie Katuna continues her mission of debunking health myths.

As a physician with a strong sense of calling, I always see myself working for each patient, regardless of who pays the bill. Following in the footsteps of role models like Hippocrates and Osler, how could I do anything else? Ted has been my patient for decades. He can’t seem to lose weight. John has admitted he doesn’t know how long he can keep doing the kind of work that has supported ...

Read more...

There is a basic communication gap between you and me. How could there not be? It's not what you expect. I say you have cancer, or heart failure, or emphysema. Full stop. A conversation ensues. This is not what I'm talking about. It's more like when I report to you a series of normal lab results, and at the end flippantly mention a slight elevation of the white blood cell count. ...

Read more...

I was thrilled when I found out that February 3rd is officially National Women Physician Day. Then I realized that February 3rd coincided with the 195th birthday of Elizabeth Blackwell, the first woman to receive a medical degree in America. Dr. Blackwell had the strength and determination of a superhero. She faced extreme opposition, was rejected numerous times, and was still seen as an oddity and inferior when she was ...

Read more...

Maintenance of certification (MOC) is on the minds of most doctors, and the majority of them oppose it. This is a program where doctors are enforced to comply with certain “educational” mandates to stay compliant with their board certification requirements. The largest number of doctors did not start off following this program but rather were shackled onto it later in their careers. Being one of the earliest voices speaking out against ...

Read more...

Dear patients, We are happy to have you in our lives.  We came into medicine to take care of you.  Some of us because we wanted to help you to win the fight against cancer.  Others of us because we love delivering your babies.   Others because we wanted to have the skill to make sure you survive that heart attack or that terrible accident.  Others because we wanted to do our ...

Read more...

Most Popular