It’s 10 p.m., do you know where your doctor is? I chuckle to myself, recalling a familiar public service announcement of the past meant to remind adults about the whereabouts of their children. I know exactly where I am at this typical hour, sitting in front of a glaring computer screen trying in vain to clear out my inbox in our practice’s electronic health record (EHR) and “win the game” …
Picture this: Hundreds of family physicians and future family physicians arriving on the steps of the U.S. Capitol to share the top challenges they face and to ask their leaders to make a purposeful investment in primary care. They’ve earned the right to make this request through the hard work, long hours, and comprehensive care they’ve offered patients and their families across the country. They served on the front lines …
I am someone who consistently makes New Year’s resolutions. I find New Year’s to be a great time to reassess how all the aspects of my life are going and whether they continue to align with the direction I want to take.
In previous years my resolutions have ranged from the cliche “going to the gym and losing weight” to listening to a podcast every day, exploring my city, or learning …
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Join us as we discuss with family physician Lisa Baron the pervasive issue of medical gaslighting, particularly in women seeking care for chronic illnesses. We’ll delve into the consequences of dismissing symptoms and the importance of validating patient concerns. …
“First do no harm” is the opening line of the Hippocratic Oath, and virtually everyone is familiar with it, as it is quoted on every TV medical drama at least once a season. We tend to think that the oath was highly influential in medical training and practice when it was written circa 400 BCE. Still, it had limited applicability, as it only applied to students trained in Hippocrates’ style …
At least one commentator has opined that “physicians aren’t burned out. They’re abused.” That is an extremely accurate diagnosis. No matter how many mandatory meditation sessions physicians are required to attend during their lunch hours, they remain overworked, overstressed, and unhappy with their careers.
Although there is no easy fix, there are issues that can be addressed in the physician employment agreement that can ameliorate the horrible working conditions foisted …
For a growing percentage of our population, autism is a part of everyday life. How we support and empower children with autism speaks volumes about our society’s ability to be inclusive, productive, and fair.
May is Mental Health Awareness Month. It’s a perfect time to celebrate people with autism and elevate our awareness about this complex group of neurodivergent individuals who enrich our lives every day.
Here’s how we all can better …
How do we balance the desire to stay connected with the cosmos with the demands of modern life?
Our internal life is often mirrored by our external world. It is no surprise that the health of our bodies and our planet is under fire. Mental health illnesses, including active addiction, depression, and anxiety, are increasing along with the number of unnatural forest fires, melting glaciers, and rising sea levels. How we …
While being treated for an aggressive hematologic cancer, the former head of a department of medicine at a large teaching hospital told me he wished he could hang a sign on his headboard, reading P-I-P: Previously-Important-Person. Despite extraordinary achievements, skills, credentials, and status, being a patient made him feel like an amalgam of parts; limbs, bodily fluids, organs, and orifices, all now suspect, some more wayward than others — and …
When I took my first job out of fellowship, I had two kids, both in diapers. Between that and starting my first job out of training, it seemed I had no idle time at all. I distinctly recall deciding: I was here to work, not to make friends. (To my work friends: Thank you for being my friend despite my attitude!)
We didn’t decide to make friends in training — it …
Fecal impaction and severe chronic constipation can have significant consequences on patients’ mortality, morbidity, psychosocial well-being, and health care costs. It is especially prevalent among the elderly and individuals with neurogenic bowel disorders. The condition can lead to life-threatening complications like bowel obstruction, intestinal perforation, fecal incontinence, and urinary retention.
Traditional treatments for fecal impaction and severe constipation include lifestyle changes, fiber supplementation, laxatives, suppositories, enemas, and digital stimulation. However, …
I am a physician, a urologist, and a survivor of multiple suicide attempts related to physician burnout. In dealing with my psychopathology, I experienced a devolution in my mental status, culminating in suicidal behavior. I can remember the exact moment when I acknowledged that suicide was a possible solution to my problems. At one moment, I felt revulsion at the idea of suicide but crossed over to accept it. This …
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In this episode, our guest Amanda Hill, a health care attorney, shares insights on navigating career transitions in the medical profession. Whether you’re burned out, seeking new challenges, or dealing with personal or health issues, leaving …
How do we react to them? For ourselves or maybe when kids make them. We will all make them, so we might as well make the best of it and realize they are learning and growth opportunities.
I was recently a guest on the podcast Thrive State which I was so excited about because I am a huge fan of the host and the podcast. It has many followers on social …
The day Ann entered my clinic, I had already been practicing pain management for over ten years. A 40-something physical therapist, she had a warm smile, a positive attitude—and chronic pain in every part of her back.
Twenty-five years earlier, Ann had been inspired to go into physical therapy to help her family members who suffered from severe chronic pain to the point of disability. However, to her dismay, upon graduating …
When people (especially women) are highly organized, hyper-focused, and efficient they often label themselves (or are labeled by others) as OCD. In essence, “being OCD” is a superpower that leaves us with clean houses, well-manicured appearances, and detail-oriented work products. A person might even flaunt their “OCD personality” as a positive in an interview. But, saying you “are OCD” takes away from the very real anxiety that people who “have …
There was a time when one doctor worked one job in one geographic location where he/she was altruistically dedicated to serving a population in the practice of medicine.
For years this idea of working one job in one location was anchored within the private practice model which then gave way to the traditional employment model. The latter offered a parallel promise of a stable and long-term medical practice in one location—with …
Not all transfusion therapies are the same.
Unlike other transfusion therapies, automated red blood cell exchange (RBCX) efficiently and rapidly removes a patient’s hemoglobin S (HbS)-containing RBCs and replaces them with healthy RBCs. You may be surprised to learn that there are a few misperceptions surrounding automated RBCX. How do you think about automated RBCX today?
Myth #1: RBCX is only for acute patients
Reality: Automated RBCX is recommended by …
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