Fostering Black joy in an anti-DEI environment: community, resilience, and equity

Physician
March 22, 2024

As Black History Month draws to a close, it is crucial to recognize the ongoing challenges faced by Black physicians and the importance of fostering diversity, equity, inclusion (DEI), and belonging in the medical field. National rhetoric condemning DEI efforts has made for an increasingly difficult environment for Black medical trainees to thrive. This Black History Month, we had the honor of hosting three events aimed at celebrating Black excellence …

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Beyond the oath: the unaddressed challenge of physician impairment

Physician
March 22, 2024

Despite their idealized oath to do no harm, physicians are still human, and as such, mistakes, errors, and the unpredictability of life still occur. Although the stories that grab headlines are of doctors intentionally harming patients, such instances are exceedingly rare. Far more prevalent, however, are the cases of physicians who begin their careers with the best intentions, only to encounter challenges along the way. According to the American Medical …

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Challenging patients and the art of empathy

Physician
March 22, 2024

On a fine afternoon, my nurse came in and gave me a heads-up. “Doctor, the next one’s a bit of a handful. Made a fuss scheduling, complained about her old doctor endlessly at reception … doesn’t seem like a picnic.” I smiled reassuringly, reminding her (and myself) that non-judgmental care is the cornerstone of medicine. However, my mind let out a little sigh, knowing that the next half hour was …

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Health care surges: the role of virtual care partnerships [PODCAST]

Podcast
March 21, 2024
YouTube video

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Join Lyle Berkowitz, a physician executive, as we explore the challenges faced by health systems during this time, from overcrowded emergency departments to increased demand for care. Lyle shares insights into traditional strategies …

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Understanding seasonal affective disorder: more than just winter blues

Conditions
March 21, 2024

As the summer sun bids its farewell, a distinct group of people seem to “fall back” as a mysterious change begins to take hold. Several individuals get caught in the embrace of the transitions of fall and winter, revealing a shift between their mood and energy levels. Ever felt a subtle dip in energy, a touch of melancholy, or an unexpected irritability as the days grow shorter? I’m here to …

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Shedding some weight on the health care crisis

Conditions
March 21, 2024

In today’s world, the term “obesity” is more than just a medical diagnosis—it’s a complex issue intertwined with personal experiences, societal norms, and systemic challenges. As a seasoned family doctor, I’ve witnessed firsthand the multifaceted nature of obesity and its profound impact on individuals’ lives. But beyond the clinical observations, I carry a personal history marked by struggles with weight and body image.

I’m a family doctor, and I have been …

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Women of color face biases in endometriosis diagnosis and surgical treatment

Conditions
March 21, 2024

March is endometriosis awareness month. Endometriosis, a disease in which tissue similar to the lining of the uterus grows outside of the uterus, affects 1 in 10 women, or 190 million individuals worldwide. Although endometriosis leads to chronic pain and fertility issues and can impact bowel, urinary, and sexual function, it may take up to 7 to 10 years after symptoms appear to be diagnosed …

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Beyond the workout: the hidden struggle of diabetic gastroparesis

Conditions
March 21, 2024

The final three minutes of my hour-long elliptical workout were not easy. Pain spread across my stomach, causing me to row in a half-sitting motion, and my chest vacillated between violent coughs and the sorts of deep breaths people take when they think they’ve seen a ghost. Perspiration fell from my shirtless torso to the garage floor. The amount of sweat was not the kind my body produces from exercise. …

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Physician burnout: a surgeon’s story of exhaustion, recovery, and systemic change

Physician
March 20, 2024

An excerpt from Safeguarding Physician Wellbeing.

There are numerous books written by physicians of various specialties, primary care, and subspecialists, on the topic of physician burnout. Most physician authors, like me, have been inspired to write a book due to personal experience with a high degree of burnout, and/or have had academic interests and research on the topic. Writing such books can be cathartic, intended as a warning for our …

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Sepsis protocols coupled with rapid host response technologies are the key to improving patient outcomes

Conditions
March 20, 2024

Patients come into the emergency department (ED) with symptoms, not diagnoses. That’s when time is of the essence. Clinicians must quickly triage patients and establish an appropriate care pathway to obtain the best possible outcome. Most patients entering the ED are time-sensitive, requiring clear protocols for care. However, even some of the deadliest conditions still lack the necessary data, tools, and standards to quickly diagnose and effectively treat patients.

Over the …

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A doctor’s journey: from student to healer, facing a mentor’s illness

Conditions
March 20, 2024

I had a teacher in my third year of med school. His name was Dr. T. He taught us pediatrics. At that time, he was the head of the department of pediatrics in the busiest teaching hospital in our city, where I was working. Every day, hundreds of children from far-flung areas are referred to our hospital with complications due to suboptimal treatment received in their local areas, as we …

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Opioid prescribing, pain management, and patient advocacy [PODCAST]

Podcast
March 19, 2024
YouTube video

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We delve into the complexities of opioid prescribing, pain management, and the opioid crisis with our guest, Richard A. Lawhern. As a patient advocate, Richard brings a unique perspective to the table. Join …

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Physicians are being forced to pass polygraphs if they want to continue to practice

Physician
March 19, 2024

I am a former associate director in a state physician health program (PHP). I also hold faculty appointments at Baylor College of Medicine and Harvard Medical School in medical ethics and psychiatry.

There is a little-known nether realm inhabited by a subset of doctors who have or are suspected of having substance use disorders. These physicians often are referred to state PHPs which, because they’re generally considered voluntary in nature, have …

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DEA overreach: a threat to doctors’ freedom in American medicine

Meds
March 19, 2024

Today, doctors’ liberty and property are at risk when they choose to treat a patient. Not because of some new law but because of the misapplication of old ones. The current opioid panic has essentially given the DEA free rein to target any physician whose medical practice they disagree with. This has created a serious problem in American medicine and a unique danger to health care providers in this country. …

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Cryonics: advancements, ethics, and skepticism

Tech
March 19, 2024

Scientists have transitioned from crafting flying contraptions capable of moving massive payloads through unfriendly skies to exploring the vast expanse of the cosmos, affirming that the concept of impossibility holds no sway over their endeavors. Yet, their ambition now surpasses earthly confines as they endeavor to replicate the divine feat of Lazarus’s resurrection on a monumental scale. This profound aspiration propels neuroscientists into the captivating realm of cryogenics, igniting a …

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Assisted suicide: Safeguards debated as bioethicist warns of unintended consequences

Conditions
March 19, 2024

At a time when many states are considering assisted suicide legislation, I was interested to encounter the perspective of the well-known bioethicist Arthur Caplan who recently expressed his support for these laws on these pages.

While I appreciate Caplan’s endorsement of protecting doctors’ ability to refuse, as a matter of conscience, to participate in assisted death, I admire his insistence on restrictions or safeguards within these laws to …

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Non-competes: Legal updates that give physicians options [PODCAST]

Podcast
March 18, 2024
YouTube video

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Did you know that non-compete contracts in the health care industry are constantly evolving? Join family physician and entrepreneur Tod Stillson as we dive into the latest legal changes impacting physicians’ professional mobility. …

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Do they care if women die? Exploring women’s rights.

Policy
March 18, 2024

I was faced with a stark question—one that, though I have spoken openly about women’s rights, somehow I had not distilled into the succinct question posed by a coming-of-age woman living and attempting to digest our country’s policies. Simply put: “Mom, so they don’t care if women die?”

Oof! For a person who has a plethora of words for almost anything, I was caught off guard. My first instinct was to …

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How Russian studies enriched my journey to become a physician

Education
March 18, 2024

Tolstoy. Dostoevsky. Repin. Stravinsky. While many people may not appreciate the significance of these Russian geniuses, or think that knowledge of them could enhance a pre-med education, I would not be the same person without learning about them. For me, pursuing a Russian major was more than a list of vaguely interesting classes or language study; it was a deeper dive into the qualities of a culture that I am …

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