Navy SEALs are America's elite fighting force.

They are America's most qualified soldiers who elect to undertake the most difficult selection process and training in existence. They are preselected by a number of traits, including intelligence, physical strength, incredible perseverance, and prior military service. Those who attain the title come from a variety of backgrounds, but without fail, they are exceptional. These most remarkable individuals are then ...

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"Aren't you happy for me?" asks the patient smiling from the exam chair in my office. I say yes, but that's not entirely true. Happiness isn't the right word. Conflicted might be it. How do I reconcile my feelings when this patient, who I am not sure is deserving, reports that he was awarded Social Security disability? Sure, he has severe arthritis, wildly uncontrolled diabetes, and a massive skin breakdown of his ...

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As I was finishing up with my doctor’s appointment for the required immunizations I needed for medical school, my doctor asked if he could give me some advice for my upcoming journey. Being the clueless pre-medical student I was at the time, I said, “Please do.”  He said something along the lines of “They’re going to try to rewire your way of thinking, but stay true to who you are.” ...

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"I should explain to you, Socrates, that our friend Cratylus has been arguing about names; he says they are natural and not conventional; […] that there is a truth or correctness in them." - Plato I once heard that the sound of one’s name is the most beautiful thing in the universe, which is probably an overstatement. But one’s name is one of the first words one hears from birth, as parents ...

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The sun sets a cascade of pink and yellow in the window of an ICU room. The slow hum of ventilation dampens the buzzes and beeps from machines. I stand in a room inundated by equipment. A machine to monitor vital signs with purple, green, blue, and red on a black background displays peaking and rolling waveforms. Two IV poles with twelve pumps click and murmur sounds of fluid migration ...

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I had been diagnosed three days prior, given lithium to stabilize and a benzodiazepine to sleep. I went home. Things did not get better. I had been admitted just that morning after a long, confusing night in the ED. I did not yet understand the severity of what had happened -- or even what had happened. The mania was still mostly euphoric and speckled with bursts of joy, but between these ...

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I think I’m finally burned out. And it’s been a long time coming. It likely started when my private physician-owned emergency group got bought out by one of the big corporate groups. The changes were small at first. Turning us into hourly paid employees instead of an RVU-based salary. Shiny new VPs and directors sending us emails. Things seemed fine for a while. Then came the many, many emails about better ...

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A physician health program, PHP, is a state agency that is responsible for advocating, treatment referral and physician monitoring, residents and medical students who have substance abuse disorders, psychiatric disorders and/ or boundary issues. There are two ways of becoming a part of these programs, self-referral or be reported. Currently, 47 states have a PHP, and the issue is that there is no set guideline and several variables in the ...

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After third-year medicine, I was required to withdraw for handing in an assignment late. It was a paragraph of self-reflection; I couldn't believe I was being kicked out for something so seemingly inconsequential. My dealings with the faculty became increasingly hostile and negative. I realized that my fellow students had to band together. Otherwise, there will be no change. I have to say that at my medical school, they have been ...

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I did not want a baby.  As a 26-year-old third-year medical student who had quite recently ended a far from ideal relationship -- of this, I was certain. On vacation, in New York City, walking in Soho carelessly, I laughed with my friend Noelle over the fragility of condoms. “Trust me,” I said. “They break.” How many months in my sexually active life did I apprehensively count and recount the number of ...

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I woke up to him, pacing the bedroom. Within an hour, I was pacing the ER at his bedside. Our experience at one of the country's best-ranked hospitals lasted only three days before we were discharged home. What led us there will last a lifetime in our minds. When faced with your own mortality (or that of your husband's), you are forever changed. We are grateful for his continued recovery from myopericarditis. ...

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It’s hard to describe the feelings I had when I received my first letter of intent to sue. I think I went through the Kubler-Ross stages of grief — denial at first, of course. This denial didn’t last long since the letter was clearly addressed to me — first, middle, and last name. Anger was almost immediate … I was immediately upset at the deceased patient’s family who were bringing the ...

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I sat in the back seat of a police patrol car handcuffed with a mind imprisoned by addiction. My day had finally arrived after months of a manhunt by state detectives for operating a fraudulent prescription enterprise to support my obsession and compulsion with cocaine. No more unmarked police cars staked outside the crack houses that I frequented or my mother’s home or in pharmacy parking lots waiting to capture ...

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Imagine your typical yearly physical. It’s probably booked for 20 to 40 minutes. Since you, like many of us, may see your physician only once a year, it is important for you to have your physician’s complete attention and to have all of your concerns addressed. Some of these concerns may be of a sensitive - even embarrassing - nature. Your physician may likewise ask you some probing questions about ...

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The first two years of medical school are geared towards learning enough so you can pass your first round of boards. All the sleepless nights and the tears can be overwhelming, but to finally get to the finish line is an incredible achievement. It reinforces that these first two years were worth it and that you learned some things along the way. However, some students don’t receive the same good news. ...

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Over the last three decades, surgery has slowly but steadily evolved towards a minimally invasive technique. The standard of care for appendicitis now involves creating three half-inch incisions and using a laparoscopic technique to remove the appendix.  This technique uses a camera to see inside the body via a large screen. Instruments that are over a foot long are used.  Sufficient research has shown that this minimally invasive technique leads ...

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A debate highlighting gender discrimination in medicine currently rages within the pediatric hospitalist medicine community. The debate centers on the board certification process for "grandfathering" for the new pediatric hospitalist subspecialty which effectively excludes women on the basis of motherhood. For those not familiar with "grandfathering in," this is the process by which a new subspecialty may grant board certification to physicians who have been practicing in the specialty. The alternative option ...

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I'm sorry you are sick. I'm sorry you had to wait a long time in the waiting room. I'm sorry you haven't gotten your pain medications. I'm sorry I don't have an answer. I'm sorry the department is busy. I'm sorry it's loud. I'm sorry I don't know why it smells in here. I'm sorry your neighbor is screaming. I'm sorry you are in pain. I'm sorry you are uncomfortable. ...

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At the moment, I should be studying for my first round of boards, but there is something I can’t get off my mind: sacrifice. If you ask a medical student what they have had to sacrifice to study medicine, the list could go on for days. It could be small things like watching their favorite teams play or being caught up on current events. But more than likely we will list ...

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I am at a conference that is encouraging physicians to engage in social media. This is something I was always a proponent of. I felt strongly that as physicians, we help set the tone of accurate medical information. Especially now in this age of disinformation and "alternative facts," our voices are crucial. I used to be an active Twitter user. I had 21,000 followers and was verified — with a blue ...

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