Eat what you kill. Sounds like a mantra from a survival reality show, right? Akin to “eat or be eaten,” “kill or be killed.” It’s also a common reference to the prevailing business model in our American scarcity-minded, competition-driven, fee-for-service health care culture. How ironic, the application of these words to this profession. It was explained to me essentially as: “Every man for himself, and you’re a minion. You are expected ...

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A pediatrician husband recently wrote here in KevinMD about the stark differences in assumptions about work-life balance for men and women, in "What does your husband think of you being a surgeon?"  Then I came across another article on Medscape by a male cardiologist, whose wife is also a physician, entitled, "The gender gap in cardiology is embarrassing." Both men’s wives delayed their medical training, and ...

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Sexuality can be hard to talk about. I think this is true for adults far more than for children. Children are naturally curious and nonjudgmental. They just want to know: What is that, what’s it for, why are yours different from mine, and why does he have one of those and I don’t? It’s we adults who squirm and dodge, deflect and bolt. From a very early age, children learn ...

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Which arrow causes you more pain, the first or the second? Fellow blogger Michelle at The Green Study recently posted a piece in which she distinguished between pain and suffering. It reminded me of a Buddhist teaching that inspires and humbles me. Blogger and curator extraordinaire Maria Popova quotes it in an article she wrote last year on a book by Tara ...

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To the patients concerned about the future of health care: We need one another now more than ever. In April last year, I started this blog to help patients and physicians connect in an increasingly disconnected health care system. Both patients and physicians feel bound and invaded from multiple directions, all interfering with the doctor-patient relationship. We all suffer for it. It occurs to me that many of you may ...

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A couple of weeks ago, I met my new medical students. These 10-12 trainees will be my small group for the next two years. We will meet monthly to discuss the soft stuff of medical training — hierarchy, tribalism, death and dying, medical errors, difficult patients, etc. Some call it “third-year medical student support group.” This is my 6th year of the pleasure and privilege (I inherited my first group ...

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Eighteen months ago, I wrote about my plan for maximizing menopause preparedness. As with so many missions, this one has experienced both successes and failures. Since January 2016, I have grooved my exercise routine in the most awesome way. I am all over the TRX, doing Spiderman push-ups, incline presses, pistols and more. I ...

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