I tried to get a personal appointment at a large prestigious academic outpatient service. The website had a “contact us” link, which directed me to a very prolonged questionnaire wanting to know details (mainly financial) that practically included turning over my firstborn child. After spending extensive time clicking through the questionnaire, I finally came to a screen that “allowed” me to pick a time over two weeks in the future …
It was 2018. Previously, “Max” had steadfastly refused all vaccines. Despite his HIV infection, which was well controlled, and my pleading with him over multiple years to get a flu shot, he was firmly opposed. He was intelligent and very …
During a recent palliative conference, the discussion turned to the challenges of translating our work to the public and our colleagues. Despite the growth of our field and increasing access, there remains major confusion about palliative care and hospice. Much of the misunderstanding originates from within the medical profession. Having worked in the palliative care and hospice arena for nearly two decades, I have seen many examples of the confusion …
As a physician who grew up in a small town in central Illinois, I’ve witnessed firsthand the decline of rural health care in America. The hospital where I first became interested in medicine is now half its original size, merged with a larger health system, and struggling to stay afloat. This story is all too common across rural America, where health care access is becoming increasingly scarce, and the challenges …
Terminology has changed over the years.
When I was in training (1996-2000), we were called physicians. Nurses were called nurses. Nurse practitioners (NPs) were called nurse practitioners. Physician assistants (PAs) were called physician assistants. Patient care assistants (PCAs) were called patient care assistants. And the suits were just that … the suits. They kept the lights on and the doors open. They didn’t provide any direct …
Howera is a twenty-nine-year-old Ethiopian woman. She saw me in the neurology clinic for headaches. Two years previously, she had come to America to join her husband. Since her arrival, he beat her physically and abused her sexually. Being a stranger in a strange land and not speaking English, she suffered in silence. Finally, she could take it no longer. She ran away. For the past six months, she had …
Negotiating a contract can be daunting, but it’s a critical skill every physician must master. When I received my first contract, I was overwhelmed by the legal jargon and the sheer number of clauses. It wasn’t just about the salary; it was about securing a fair and comprehensive agreement that would set the stage for my entire career. Through trial and error and a lot of research, I’ve gathered these …
For two years, I have used this venue to expose medical malpractice litigation as a serious threat to society and the medical profession. From your responses, I conclude that patients and doctors are ready for a paradigm shift. Two elements are essential: rational decision-making and stakeholders like yourselves who care. I have the decision-making model, and you have the desire. However, you are paralyzed by hopelessness.
Meanwhile, 85,000 medical malpractice lawsuits …
My deep dive into this topic started after examining a New York Times article regarding the abuse of medical technology within my specialty of vascular surgery. The knowledge this article presented, along with my love of innovation and acquisition of an MBA focusing on entrepreneurship, prompted further probing into the field. Ultimately, my work led to an editorial in the periodical The Vascular Specialist and, subsequently, a TEDx …
Michael Foti, MD, and Tushar Bhagat, PhD, recently reached out to me, each expressing that we are committed to the same goal: well-being for others, especially physicians. I paired them up for an episode of my YouTube channel, where they poignantly shared their journeys to becoming advocates for physician wellness. Through their work, they are creating synergistic loops of feeling better! Here are their stories:
Michael Foti, MD:
At a time when …
Writing is something I really enjoy. I take pleasure in writing, especially because of my beautiful handwriting. When I started school, we had to write with a lead pencil until fifth grade. I was so excited to write with a pen when I started sixth grade. After I learned how to write with a pen, I have been writing nonstop since that day. I found my writing mesmerizing. While my …
In medicine, we were taught to anticipate, diagnose, and predict conditions. Examining our patients allows us to assess the problem and make a plan. We generally know what is coming next unless some action or treatment is taken.
Personal and professional transitions are unlike medical conditions because we can rarely predict what will occur. Our life transitions can seem demanding, often onerous, because we female humans do not like change. In …
Near-death experiences (NDEs) have fascinated both the medical community and the general public due to their profound and often transformative effects on individuals. These experiences typically occur in situations where a person is close to death or facing a life-threatening condition. Common elements reported during NDEs include feelings of peace, out-of-body experiences, traveling through a tunnel, encountering a bright light, and meeting deceased loved ones or spiritual beings. The aftermath …
I had been looking forward to and, at the same time, dreading this appointment. Her husband had been ill for many months, but that had not stopped the verbal abuse that superseded the physical blows he could no longer inflict. She had, over many previous visits, told me stories, chronicled the behaviors, and responded with an icy coldness that left me chilled of heart and spirit every time she walked …
Memories of retiring from medicine flooded me while watching the recent presidential debate, a distressing experience for many staunch Democrats, including me.
Joe Biden’s struggles to speak clearly and move fluidly brought back difficult memories of how my illness forced the end of a satisfying medical career. Faced with the toughest choice imaginable, I decided for the collective good. Now we as a …
Pre-exposure prophylaxis (PrEP) is a medication regimen that effectively helps prevent the transmission of HIV. Under the Affordable Care Act (ACA), most private health insurance companies must cover preventive care services, including PrEP, without additional cost-sharing. In Braidwood v. Becerra, a for-profit corporation challenged the ACA’ s PrEP coverage mandate. The corporate plaintiff argued that compulsory PrEP coverage infringed upon its religious beliefs and violated the Religious Freedom Restoration …
The breakdown in security leading to the attempted assassination of Donald Trump can be compared to the multifactorial failure inherent in medical errors. Both scenarios involve complex systems where multiple layers of defense and prevention are designed to avoid catastrophic outcomes. When these layers fail, it often results from a combination of human error, systemic issues, and procedural flaws.
Both presidential security and health care systems are highly complex and require …
Kim Downey
Wherever conversations surrounding health care occur, similar frustrations emerge, whether I’m speaking with a physician in the U.S., Canada, the U.K., Australia, or New Zealand. I’ve recently been in dialogue with Olivia Morris, co-founder and CEO of Verity Barrington and Doctors Living in Ireland. Olivia has been a global physician advocate for the past ten years. Given that role, along with being married to a doctor, Olivia has acquired …
Since June 2022, the U.K. has been carrying on an inquiry, still ongoing two years later, into the response to and impact of the COVID-19 pandemic, hoping to learn lessons that could be useful in the future.
Here are a few of its revelations.
Matt Hancock, health secretary to Boris Johnson, prime …
All around the world, health care systems are crumbling, resulting in less effective clinical care and damage to health care workers. We all recognize the need for change and want to see it. But could doctors’ psychological makeup hamper the achievement of the actual change we wish to see in our systems?
The nature of doctors
Worldwide, those who enter a medical career are intelligent and driven individuals. Throughout our training, we …
Get free updates delivered free to your inbox.
