“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 …
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 …
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 …
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 …
Today’s politicians have gone amok with their unchecked and uninformed rhetoric and have decided to turn a blind eye to the new number-one killer of children in America. They have chosen to focus on matters that don’t matter, such as my child’s gender.
Supportive families like mine are persecuted daily, and affirming physicians like me are being threatened with the worst nightmare of any physician: the loss of our license to …
In the health care business, as in other industries, there are marginalized and privileged payers. The number of patients covered determines which health care payers can sell at wholesale pricing, benefiting themselves while expecting providers and institutions to make up for lower reimbursements with patient volume. Uninsured patients typically pay retail prices unless they can secure rare waivers from providers or institutions. These waivers are uncommon due to the complex …
For years, I have tried to interest journalists in the machinations of state medical boards, but all we ever see in the media are notices of doctors sanctioned by state boards. Unfortunately, when journalists report only on sanctioned physicians, the public has little understanding of how medical boards really function.
So, I am delighted to see Scott Jensen go after the Minnesota Board of Medicine (MNBOMP) for singling him out time …
As a new parent you look at your baby with a bright full future ahead of them. So much potential there swaddled in your arms. You look at parents of troubled teenagers and secretly look down on them; your perfect baby will never do anything like that. They must be poor parents. Too easy on their teenager. Not enough structure in the house, no rules or oversight. There is no …
An excerpt from Standing Up & Speaking Out for Patients & Doctors: First Steps Toward Focused Healthcare Solutions.
The casual observer, the season ticket holder, the player, and the coach have very different levels of knowledge, skill, and passion for a professional sport. The casual observer may be confused, not even understanding the fundamentals of the game. The season ticket holder …
Medical professionals have consistently demonstrated high levels of burnout and job dissatisfaction in recent times. This has become a significant concern for the health care sector and the general population since it affects the quality of health care services provided to patients. The stigma surrounding burnout and increasing awareness has made it easier to discuss openly among medical communities. The problem seems rooted in how doctors view themselves as medical …
One of the not often discussed challenges of our EHRs may be getting patients to the right medical resource at a time most suitable for their medical condition. Our electronic systems, whether automated by algorithm or assigned to a person given a protocol have become too separated from medical care itself. Our schedulers are no longer ourselves or our secretaries trained in the variability of patient needs, which can then …
One thing that has changed in medicine over my career is the emphasis on patient reviews. As time has passed, more of what we do as physicians has been attached to various metrics, and our identities and success or lack thereof have been defined by these metrics. A huge part of these metrics is patient reviews. In speaking with many of my fellow physicians and seeing numerous comments on physician …
I was driving in the rain, taking in all the abundant Carolina greenery around me, reflecting on how wonderful it was to be out of the hospital and experience this current moment. I started to wonder when was the first time I ever felt burned out in my journey as a physician, and then it hit me like a ton of bricks. Like a scarring memory deeply suppressed, rising to …
Like Seattle rain, the tears were persistent and recurrent for months. Hearing the words, “Your prenatal screening shows a high probability of Down syndrome,” followed two days thereafter by an ultrasound and the doctor’s words, “Well, you saw the ultrasound. This looks like Down syndrome and a cystic hygroma. You’ll need to come back for another ultrasound in a few weeks.” It was the first and last time we ever …
There is an underbelly to every profession, and medicine is no different.
We know physicians are the “best and the brightest,” yet there is a secret lurking in hospitals, clinics, and academic institutes that poses a threat to public safety.
You might expect a cardiac or neurosurgeon to be blessed with great skills and hand-eye coordination. I have worked with doctors who are not only deft with a scalpel, but who can …
The conversation of physician wellness includes self-care and self-care practices.
As a practicing physician, I adopted many self-care practices as the vehicle to restore peace and connect to the flow of life.
One practice has taken center stage for me, creating the pattern interrupt needed to get back in the flow of life when faced with stress and overwhelm.
My morning routine, whether I am waking up at home or in the hospital …
As an ER doctor for many years, I recently retired from medicine to write and explore the world. My husband and I sold our lovely lake home and downsized to a three-season cabin in the woods, smaller than a school bus, and got a tiny RV and a place in Thailand. COVID be damned, we froze our assets camping on the Rio Grande, wintered in Corsica, hiked in the Atacama, …
Readers familiar with my earlier posts understand that I believe nothing causes physician burnout more than the threat of a lawsuit. The risk for any doctor is 5% per year; hence, a malpractice suit is inevitable for every 20 years in practice. The common denominator is a complication from which no doctor has immunity.
Those who deny ever being sued are either not practicing long enough or the complication has little …
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