One of the most memorable scenes in Goodfellas occurs early on, when the audience is introduced to most of the crew at the Bamboo Lounge. Henry Hill (Ray Liotta) and Tommy DeVito (Joe Pesci) get into a tense exchange. Tommy seems to get offended after Henry calls him funny. “I’m funny how, Tommy wants to know?” “I mean, funny like a clown? I amuse you? I make you laugh?”
Unknown to …
In a world often marred by division, conflict, and hatred, the concept of love may seem like a fragile flower struggling to bloom amidst a harsh and unforgiving landscape. However, it is precisely in such a world that the power of love shines most brilliantly. Let us explore the importance of love in a world full of hate and consider insights into how individuals and communities can foster love to …
In psychiatry, we are trained to prepare our patients for the end of treatment. Treatment planning focuses on goals and strategies to help the person eventually end their need for therapy and external interventions. Interestingly, even with this anticipation of ending our relationship as part of the focus, it is not unusual for patients to disappear.
Ghosting doctors and treatment personnel is sadly commonplace in the mental health space. I have …
When I received an email from her in March, it was exceptionally helpful and genuine. You could tell she exuded that class president energy and was a true leader. Dr. Mortimer sounded excited for residency to begin.
We met each other across the green at the mandatory, unpaid 4-day orientation. She seemed laid-back and content. I remember the one week of electives we were granted was scheduled early for her. By …
What will the U.S. health care industry look and feel like in 2023?
If you want to call the U.S. health care a “system” today, what will that “system” look like in the year 2030, and how will it handle the health care needs of an older, sicker population?
With nearly everyone calling for system change and reform, including “burn it to the ground” and more, let’s look at the demographics of …
In July, we all got at least one day off to celebrate a very American holiday, Independence Day. If I were a betting man, I would say that many, if not most of you, participated in at least one of those grand old American pastimes: eating hotdogs or apple pie, barbecuing, going to a baseball game, floating in the pool, watching a movie, or … drinking alcohol. After your celebration …
Sir Isaac Newton dedicated as much, if not more, of his time to the study of alchemy than he did to the natural order of the universe, but most of his work as an alchemist remained unpublished until long after his death when a metal chest full of his belongings was auctioned in 1936. The great man of science, the first of the Age of Reason, was simultaneously the last …
How should a patient deal with medical patient abandonment? A Japanese saying is, “It is better to fix the problem than to blame.” This invites a learning and growth opportunity for those with less knowledge and experience. Based on this, let us look at problem-solving for medical abandonment, neglect, and errors. The principle behind this philosophy follows the desire to allow an adversary to maintain face. If they take the …
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Join Jack McGeachy, an emergency physician and expert in addiction medicine. Discover how doctors possess a hidden superpower when it comes to addiction treatment and how they can effectively address the biological, psychological, and social aspects of …
As a resident physician working in a rural state that recently underwent a legislative session characterized by an overwhelming anti-patient, anti-trans, anti-abortion, and anti-physician-patient relationship stance, I find myself invigorated by the commitment and action of community members who persistently call for change and advocate for their right to health. They remind me of the expansive diversity within rural communities.
Despite state legislators who may present a loud, anti-diversity voice, they …
Today, more than one in five Americans are caregivers, providing care to an adult or child with special needs at some time in the past 12 months. Given this sobering statistic, I’m surprised we do not see as many health narratives written by caregivers as, say, doctors and patients, at least not in print.
Caregiving is emotionally draining. However, writing when you are in a caregiving role is one of a …
The global cosmetic surgery market has witnessed remarkable growth in recent years—in 2021, it was valued at $67.3 billion, and projections suggest it will reach a staggering $201 billion by 2031, with a compound annual growth rate (CAGR) of 11.6 percent from 2022 to 2031. We can largely attribute this exponential growth to society’s increasing desire for enhanced aesthetic value and the evolving beauty standards of our time. As societal …
There are no words more devastating than, “Our hands are tied” to a survivor reporting abuse and seeking some semblance of accountability from a larger institution. “The institution admitted no fault” is a close second.
Picture this sequence: a trusted physician at a renowned academic medical center sees a patient at a vulnerable stage in her life for a regular appointment. As she is exposed for a standard physical exam, he …
I started my career at a state hospital but transitioned to a VA hospital in 2007. I had been a resident at the hospital and was familiar with the unit and population. The unit had 19 beds, and typically these were filled. Often, admissions were for crisis stabilization due to suicidal ideation, and recidivism was very high. Typically, an unmet need other than psychiatric care was being addressed in many …
Picture yourself as a junior resident on morning rounds with a senior and a rotating intern. You’ve been up almost all night on call, and you’re almost at the end of the patient list. Your senior asks you about the next patient, and you stumble. You can’t find your notes, and you’re blanking on the answer. Your senior becomes impatient and starts to raise their voice. How do you react?
If …
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Join Karla Lester, a pediatrician and certified life and weight coach, as she shares her compelling journey from dedicated medical professional to a survivor of narcissistic abuse within the health care system. Karla sheds light on her …
September was National Suicide Prevention Month. In a short while, we also approach the 41st birthday of the late Stephen “tWitch” Boss, a widely beloved dancer and executive producer of The Ellen DeGeneres Show whose death by suicide is still hard to grapple with
tWitch, who initially rose to prominence from the dance competition So You Think You Can Dance, captured the hearts of millions by running social media …
In the vast universe of all that has been written, writing about loss, illness, and death is probably second only to writing about intimacy, relationships, and longing. In the world of narrative medicine, the order is reversed. Patients are harnessing the power of writing, sharing, and telling stories of health and sickness using personal narratives to navigate illness, trauma, and grief. The experience of being ill is made less isolating …
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