On August 8, 2023, DEA agents shut down the Oak Hill Hometown Pharmacy in the Southern District of West Virginia. Their crime? Having filled more than 2,000 prescriptions for Subutex over more than two years “in the face of obvious red flags of drug abuse and diversion,” according to the U.S. Attorney for that district. I guess someone needs to explain to the government what the heck Subutex is prescribed …
Why aren’t we physicians kinder to ourselves? Why aren’t we kinder to our colleagues? Why aren’t we kinder to our patients? I tend to think the answer to all of the above questions is a disrespect many of us have for what we consider being human.
For some reason, many of us in health care associate our humanity only with what holds us back from being our best. In fact, there …
I’ve been honored and privileged to have had recent conversations with two courageous women: Betsy Gall and Pamela Marie Hobby.
Pamela met a medical resident who changed the course of her life on October 28, 2019, and Betsy’s life was forever changed exactly one month later, on November 28, 2019.
Betsy wrote a book to share her family’s story. The title grabbed Pamela immediately, as it aligned with what she was building …
Making a bed seems to be a lost art these days, an unassuming ritual. I have memories of my mother draping, folding, laying, and spreading sheets as they danced in her open-air bedroom. My grandmother passed on the technique to her. From my observations of other families, this practice varies from generation to generation. In a way, making a bed symbolizes life’s journey, where the layers of sheets represent rich …
A patient presents to the emergency room of a major local hospital with ulcers on the heels of both feet. The patient is more than 40 years old, smokes, and has hypertension but is not a diabetic.
It is determined that the patient has peripheral artery disease. The patient is admitted to Dr. X’s service. Dr. X is a vascular surgeon with a special interest in endovascular devices for peripheral artery …
In our journey as physicians, the traditional narrative often presents a seemingly binary decision: you must choose between seeking employment within a hospital or health care institution or venturing into the challenges of establishing a private practice. However, this oversimplified dichotomy fails to capture the evolving landscape of health care entrepreneurship, particularly the emergence of a third, less conventional path – that of the single-member professional micro-corporation.
The myth of the …
In writing and teaching about physician careers, I’ve explored themes like job satisfaction, burnout, professional development, and well-being. A recurring phrase that arises in conversations, at conferences, and in online forums is the so-called “rat race” of medical practice.
“I need to find a way out of this rat race.”
“This rat race wasn’t what I signed up for when I chose medicine.”
“I’m tired of the rat race and need to find …
“Creativity is intelligence having fun!”
George Scialabba shared a variation of this quote in a 1984 Harvard Magazine article, though it is often attributed to Albert Einstein.
National Creativity Day is coming up on May 30th. What does that have to do with being a doctor? Everything!
Dr. Amy-Jo Farrow in the U.K. and Dr. Charity Hix in the U.S. speak to the importance of nurturing creativity in our lives. The demands and …
I opened my internal medicine practice almost four decades ago to serve a growing urban community. I gravitated toward the underserved geriatric population as they were vulnerable patients and eventually moved into the bygone realm of house calls for home-bound seniors.
This enhanced my learning curve, as house calls are not taught in medical school or residency yet bridge the continuity gap between hospitalization and patients returning home after an acute …
Recently, a very young colleague of mine who worked in the same hospital as me passed away from sudden cardiac arrest. We were shocked and deeply saddened by his death. A few days later, I met a common friend of ours who told me that he was under a lot of stress due to some family matters and work politics. He had a lot of responsibilities on his shoulders. He …
“I maybe have a tiny shred of compassion.”
A doctor I know wrote this in reference to a person they’d never met, a person who had been verbally abusive to many health care professionals. A person who was a prospective patient.
A tiny shred of compassion. Maybe.
I had met the patient in question, was the physician caring for them in the hospital. I was trying to find a PCP who would take …
March 30th marks National Doctors’ Day – a day meant to honor the immense work and impact physicians have in caring for our patients and their communities. As resident physicians, we are proud and honored to have joined this noble profession.
However, on this particular Doctors’ Day, we are also acutely aware that medicine is–once again–at a historic crossroads. The recent waves of sweeping anti-diversity, equity, and inclusion (DEI) legislation threaten …
Trauma in the form of war is one of the worst forms of trauma to endure. How do people remain objective about events and the involved nations when they have been directly or indirectly affected by war?
For example, how are Holocaust survivors and their families able to unemotionally relate to present-day German citizens? How do the descendants of the more than 2,000 allied civilians who were imprisoned in the infamous …
No, I am not suggesting a new medical diagnosis, but I am merely pointing out a society-wide ailment in our U.S. culture. In support of my contention, I point to Compassionomics, the superb 2019 book by Drs. Stephen Trzeciak and Anthony Mazzarelli. In their compelling science-based presentation, the authors state, “Specifically, the hypothesis is that providing health care in a compassionate manner is more …
In 2016, I sat on a hospital bed in Utah, having flown from North Carolina for specialized medical treatment as my life was slowly slipping away from starvation.
During this time, I was in the Air Force and an oral and maxillofacial surgery resident completing the medical school portion of my training, which I loved. On paper, I had made it. I was finally living the dream I had crafted for …
As I stepped into the hospital waiting room, the anxious eyes of family members greeted me, their worry palpable as they awaited news about their ailing patriarch. Quickly, I introduced myself and delved into the heart of the matter.
“I wanted to talk to you about your father’s condition. It’s not easy news, but I need to be honest with you. Despite our efforts, your father’s brain suffered irreparable damage during …
I hate to say that we should follow the Fox Mulder School of Paranoia on this one, but the evidence is clear. You can go to prison for what others do with your credentials. Being a doctor comes with incredible privileges, or at least it used to. Now, with the corporate takeover of medical care, we get to work ourselves to death and be hung out to dry if someone’s …
I started having children towards the end of my medical school. By the time I became a resident, I already had two young boys. My wife was also a pathology resident at that time. We worked hard and were fortunate to have parents who helped us occasionally. However, we still missed out on a lot when my family relocated to Florida; my sons began their first years in school while …
Recently, I met a coaching client for her second session. As we greeted each other, it was immediately apparent that her energy and mood had shifted from the first session. She seemed lighter, her shoulders were higher, and her posture was straighter. There were smiles instead of tears.
In the initial session, we discussed pressures and expectations. It became clear that these were largely internally generated. Like many doctors, this person …
Medicine, with its somewhat tarred history in the matter, has woken to the cause of inclusivity. Not too long ago, in the early twentieth century, the American Medical Association (AMA) orchestrated reforms requiring immigrant European doctors to pass rigorous qualification exams, which most American doctors themselves were highly unlikely to clear. Rather than concern about standards, it was largely cynical turf protection to squeeze out better-trained doctors the patients were …
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