Episodes

Aug. 9, 2022

I’m a physician, not a provider

"This is an important time to rise up, come together, and understand that it is our time to remove the confusing veil put on us. We are not delirious. We are not psychotic. We are physicians. We are the ones …

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Aug. 8, 2022

Why doctors are getting their asses kicked by technology

"Physicians have terrible technology, but they refuse to recognize high-tech as a medical specialty. They must integrate technology as they do laboratory science. Physicians are certainly suffering from poorly-designed electronic medical records...

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Aug. 7, 2022

Teen dies when blood culture protocol botched

"Address the patient’s chief complaint first. In this case, the other symptoms were only side effects of the main problem. Pay attention to lab work. In this case, the elevated white blood count and the related blood culture results. Keep …

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Aug. 6, 2022

Less resiliency may heal burnout

The word “resiliency” has been lauded, applauded, and buzzed about in talks about physician burnout. When I hear it, I tune out. My stomach churns. I feel sick. Why? Because physicians are resilient. We are, in fact, the walking, talking,...

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Aug. 5, 2022

What it takes to build a pediatric weight management program

"Amazing pediatricians are back where I was years ago, with their C-suite asking for business plans for the medical side of their adolescent bariatric surgery programs. The reality is corporate health care has infiltrated pediatric health systems, and...

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Aug. 4, 2022

Patient-initiated collaborative texting

"Nearly three-quarters of consumers say they prefer texting with a business if an actual human is the returning texts — no bots need reply. But the rise of artificial intelligence has led to further advances in smart texting, including the …

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Aug. 3, 2022

A breast cancer story from an Asian perspective

"I was first diagnosed with stage 1 breast cancer, DCIS (ductal carcinoma in situ), on May 15, 2015, at 41 years old. I had my annual exam with my gynecologist and told him I felt a small, pea-sized lump under …

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Aug. 2, 2022

How to improve medication adherence

"Automation and technologies can enable adherence, but true change happens when physicians and pharmacists work together in collaborative teams to achieve common goals: Better managed chronic conditions, fewer complications, and improved experience...

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Aug. 1, 2022

What this physician mom learned about shame

"I cry often enough that my kids almost gleefully expect it, checking me for tears during movies or shows, shaking their heads in mock dismay when they see that their prediction is correct. I’ve cried many times at home, watching …

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July 31, 2022

A physician mom’s take on telemedicine

"In early 2018 when I started full-time telemedicine, I was quite reluctant about losing the physical hands-on evaluation, especially the palpation, percussion, and auscultation components in the physical exam, and the holding hands, hugs, and...

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July 30, 2022

Transition planning: financial moves for medical residents and fellows

"While you may not know exactly what your transition period will look like ahead of time, you can do your best to prepare for this change. By having a plan in place, you can make sure you are ready for …

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July 29, 2022

Robotic interventional cardiology

"In the majority of robotic-assisted cases I perform, automated movements are particularly helpful in delivering gear – I can easily get balloons and stents around the C-shaped curve in the right coronary artery from the cockpit just like I would …

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July 28, 2022

What needs to change in medicine for it to be sustainable?

"A prospect seeking a career in medicine must start with their own awareness of boundaries and perfectionism before entering the field. This inner work must be indoctrinated in schools and encouraged through residencies and mentorships. Furthermore,...

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July 27, 2022

What a good death looked like

"He needed to be taken to the hospital to be pronounced, and he was put on a gurney. One frequently mouthed wish was to be taken from his home feet first. I stood beside him as he was placed in …

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July 26, 2022

Allow yourself the space you need to heal

"As doctors, we are called to heal. We are called to serve. It’s in us. Our ability to heal and serve others does not have to be limited to the hospital and clinic walls. I want all our brilliant doctor …

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July 25, 2022

We are humans first and gifted healers second

"If I knew back in training and practice what I know now, I would have looked for the support and mentoring that would have helped me to forge a path in clinical medicine. But I saw help as an admission …

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July 24, 2022

Stop financially handicapping non-citizen physicians

"I acknowledge that as a physician, I am overall financially secure. However, after jumping over multiple extra hurdles to prove myself throughout my medical career, I couldn’t help but feel I have been handicapped financially compared to my...

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July 23, 2022

Guns and public health advocacy

"Nineteen children were killed in a mass shooting in Texas. I have barely escaped the pandemonium of the pediatric emergency department to scarf down a bowl of pasta when I hear the announcement on the breakroom TV. My stomach drops. …

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July 22, 2022

Patient platforms should be intuitive in design and execution

"Communication is both the sending and receiving of information. Data is as difficult to receive and act upon as the ingredients of a meal because much work is left to be done. Information is palatable, actionable, and leads to measurable …

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July 21, 2022

Fibromyalgia is not a trash can diagnosis

"How would you like to see your career slip away from you as you gradually become less and less able to sleep, to rest, to feel awake, to feel like your memory is failing you, to be taking pills every …

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July 20, 2022

Don’t give up on intermittent fasting just yet

"So don’t give up your eating window just yet! The good question I am hoping researchers will answer next: who loses the most weight? Is it the human who eats three meals and no snacks that include protein, fiber, and …

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July 19, 2022

A bullied medical assistant's tragic story

"Today, I’d like to tell you the story of one who was exemplary. He was never late to work. He never came in and insisted on finishing his breakfast at his desk before rooming our first patient. He was so …

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July 18, 2022

Why a nurse should not go to jail

"From a place of personal accountability and commitment to system improvement, RaDonda Vaught’s conduct in the aftermath of this tragic event has been exemplary. She told what she knew, as soon as she knew it, to any stakeholder, for any …

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July 17, 2022

Malpractice may be negative, but its data can generate positive resul…

"When most health care professionals hear the word 'malpractice,' they want to run the other way. This is understandable—but also a missed opportunity. We can leverage malpractice data to target and drive investment in patient safety efforts....

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