Episodes

March 18, 2022

Managing expectations during COVID-19

"I had sent an email to some key people in my organization about managing patients’ expectations and how that needed to be addressed differently on an organizational level. The truth of the matter is that I am powerless to change …

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March 17, 2022

How a code profoundly affected this physician

"There is a small amount of literature about secondary trauma. This means that the people who respond to trauma (firefighters, police, doctors, EMTs, etc.) experience PTSD from experiences they were not the primary victims of. I haven’t read the...

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March 16, 2022

Unrequited: love in the time of COVID-19

"If you knew we are like the 'Two Fridas,' that our hearts are connected, would you change your mind? Would you stop as you are about to cut the artery feeding your heart and mine? If you knew that when …

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March 15, 2022

Why do physicians stay in toxic work environments?

"For the most highly educated and specialized professional on the health care totem pole, physicians put up with a ridiculous amount of nonsense in the workplace. You are pressured to see high volumes of patients in a rapid-fire fashion (15 …

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March 14, 2022

Are hospitals evil? A physician contract lawyer explains.

"Unfortunately, when negotiating with hospitals I am frequently forced to deal with individuals who need to 'explain' the importance of maintaining flexibility in their workforce (a wonderful business school phrase that appropriately dehumanizes the...

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March 13, 2022

COVID and obstetrics: a physician shares her story

"I thought of her with each miscarriage I saw in COVID+ mothers, and during each delivery of premature rupture of membranes due to infection. I thought of her every time I gave steroids, increased the oxygen flow for someone struggling …

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March 12, 2022

Requesting disability accommodations in medical school

"I failed my Step 1 medical school board exam by 1 point. This was very hard for me to process, and I consistently wondered if I would have passed if I had just waited an additional week. This new challenge …

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March 11, 2022

What doctors and soldiers have in common

"What makes soldiers and doctors good at their jobs are also the very things that make it hard to leave work at work. My former husband was, and is, very good at his job, especially when it comes to compassion …

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March 10, 2022

Cancer treatment and tumor-informed residual disease testing

"Life can feel full of uncertainty when battling cancer, with few guarantees. 'Is there still cancer in my body?' and 'Will it come back?' are common questions that have long been difficult to answer confidently until recently. Advances in...

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March 9, 2022

Coming back from the brink of burnout

"I understand what it feels like to be in the depths of depression and hopelessness. I have had a lifelong battle with stuttering, obsessive-compulsive tendencies, depression, and suicide. I continually fight these battles and have learned to heal and...

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March 8, 2022

Eating disorders thrive in secrecy, so let’s talk about it

"I was diagnosed over 20 years ago, and looking back, I feel privileged that I did meet the stereotype for anorexia and be forced into treatment. However, along the way, I have gained insight that people of all bodies share …

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March 7, 2022

Tax planning tips for physicians

Often, physicians only give minimal attention to their financial futures, but potential federal changes could make tax planning even more important. The proposed infrastructure bill would increase taxes, affecting those with an annual income higher...

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March 6, 2022

Why health care delivery is an exceptionally different industry

"The business of health care delivery differs markedly from other consumer and service industries in many ways. First and foremost, the economics differ. Specifically, the payers of medical care are often different from the customers, the government...

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March 5, 2022

Why we should celebrate the Great Resignation

"I see lamenting the Great Resignation. I celebrate it. It’s not so much about what people are leaving – but where are they going? What have they empowered themselves to become? The thought, 'There has to be something more,' has …

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March 4, 2022

Digital apps and sustaining mental health

"Digital mental health apps have increased access to mental health care for people around the world. You can find services that fit your specific needs, often on a 24/7/365 basis, so if you need support in the middle of the …

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March 3, 2022

A nuanced look at the Tuskegee syphilis study

"The Tuskegee Syphilis Study is widely acknowledged as a violation of ethics today, but the social conditions of the time allowed the grave injustices to happen in plain sight. In the 1930s, social Darwinism emerged as justification for racist...

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March 2, 2022

High deductible health insurance is bankrupting Americans

"Regulators should push health savings accounts (HSA) and businesses should offer them. While HSAs are growing, they are still only available to 30 percent of workers — more likely for larger companies than smaller ones. This, of course, is a …

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March 1, 2022

Stop health care’s great resignation

"As the next COVID-19 variant hits our country, I feel a renewed sense of urgency. We need to move faster to invest in an infrastructure that protects our nation’s health care workforce before we lose more nurses, doctors, and other …

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Feb. 28, 2022

Diabetes impacts the whole body, but the foot can’t be forgotten

"As we know, diabetes is a comorbidity that can cause more severe symptoms in COVID-positive patients. This knowledge, along with the sense that diabetes is overwhelming the entire body, can quickly deplete a patient’s reserve of positive energy....

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Feb. 27, 2022

Why boundaries should be part of your 2022 physician goals

"Setting boundaries can look like setting a time limit for patient appointments, availability for email responses, the number of shifts worked this month. You can set boundaries by saying 'no' to low compensation, setting a time limit on conversations...

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Feb. 26, 2022

How not to be a broke doctor

"Remember the things that we’ve discussed as the majority of people are broke. And just because your friends are showing off the 'stuff' things they buy doesn’t mean they can actually afford them. Once you realize that everybody in the …

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Feb. 25, 2022

Opportunities from the coding changes in primary care

"There’s a new best practice emerging, one that lets you deliver a high standard of care today but that well-prepares you for a shift to value. We’ve been talking about it throughout this article series in terms of doing more …

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Feb. 24, 2022

Pandemic behaviors, dog poop, and the social contract

"It is hard to understand and communicate the uncertainty that comes with evolving science, the changing recommendations as we learn more, the vaccine that didn’t do all that was initially promised. It has become even harder with the erosion of...

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Feb. 23, 2022

A PSA from a neurologist to the medical community

"Have you ever been to a new city and realized you’d been pronouncing a street or a town name all wrong? Have you ever been from one of those cities and has it broken your heart to hear someone call …

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