Episodes

Jan. 19, 2021

How shame almost ruined a physician's life

"I do want you all to know that shame is a very familiar brain track (like an 8-track tape, if you know what that is), but not one I am stuck in. The above experience of failing a class turned …

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Jan. 18, 2021

COVID vaccines, overcoming skepticism, and pandemic theater

"Environmental cleaning rightfully plays a more prominent role within health care facilities to control the spread of other diseases, but even hospitals have overreacted when it comes to contact precautions for SARS-CoV-2. I recently went to get...

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Jan. 17, 2021

How ocean plastic picking made me a better pediatrician

"It has been over a month since I started this new hobby. I told my middle-school-aged daughter tonight, 'I am going to write a post about how ocean plastic picking has made me a better pediatrician.' She replied, 'You mean …

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Jan. 16, 2021

This physician is overwhelmed. She is not alone.

"I am overwhelmed right now. I know I am not alone. I hear it in the voices of my friends, family, colleagues, patients. We are all feeling it. I am overwhelmed by this virus. There is so much to learn, …

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Jan. 15, 2021

Tips for medical students starting their clinical rotations

"Each year, medical students across the country prepare to start the long-anticipated core clinical rotations. Suddenly, we’re thrust into a world of constant adaptation and evaluation, with many highs and many lows. As I finish up the year and new...

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Jan. 14, 2021

Do doctors make great entrepreneurs?

"We in medicine are experts in delayed gratification. We’ve been in school for what, about 21 years before residency? Then we finally become an attending. Then we can splurge a little. But still, we were told to hold back. Live …

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Jan. 13, 2021

A crisis of physician intra-professional respect

"What has become of medicine today? What has become of the sacred patient-physician relationship? What has become of medical offices- aren’t they supposed to be healing places? Who goes to a medical clinic (no matter how Big the Name) to …

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Jan. 12, 2021

Dear medical community, it’s time to engage in the climate movement

"I plan to reach out to climate organizations and see what I can do to get involved. Whether that means writing more op-eds like this one or writing to legislators, I now recognize that as part of the medical field, …

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Jan. 11, 2021

Women physicians and pivoting from medicine

"We must continue to work to create gender equity as here is where we stand today: A significant gender pay gap still exists in medicine where women doctors earn up to 33% less than their male counterparts. Even though women …

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Jan. 10, 2021

How this surgeon beat a medical staff disciplinary action

"I recently represented a physician in a noteworthy peer review case at an academic medical center. The medical staff president initiated a complaint against a surgeon, who would later become my client. The complaint was that the surgeon...

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Jan. 9, 2021

When an epidemic of violence against health care workers meets a pand…

"The COVID-19 pandemic has exacerbated factors that cause violence in the workplace. At no time in recent history will you find clinical health care workers under this degree of stress. Physicians and nurses are operating under high alert in hospitals...

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Jan. 8, 2021

When your institution has a less than 1% hiring rate for Black reside…

"As soon as I realized we had so few Black residents, I began to ask around to find out if there were reasons why. One person brought up the fact that we happen to be the smaller institution between 3 …

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Jan. 7, 2021

Medicine must create inclusive clinical trials

"Researchers should make clinical trials more accessible by providing patients with simple explanations of studies at a variety of locations, including community clinics and medical centers. Increased flexibility regarding transportation and visit...

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Jan. 6, 2021

Beyond the medical lessons learned from COVID

"I am thankful to you SARS-CoV-2 virus as you allowed me to be human again, to make mistakes, and learn from them. You taught me to slow down so that I could reset and redefine my goals. You allowed me …

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Jan. 5, 2021

Care is no longer personal. Care is political.

"To care for dependents, the carer must be cared for, both for the sake of her charge and for her own sake. Without such basic infrastructure, we have anxiety, confusion, and chaos. Contagion knows no independent individuals. Its...

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Jan. 4, 2021

A medical student’s 100 days of COVID

"The first 100 days of COVID made me confront and reflect on a lot of aspects of myself and life, as philosophical as that sounds. Often times, I’m exhausted talking about COVID every single day and frustrated because we should …

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Jan. 3, 2021

Why flu vaccines are more important than ever in this pandemic

"The flu vaccine can strengthen your immune system, prevent the disease spread among those closest to you, protect your children, and reduce the health care system’s burden. Protecting ourselves and others as we traverse a pandemic is paramount in...

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Jan. 2, 2021

Climate change, cardiac arrest, and the price of inaction

"We have to start understanding these as the real costs of climate change. We are paying these costs now. In my state of Oregon, people are going to start getting sick and dying in the next few days of the …

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Jan. 1, 2021

COVID-19 vaccines: Channeling the 7 habits to get from vaccines to va…

"As we get excited about vaccine news and results, we need to evaluate our messaging and how we can get to high enough COVID-19 vaccination rates to achieve herd immunity. This requires broad and frequent education on the safety and …

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Dec. 31, 2020

Bottles and pacifiers: advice from a Latinx pediatrician

"Growing up in Puerto Rico, 'babas' (bottles: biberón/botellas) and 'bobos' (pacifiers: chupetes/chupón) were very common among the families and children of the island. I still remember our Abuelita giving us milk in our “babas,” so...

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Dec. 30, 2020

Why COVID is so emotional for physicians

"These encounters made my evening shift much more emotional than usual. I am still not sure what it was exactly that evoked such strong feelings of sadness. Was it having a patient who was a health care worker? Was it …

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Dec. 29, 2020

Think you have an iodine allergy? You may want to reconsider.

"Iodine-based contrast agents are widely used for CT and other X-ray studies. They light up blood vessels and enhance perfusing tissue. These agents are essential for diagnosing everything from clots, to tumor, to bleeding. Unfortunately, many...

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Dec. 28, 2020

Behind the scenes of a hospital's COVID response

"In the midst of a COVID-19 pandemic, getting a flu shot has never been more important. Many people are staying indoors, wearing a mask, and washing their hands frequently. In this environment, patients ask me, “With all this social distancing, …

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Dec. 27, 2020

Food allergies are not funny

"If we do not raise objections to this kind of comedy, we are teaching those around us that food allergies can be funny. It is no that surprise that data indicates kids and adults are anxious, embarrassed, and bullied due …

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