Episodes

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 make up 36% of practicing...

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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 other larger universities within an hour away and...

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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 to have time for myself, to dream again, and plan...

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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 be in a much better...

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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 wildfire smoke choking the air. When they...

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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 efficacy of the...

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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 the rapidity in which all three...

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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, do I...

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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 to food allergies. When we...

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Dec. 26, 2020

Surgical smoke evacuators and inertia in the time of COVID

"Early in the pandemic, in thinking of and discussing possible solutions to help protect health care workers, two of my former colleagues and I recalled a device called the Surgical Smoke Evacuator (SSE), which we used extensively since the 1990s when...

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Dec. 25, 2020

Talking politics in the exam room

"The medical profession now understands that social determinants of health are probably the most important driver of a patient’s overall health, and these determinants are largely the result of political decisions. Clearly, we have a professional...

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Dec. 24, 2020

Why corruption is ruining your health care

"Doctors help patients, and they love us for it. We fix bones, replace joints, cure killer infections, and control diabetes with insulin. We use painless scans for diagnosis. Liver, kidney, and heart transplants are now routine. Some patients get...

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Dec. 23, 2020

How to develop a mission-driven personal brand

"When it comes to social media, embrace a micromedia mindset. That means sharing entertaining, informative content that provides value. Think of yourself as the editor of your newspaper. Newspapers include various content: current events, interviews,...

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Dec. 22, 2020

Understanding critical care in the ICU: then and now

"I write this as a caregiver, patient educator, and clinical researcher. The coronavirus pandemic has shone a spotlight on intensive care units (ICUs).  Due to the rapid and continued increase in critical illness from COVID-19 infection,...

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Dec. 21, 2020

Does your doctor’s age matter?

"If I had $100 for every time I walked into a patient’s room, introduced myself as the doctor, and was immediately asked, 'Hey, how old are you?' I might be able to retire right now — at the age of 28. Of course, I am exaggerating, and yet this...

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Dec. 20, 2020

Don't underestimate the value of intergenerational relationships

"With the rapid growth of modern medicine and awareness in lifestyle and environmental influences, individuals can live longer and healthier lives. Approximately 15.2 percent of the U.S. population consists of individuals 65 years and older. To make...

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Dec. 19, 2020

Issues faced by LGBTQ individuals in the operative setting

"Studies have repeatedly demonstrated a vast majority of pain physicians don’t feel like they have adequate training in meeting the unique needs of this patient population, though most agree that such efforts are very necessary. This disconnect...

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