"Every January, millions of people make New Year’s resolutions. It’s a joyous time full of high hopes. Ask people what they wish to achieve or hope to accomplish in the following year, and the answer will usually be something such as any of these: “I want to: lose weight; improve…
"Much is written about the advantages for primary care physicians and patients of working within a retainer model, direct primary care, concierge-type care model. Little is written about the downside or disadvantages. It is time to shine a light on the benefits and challenges of concierge and standard models through…
"Nowadays, even scientific fact has been politicized. Even though many of us may wish to stay out of politics and stick to our “nobler” lane of medicine, the reality is even your clinical practice could be considered “picking a side.” Do the right thing. If you’re up for it, advocate…
"Are you a perfectionist? Did you know that perfectionists are actually some of the biggest procrastinators? Yes, really. In theory, perfectionism sounds like a good thing. Who doesn’t want to do and be their best? It can even seem like a harmless way to motivate yourself. But the reality is,…
"With schools closed, children spent hours upon hours sitting in front of a screen for instruction and homework. Non-academic screen time increased as well, with parents needing to work from home and thus relying more on screens to occupy the children. Parents also were unable to police screen time as…
"'Doctor, it’s taken so long to get this appointment with you!' This is the opening line of so many medical visits, and I find myself constantly apologizing to my patients on behalf of our system. After the pandemic-induced lull in routine medical care, we’re right back where we started—doctors booked…
"It is uncomfortable to be publically vulnerable with my story. I wish the statistics and research were enough to change the field of medicine for patients and physicians. I want people to care about the experience of their patients and colleagues enough to examine their own implicit bias and privilege…
"Guess what? The mouth is attached to the rest of the body. And though dentistry and medicine are typically separated from the very beginning of professional training, they are irrevocably linked for patients and have an impact on each other. Here’s some foundational knowledge that will help set the stage…
"Military physicians should also realize that not all employers are equal or treat their physicians equally. Military physicians entering the civilian job market are in a 'seller’s market.' They should get a reasonable employment agreement. It is important to remember that while you were serving your country, you also gained…
"While the technological boom in the health care field is not a circumstance of the pandemic, the accelerated roll-out and adoption of digital features certainly are. And rapid innovation in the health care technology field is not a bad thing in itself. Health care technology discoveries improve health care access,…
"I think we all have an inclination—at least from time to time—to judge others. No matter how experienced, compassionate, and professional we are as physicians, we’re still human. I can admit that I have indeed struggled with patients like the 65-year-old morbidly obese male who complains at every visit about…
"It might seem odd to write about what high-weight patients would like when they meet with their doctors. Don’t they want what every patient wants? The answer is yes, but the fact is, they often don’t get it due to implicit anti-fat bias among health professionals. In my 30-plus years…
"Many health care professionals go into health care to help people, no matter their race, socioeconomic status, or other identities. Even as white health care professionals start to learn about the systemic nature of racism, something that our Black and other colleagues of color have experienced their whole lives, we…
"I was working at an urgent treatment center, where a busy Saturday in January would be overwhelming. At one point, I hired a scribe. She was a bright young woman interested in medicine and some alacrity with computers. It was a pleasant change of pace for me. She would accompany…
"What is currently known is that monkeypox is transmitted primarily through close contact with skin lesions, bodily fluids, and respiratory droplets. Men aged between 20 and 50 years, many of whom have sex with other men (MSM), are notably included in a majority of the cluster cases, thereby indicating that…
"Would you expect the chef at a restaurant to be told that they are not only required to prepare the food in the kitchen but also deliver it to each of the tables and manage the billing? What about sorting out the restaurant's finances or understanding the number of patrons…
"As I looked across the boxes on my screen, I saw the gleaming faces of my peers. Just as it did then, and as it has for countless of my peers since, involvement in the Student Osteopathic Medical Association (SOMA) Advocacy Day showed me the difference that medical student voices…
"Are you a perfectionist? Did you know that perfectionists are actually some of the biggest procrastinators? Yes, really. In theory, perfectionism sounds like a good thing. Who doesn’t want to do and be their best? It can even seem like a harmless way to motivate yourself. But the reality is,…
"Five days before this story begins, where everything is upside down, and the end is the beginning. Me, standing in my PICU, slowly approaching that cradle, then removing the medication, one by one, turning off the syringe pumps. Saying out loud the number of milliliters passed, where that line is…
"Dying and introspection happening at the same time were a dual reality that I found impossible to ignore when Bill was not doing well. As Bill’s poor prognosis and impending death began to reflect on our life, it was getting harder to respond to the living as we had in…
"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 an open mind, broaden your differential and document your medical…
"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 the C-suite looks at the medical component as a necessary evil to…
"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 ability to answer simple questions — such as “when is…
"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 my right armpit close to my breast. He confirmed what…