Videos

March 21, 2022

We're failing people with opioid use disorder

"We know regulators can move quickly to confront a health crisis because we have seen it in action. During COVID, the nation eased regulatory burdens at all levels of government to help health systems and doctors leverage technology and change the way they deliver care and to drive vaccine innovation.…

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March 14, 2022

A body part that fills me with a roller coaster of emotion

"Their absence makes me feel sad, I look around at my peers, envious and curious, Obsessing over when they will show up. When they do, they never seem to live up to expectations, Too small, too uneven, but what’s sure is it’s a sign I’m no longer a child. It…

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March 14, 2022

To my patient who is going to lose her hair from chemotherapy

"I understand that the biggest fear you have about going through chemotherapy is losing your hair. I just want to tell you. You will be fine. Trust me. I know it’s barbaric. Why don’t we have medicines to treat cancer that will not make you lose your hair in this…

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March 14, 2022

Changing how we think about "difficult" patients

"Our patients go through some very predictable fears and responses to illness and injury. In turn, medical students and residents also think and respond with some thought distortions and misunderstandings about their patients and themselves. Armed with awareness and familiarity with the typical patterns, we learn more about what to…

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March 14, 2022

Family medicine and the fight for the soul of health care

"Overall, the health system in the United States is still not tilting its axes in favor of either primary care or family doctor. What is worse, family doctors as a collective are more balkanized and less cohesive than ever. There is a sense among those in the field that something…

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March 14, 2022

Kids are not OK: Health care is failing them

"Our children are not OK. Our pediatricians are not OK. Please, let us not further ignore and jeopardize the future health of our society. Pediatrics needs a transformational change to direct primary care and other models that transition from transactional care to relational care. Encourage your employer to embrace direct…

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March 14, 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 the way the system handles a lot of things. The…

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March 14, 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 literature, and I don’t know what qualifies. I do know that…

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March 14, 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 you cry because of your loneliness, because of your longing…

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March 14, 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 minutes per visit) even when it interferes with the quality…

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March 11, 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 people who are accomplishing the purported mission of the hospital to treat the sick and injured).…

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March 11, 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 to breathe, or held the hand of someone before their…

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March 5, 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 than $400,000, which is not uncommon for physicians. These changes make it vital for physicians…

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March 3, 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 and care for his patients. At work, he gives his…

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March 3, 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 next-generation sequencing — and a growing understanding of how our bodies…

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March 3, 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 recover through family, friends, and ultra-running. Since attempting to take my…

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March 3, 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 my struggles. And the use of weight/BMI to determine whether…

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Feb. 21, 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 led me to reach out to a new resource: the…

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Feb. 21, 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 and third-party insurers are the primary payers, demand is inelastic, quality metrics are…

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Feb. 21, 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 been pondered and fleshed out. We are stretching our wings,…

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Feb. 21, 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 night, it’s there. Digital apps can include resource libraries, artificial…

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Feb. 21, 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 practices. The perceived inevitability of African Americans’ natural “extinction” was used…

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Feb. 21, 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 way to help pay for extra medical costs almost always…

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Feb. 21, 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 care team members. Every day they risk their own safety…

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