For anybody who has an obese patient that's really struggled, look past the idea of them not trying to consider the possibility that there's more to it. And even for doctors who are not obesity specialists and who have not previously prescribed weight loss medications, this is different. This is…
What always kind of draws me to those patients in my examining room is this feeling of heaviness and defeat and lack of self-worth that just is clearly tied to their weight. And I think those patients, those who have been there, did it, tried it, and now are at…
"Obesity is not the consequence of bad behaviors it is a disease that finally has effective, safe, lasting treatments. Patients with obesity have been marginalized long enough. We, especially health care providers, have got to start taking down barriers for these patients — not adding to them." Christine Meyer is…
“What improvisational technique can I use in the exam room to help me become a better physician communicator?” The primary principle of “yes, and.” If you stick with that, that means, “Yes, you're gonna validate the person first.” It's a listening skill, but whatever somebody says to you in the…
Are we going to change our behavior when we have this constant stress? And I think the place to start is, I'm going to respect myself, and I'm gonna respect you. I'm going to respect the limits that I have. I'm going to respect the limits that you have. I…
"While patients, the workforce, and key outcomes are way better off in a culture of safety, the process from toxic to healthy culture requires a challenging shift from relationships rooted in distrust to trusting ones. To ensure long-term meaningful change, leaders must steadfastly create a foundation of trust. An apology…
“You mentioned in the studies of the women who had hysterectomies they may not have asked the right questions, so talk more about that.” I think, number one, that it's always good for women to say: What else could this possibly be? When they get a diagnosis, is there another…
Doctors assumed that patients understood that their illness had a biological cause and that they had very little control over it. On the other hand, patients assumed that their illness was their fault, and as a result, they had a lot of control that they could exert over it. So…
"Shame has no place in illness or in health. The first step to eradicating shame is to openly speak up about symptoms and concerns and for health care providers to commit to acknowledging and interrogating the needs of every individual thoroughly." Susan Salenger is a writer. She shares her story…
“Tell me, in general, some demographic characteristics of those who choose to go to medical school in the Caribbean.” So the students that we have in the Caribbean, about 85% come from the U.S. That's something that I think many people don't know. We do have higher percentages of underrepresented…
One of the strongest misperceptions is that the students who go to international medical schools, particularly in the Caribbean, are not qualified. There is a misperception that the students there somehow are, you know, not as good as their U.S. counterparts. I think there is also a perception that the…
"If we want to achieve a physician workforce that mirrors our population, medical schools must collectively understand that we have created an admissions system that selects against Latinx and BIPOC students. We need a new system. But a new admission system will not be enough. More medical students of color,…
If you are noticing that it's hard for you to keep a job or it's hard for you to be in the workplace because there are too many people in the room that you feel uncomfortable with the lighting in your office, that you feel really out of sorts by…
So what a sensory processing disorder is is that we have five senses. There's either a heightened sense of one of those five senses, so that sight, smell, touch, hearing, things like that, or they have a lower sense of it so that they can be either what we call…
"Understanding and recognizing sensory processing issues may help improve functioning and quality of life for many individuals, starting with children in school. While many are preparing for back to school, it is important for parents, teachers, health care providers, guardians, and policymakers to be aware that millions need funding to…
Suicide is one of the major causes of death from firearms, as well as homicide. So we need to be addressing suicide prevention and asking about depression and suicide, and we also need to be talking about firearms because they may not come up. If you wait to talk about…
We are not powerless. Unfortunately, there is another shooting every week, which is awful and shocking, but we can move from that and do something about it at any level. Clinicians: Talk to your patients. Parents: Talk to other parents, vote, and look up those candidates who vote for gun…
"As a parent of elementary school children, every mass shooting, particularly ones killing school children like in Uvalde, jolts my doing-the-mom-thing-just-keep-busy-can’t-stop denial. On the last day of school before summer vacation, when the bus doors squeaked open, and my kids hopped off, I experienced a momentary sense of relief. They…
“What are some of the chronic symptoms of prostate cancer that they have to suffer in silence with?” I think probably a big one is a self-esteem and a sense of self, a sense of being strong, and having energy. Their sexual function may be an important way by which…
“Give us some specific ways how you would incorporate lifestyle medicine and nutrition in a typical office visit.” So I think it's highly variable. Patients are very different. They come with different expectations. I have some completely plant-based patients, some who are still eating cheeseburgers a couple of times a…
"You have the power to make healthier choices to reduce your risk for prostate cancer. While things like genetics are out of your control, there is a wealth of research showing that there are simple ways to reduce your risk for prostate cancer that are within your control. Over the…
“How would you fix this if you were in charge of the quality metrics?” I think the intentions are good. I think that we need to be more nimble in reacting to unintended consequences. What I'm objecting to, what I'm describing in the Kevin MD article, is the unintended consequences…
There's going to be five or 10 minutes that you have to yourself, and so you can hit all of those areas of pleasure or enjoyment all at once: simply by going outside, during your lunch break, sitting in the sun, or taking a little walk. Maybe you listen to…
In order to be an effective physician, you have to have the desire to be challenged. Not just a desire to be challenged but the desire to also overcome these important, difficult situations. Sometimes when it feels like the world's caving in on you, you stop. You got to keep…