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Last Build Date: Fri, 23 Feb 2018 16:00:32 PST

 



A medical student’s first day in anatomy lab

Fri, 23 Feb 2018 16:00:32 PST

During the first week of medical school classes, we visited the anatomy lab. As far as I can remember, I had extremely mixed feelings on that day. I felt the thrill of taking my first baby steps towards my medical journey blending with a certain feeling of fear. Was I afraid of the pure existence of […]



How this physician started his consulting business

Fri, 23 Feb 2018 12:00:52 PST

I do some of my best thinking while exercising. A few years ago, I was swimming laps in the still-dark early morning. Swimming is one of my favorite activities. But in a pool, it gets boring staring at the bottom, so my mind often wanders off to tackle difficult problems. That morning, like many of […]



The problem with patients bringing in their own CDs

Fri, 23 Feb 2018 10:00:18 PST

As someone who has been in IT health care supporting hospitals, radiologists, and specialty surgeons, I’ve seen the struggle from just about every angle when it comes to the problems with health care technology. One of these struggles that continue to be a problem for myself, our patients, and our physicians are the imaging CDs […]



In tragedy, practicing medicine both an honor and a privilege

Fri, 23 Feb 2018 08:00:29 PST

For the past four years, this is James Beck’s routine: After a morning spent guzzling $5 vodka, he stumbles into a Dunkin’ Donuts parking lot, lying on the cement with his dusty oversized coat splayed open to reveal a cachectic chest. A concerned patron (cigarette and coffee in hand) will call 911 and, in accordance […]



3 steps doctors can take to stop living paycheck to paycheck

Fri, 23 Feb 2018 06:00:17 PST

Many doctors today find themselves living paycheck to paycheck. They make a good income but just never seem to get caught up. Non-doctors see us as rich. But many of us are just broke on a larger salary. The whole reason I wrote my book stemmed from a conversation with a doctor who was struggling […]



What #MeToo must learn from the science of sexual harassment

Fri, 23 Feb 2018 04:00:00 PST

As a psychiatrist, I’ve spent almost two decades caring for patients who have survived sexual trauma, be it childhood sexual abuse, rape or repeated and threatening forms of sexual harassment. I’ve witnessed how when the assailant was known to the victim, especially someone from whom they expected comradery or even just professionalism, it can be […]



The irony of me observing death on a day celebrating my birth

Thu, 22 Feb 2018 16:00:00 PST

As part of my medical school’s inter-professional learning, I shadowed a hospital chaplain this afternoon. While physicians principally attend to the physical healing of patients, chaplains also fulfill an important role in health care: meeting the spiritual needs of patients. When faced with disease, patients often grapple with deeper questions about their illness beyond just […]



A physician sees end-of-life care through a religious lens

Thu, 22 Feb 2018 12:00:14 PST

In my second year of residency, I was on the hematology/oncology service where we were taking care of a pleasant lady in her 80s who was admitted with pancreatic cancer. It was apparent that the disease had spread rapidly, and when we discussed her at rounds, we knew that she likely had a few months […]



You’ve prescribed an opioid: Now what? 5 key strategies to prevent addiction

Thu, 22 Feb 2018 10:00:46 PST

After being prescribed opioids for just one day, individuals can face significant challenges with addiction, with six percent continuing to use opioids a year later, according to the Centers for Disease Control and Prevention (CDC). The likelihood of long-term use increases sharply after five days of use. While much of the discussion around the opioid […]



What if we treated physicians in training the way we want to be treated?

Thu, 22 Feb 2018 08:00:10 PST

What if each doctor in contact with medical students and residents acknowledge that they are a diverse group with their own inherent strengths and weaknesses? Some residents will have mastered the knowledge within the pages of the textbook and can easily recite it during attending rounds.  Others will have a natural bedside manner making patients […]



The CVS-Aetna merger is still the one to watch in 2018

Thu, 22 Feb 2018 06:00:19 PST

Lots of mergers have been announced lately, but there’s still one transformative merger that will define and reshape the U.S. health care market in 2018: the CVS/Aetna $69 billion deal announced last December. CVS is best known for its 9700 retail pharmacies and 1100 walk-in clinics, but its most significant profit driver is its pharmacy […]



We are a product of our upbringing: a tale of 2 cities

Thu, 22 Feb 2018 04:00:36 PST

We are a product of our upbringing.  For many of us, this means we develop values and beliefs about money and work from our parents.  Our communities, however, also play a role.  It is in these communities that we learn a joint value system, a blueprint for how to approach and interact with the world. […]



Influencing your resident evaluations for success

Wed, 21 Feb 2018 16:00:50 PST

Performance appraisals are an integral part of an organization’s assessment of employee and trainee standing. Management and human resource literature is full of analysis and debate regarding how to best rate subordinates. Regardless of evaluation system utilized, some of the common goals of individual appraisals are to monitor progress, identify areas for growth, set goals, […]



A doctor to a patient: Please call me when you get home

Wed, 21 Feb 2018 12:00:07 PST

It is 3:30 p.m. on a Wednesday, and I am bringing my last patient out of the operating room. Everyone is in great spirits: a smooth case and an early finish at our surgical center. The patient has already awakened, stretching his arms, and clearly comfortable. “Everything went alright, doc?” I smile, knowing that I […]



There’s no easy way out of the opioid epidemic

Wed, 21 Feb 2018 10:00:51 PST

Across the United States at least forty people die each day from overdosing on opioids like Vicodin, codeine, heroin, and oxycontin. Seven percent of drivers who died in car crashes last year were found to have prescription opioids in their systems — seven times more than in 1995. Considering these alarming rates of overdosing and […]