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Last Build Date: Thu, 27 Apr 2017 08:10:22 PDT


“I hate myself. I don’t deserve to be a doctor.”

Thu, 27 Apr 2017 08:00:15 PDT

Dear Dr. Wible, We’ve talked before. To catch you up, I’m in my clinical years now and I keep waiting to feel the same starry-eyed excitement I felt during the first months of med school, when I thought that becoming a doctor would finally give me a tangible purpose and make me a better person […]

5 things I learned while having 3 kids during medical school

Thu, 27 Apr 2017 06:00:37 PDT

During medical school, I made it a goal to graduate with a degree in one hand and a baby in another. I had a supportive husband, so we started trying to conceive when I was in my third year of medical school. We didn’t get pregnant as quickly as I thought, and we almost gave […]

Chewing gum to detect cancer? Not so fast.

Thu, 27 Apr 2017 04:00:28 PDT

Sometimes It’s important to know the news behind the news: the comments and the cautions that don’t get into the article that the public gets to read. It’s the sort of thing that keeps me up at night: trying to convey the reality, while realizing what most people want to hear is the hope. That’s […]

Doctors need to become informed physician investors

Wed, 26 Apr 2017 16:00:56 PDT

D.J. is a 55 year-old woman with recently diagnosed early-stage left-sided breast cancer. She just had a lumpectomy to remove the tumor, and now has to decide whether to undergo chemotherapy after surgery. Her oncologist carefully discusses the clinical and pathologic data about her tumor, in terms D.J. can understand. She discusses the risks, benefits, […]

Note to Congress: It’s your fault there’s a physician shortage

Wed, 26 Apr 2017 14:00:11 PDT

When you go to the internet or phone book today, there are hundreds of physicians listed in most urban areas. In the next two decades, you can expect more difficulty finding a physician in your hometown — a major physician shortage is looming. In the last year, I have noted many mid-career physicians are leaving […]

The hardest thing to do as a physician

Wed, 26 Apr 2017 12:00:55 PDT

I’ve been told that one of the hardest things that a physician endures is the passing of her first patient. However, what I imagine to be even more challenging than this is pronouncing the death to the patient’s family for the first time. Although I find myself in a similarly intimidating and burdensome position of […]

Top 5 reasons why doctors lack self-confidence. And how to fix it.

Wed, 26 Apr 2017 10:00:56 PDT

In the podcast below I interview a dear friend and therapist, Sydney Ashland, who shares the top 10 fears that hold doctors back. What prevents us from being the doctors we always imagined? We enter medicine as inspired, intelligent and compassionate humanitarians. Soon, we’re cynical and exhausted. How did all these totally amazing and high-functioning […]

The dangers of being overly apologetic

Wed, 26 Apr 2017 08:00:17 PDT

“Sorry, excuse me, can I get through please?” I wiggled my way to the head of the bed. Quickly, I set up the necessary intubation tools as the patient arrives shortly thereafter. A frenzy ensues, tubes flying over the patient, people talking over each other. “Can you draw me up some RSI meds? Let’s get […]

If she gets pregnant, she might die. Do I help?

Wed, 26 Apr 2017 06:00:42 PDT

When I started out in practice, I worked at one of the few hospitals in the area that accepted Jehovah Witness patients. Their beliefs prohibit them from accepting blood transfusions or blood products. Many hospitals are concerned about the liability of allowing a patient who refuses necessary blood products to die. For this reason, these […]

Shared medical decision making is a not a new concept

Wed, 26 Apr 2017 04:00:57 PDT

Decisions regarding medical care are often not very straightforward due to the uncertainties, risks, and limited options involved. But, above and beyond the actual choices to be considered, the process of how the choices are made has become a red-hot topic. And the value of the patient — as opposed to the doctor — as […]

The cruel irony of the Hippocratic Oath

Tue, 25 Apr 2017 16:00:24 PDT

In a few weeks, new medical school graduates will take their turns saying the words of the Hippocratic Oath. In theory: This is a noble tradition where they promise to fulfill their duties as wonderful physicians: Autonomous, wise, humble, prevention-focused, and active members of their communities. In reality: The health care system in which they’re […]

A hospice worker says goodbye to a loved one

Tue, 25 Apr 2017 12:00:35 PDT

“Why don’t you talk loud enough for the whole damn hospital to hear you?” I’ve just greeted my eighty-four-year-old grandmother, and now this irascible voice has erupted from behind the curtain that separates us from whoever is sharing Grandma’s room. The nursing assistant whfo showed me in glares across the curtain at the other inhabitant. […]

You’ve heard of Brexit? Here’s what they call doctors who are leaving.

Tue, 25 Apr 2017 10:00:47 PDT

Sean MacStiofain said, “most revolutions are caused … by the stupidity and brutality of governments.” Regulation without legitimacy, predictability, and fairness always leads to backlash instead of compliance. Here’s a prediction for you: If something is not done to stop MACRA implementation, more physicians will opt-out of Medicare and Medicaid than is fathomable. Once DRexit […]

A letter from my med student self to me now

Tue, 25 Apr 2017 08:00:19 PDT

Dear Me, MD: Now that you have opened this letter, you may have graduated or maybe you just matched into residency — somewhere, anywhere, hopefully?! As you read this, it should be some time during spring 2017. But, you never know, sometimes the train derails, and it takes a little longer than expected, so forgive […]

Take it from a patient: Naloxone is life saving

Tue, 25 Apr 2017 06:00:11 PDT

“Ice! Ice! I need ice!” Paul yelled, rushing into a store. It was a skate shop. They looked at him like he was crazy. “Ice! Ice! I need ice!” he continued to yell. The store employees looked at Paul with a blank stare. They pointed to the restaurant next door and suggested that he try […]