A medical student’s 100 days of COVID

March 11, 2020. The medical school officially made all classes remote until the end of the semester. Tom Hanks and his wife have coronavirus. The NBA is suspended; Utah Jazz player Rudy Gobert has corona. Travel to Europe is suspended. The renal midterm can be postponed if you choose. Not going home anymore. I don’t…

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Physician personal development and growth [PODCAST]

“COVID-19 has given all of us the opportunity to live in extremely challenging times. We can choose to run away from this challenge or decide to acknowledge it as part of our journey to grow and transform. So, will you face your habitual reactions, biases, and unpleasant emotions and turn these COVID-19 related challenges into…

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An alternative to the current model of primary care

What does a primary care visit look like from the patient’s point of view? I often wonder this myself, as a resident physician currently seeing patients at an FQHC in Austin, Texas. A brief look at the process reveals an often tumultuous ordeal for patients and providers alike.  Consider the following steps: Finding an available…

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How a physician can learn to be an expert witness

When I was a full-time partner in a large radiology practice, I worked days, nights, evenings, and weekends without control over my schedule. Doing the laundry, I washed days’ worth of my children’s outfits that I never saw them wear. I saw them in PJs in the morning before I left for work, kissed their…

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Veering away from the predetermined path of training in medicine

With the advent of GPS, the need for self-directed navigation has all but vanished. We find ourselves at the mercy of and indebted to the wisdom of our devices. Occasionally given choices for route preference based on directness, speed limits, or tolls, we are otherwise taken on a course of someone else’s choosing. Agreeable for…

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Is it safe to reduce blood pressure medications for older adults?

“Doctor, can you take away any of my medications? I am taking too many pills.” As physicians, we hear this request frequently. The population most affected by the issue of being prescribed multiple medications, known as polypharmacy, is the elderly. Trying to organize long lists of medications, and remembering to take them exactly as prescribed,…

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What has colon cancer screening got to do with self-driving cars?

An excerpt from Scope Forward: The Future of Gastroenterology Is Now in Your Hands. Over a decade ago, many of us still used landline phones, watched cable TV, rented DVDs, called for taxis, took photos using cameras, and drove over to Borders to browse and buy books. During the past 10 years, we watched each…

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When the best care is a comfortable death

I am no stranger to death. I have gently closed the eyelids of a woman dying from liver disease, blasted Led Zeppelin by request during a man’s last breath, and exchanged dog photos with an elderly gentleman on his final day. Although I cared for these patients deeply, our relationships were defined by illness. Ms.…

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