Medical
The first night on call as a surgery intern
An excerpt from The Surgeon’s Obol. July 1, 8 p.m. “Isabella Isaksen,” I said with an arm extended. “Most people call me ‘Izzie’.” “Mike Gunderson,” came the reply. Most people called him Gundy, but he didn’t feel the need to let me, the goddamn intern, in on this. And there was no doubt that I…
Read MoreBottles and pacifiers: advice from a Latinx pediatrician
Growing up in Puerto Rico, “babas” (bottles: biberón/botellas) and “bobos” (pacifiers: chupetes/chupón) were very common among the families and children of the island. I still remember our Abuelita giving us milk in our “babas,” so my younger sister and I were sure to fall asleep better. From the time of our births, to when my…
Read MoreCOVID-19 becomes a magnifying glass for health disparities
The daily email update on COVID-19 affecting our hospital system is a glaring reflection of the health disparities amongst those in marginalized groups. The farther south you go, generally in San Diego, the higher the number of socioeconomically disadvantaged persons, and that tends to include a disproportionate number of persons of color. These populations may…
Read MoreHow to make the most of your child’s telehealth visit
Since the COVID-19 pandemic started, telehealth visits with doctors have been on the rise — and for many reasons, they are likely to be part of medical care for the foreseeable future. While they aren’t the same as an in-person visit, I’ve found as a pediatrician that telehealth visits can be very useful. I can…
Read MoreWhy cultural competency courses should be requisites for medical school
Like many others, I have felt immense frustration in the past couple of weeks. The news surrounding the Black Lives Matter movement, compounded by many other incidents of injustice against minorities, has made me feel constant rage at the society we live in. I’ve tried to channel my anger into as much activism as I…
Read MorePoor patients get poor positions on the OR schedule and poor continuity of care
I have been an academic surgeon in a large medical center in New York City for the past 20 years. The current climate of scrutiny to systemic racism and bias (including prejudice against all “different” populations) coupled with our own struggles with growth and equitable distribution of resources has highlighted a disturbing trend. It is…
Read MoreThe guilt of physician-moms [PODCAST]
“As women physicians, especially physician moms and women physicians of color, we have handled and achieved more than the vast majority of the population, in order to reach our current status of physician. We do because we can. We are Superwomen. Until we’re not. Without thought, we take on others’ responsibilities, because we can. In…
Read MoreI stopped drinking and then there was a pandemic
I have been drinking since I was 13 years old. I honestly didn’t realize that I had a problem until the last couple of years. The problem wasn’t so much that I drank in excess, or got in trouble at work, with the law, or with my family. The problem was that I couldn’t handle…
Read MoreHow the pandemic forced this physician to quit
I never thought that I would resign with my last day of work being the same day of my resignation. In fact, I did everything in my power to stay at my job, but the job didn’t want me to stay. COVID brought a sharp focus on the difference between my goals and my employer’s…
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