Medical
Primary care is dying: Why that should scare every large employer
Primary care is on life support. COVID-19’s toll on American health care extends beyond the hospitals and medical workers besieged by infection. An equally insidious but less-visible crisis is engulfing primary care, the long-neglected foundation of our health care system. Given the role of America’s largest corporations in providing health care benefits, the C-suite should…
Read MoreFunctional dyspepsia: Causes, treatments, and new directions
Functional dyspepsia (FD) is a common condition, loosely defined by some physicians as a stomach ache without a clear cause. More specifically, it is characterized by the feeling of fullness during or after a meal, or a burning sensation in the mid-upper abdomen, just below the rib cage (not necessarily associated with meals). The symptoms…
Read MoreWhat happens when patient capacity and autonomy diverge?
“I can’t take this, doc. It’s gonna kill me. I can’t. I just can’t,” exclaims my patient with persistent refusal of his medication. My frustration is met with my patient care team’s hesitation to give him the medication with fear of further conflict and possible escalation to violence. But who’s at fault? Any of us?…
Read MoreAre negative news cycles and social media injurious to our health?
I am an avid social media user, and a news junkie who watches news religiously, even when the same stories are being recycled every hour and on every major news outlet. I am a proud member of Generation X, the generation that did not grow up with the internet and read the news the old…
Read MoreThe view from an infectious disease physician in Texas [PODCAST]
“Death is not meant to be rushed. Saying goodbye shouldn’t be rushed. Celebrating a life once lived cannot be rushed. And yet, we must. Taking a moment, a minute, an hour, maybe a day to feel something that normally takes far longer. Because we must. And in our hearts, the grief remains. Frozen in time…
Read MoreThe emotional side of being a doctor during the COVID-19 pandemic
It was a Thursday. It was supposed to be one of those “regular” evening shifts. Then, at 6:15 p.m., my first page went off: Bed 11, Mrs. R., Dr. H. needs to talk to you. The page came from the COVID section of the emergency department. I immediately called back. It saddened me when I…
Read More9 tips for new pediatric residents
It’s that wonderful time of year when new interns take their first steps into hospitals as practicing physicians One of us has just completed her intern year and the other quite a while back (but recently enough to still remember some of it), so we wanted to share some tips for the pediatric interns about…
Read MoreI don’t care what your cardiologist says
Yeah. I said it. As an anesthesiologist, especially as a cardiothoracic anesthesiologist, there are few things I am more interested in than how well or how poorly your heart functions and why. And a cardiologist can help me obtain a lot of vital information in that regard. But there several things a cardiologist cannot, and…
Read More4 resolutions for a new academic year
With a flip of a calendar page, the new academic year is upon us. For much of the workforce, July 1st signifies the halfway point of the fiscal year, and most Americans would say that each new year starts on January 1st. However, those of us in academia, particularly those of us in medical and…
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