Episodes

Are you ready to hear the truths about perfectionism?

"Are you a perfectionist? Did you know that perfectionists are actually some of the biggest procrastinators? Yes, really. In theory, perfectionism sounds like a good thing. Who doesn’t want to do and be their best? It can even seem like a harmless...

Preserving humanity in the ICU

"Five days before this story begins, where everything is upside down, and the end is the beginning. Me, standing in my PICU, slowly approaching that cradle, then removing the medication, one by one, turning off the syringe pumps. Saying out loud the...

What a lifetime of gaslighting by other doctors feels like

"Ehlers-Danlos syndrome patients take an average of 10 years to be diagnosed. In that time, the pain from microtrauma and joint instability can become unbearable. “Just exercising more” can backfire, causing injury and disability and creating a...

A caregiver's love story

"Dying and introspection happening at the same time were a dual reality that I found impossible to ignore when Bill was not doing well. As Bill’s poor prognosis and impending death began to reflect on our life, it was getting harder to respond to...

A physician's work dread and what he did about it

"Work dread. Even if you didn’t know it had a name, you know the feeling. It is that sensation in the pit of your stomach when you realize that the start of your workday or workweek is fast approaching, and you don’t want it to come. Sometimes it...

I’m a physician, not a provider

"This is an important time to rise up, come together, and understand that it is our time to remove the confusing veil put on us. We are not delirious. We are not psychotic. We are physicians. We are the ones who took an oath to benefit patients...

Why doctors are getting their asses kicked by technology

"Physicians have terrible technology, but they refuse to recognize high-tech as a medical specialty. They must integrate technology as they do laboratory science. Physicians are certainly suffering from poorly-designed electronic medical records...

Teen dies when blood culture protocol botched

"Address the patient’s chief complaint first. In this case, the other symptoms were only side effects of the main problem. Pay attention to lab work. In this case, the elevated white blood count and the related blood culture results. Keep an open...

Less resiliency may heal burnout

The word “resiliency” has been lauded, applauded, and buzzed about in talks about physician burnout. When I hear it, I tune out. My stomach churns. I feel sick. Why? Because physicians are resilient. We are, in fact, the walking, talking,...

What it takes to build a pediatric weight management program

"Amazing pediatricians are back where I was years ago, with their C-suite asking for business plans for the medical side of their adolescent bariatric surgery programs. The reality is corporate health care has infiltrated pediatric health systems, and...

Patient-initiated collaborative texting

"Nearly three-quarters of consumers say they prefer texting with a business if an actual human is the returning texts — no bots need reply. But the rise of artificial intelligence has led to further advances in smart texting, including the ability...

A breast cancer story from an Asian perspective

"I was first diagnosed with stage 1 breast cancer, DCIS (ductal carcinoma in situ), on May 15, 2015, at 41 years old. I had my annual exam with my gynecologist and told him I felt a small, pea-sized lump under my right armpit close to my breast. He...

How to improve medication adherence

"Automation and technologies can enable adherence, but true change happens when physicians and pharmacists work together in collaborative teams to achieve common goals: Better managed chronic conditions, fewer complications, and improved experience...

What this physician mom learned about shame

"I cry often enough that my kids almost gleefully expect it, checking me for tears during movies or shows, shaking their heads in mock dismay when they see that their prediction is correct. I’ve cried many times at home, watching screens, reading...

A physician mom’s take on telemedicine

"In early 2018 when I started full-time telemedicine, I was quite reluctant about losing the physical hands-on evaluation, especially the palpation, percussion, and auscultation components in the physical exam, and the holding hands, hugs, and...

Transition planning: financial moves for medical residents and fellows

"While you may not know exactly what your transition period will look like ahead of time, you can do your best to prepare for this change. By having a plan in place, you can make sure you are ready for the time between training and your new career so...

Robotic interventional cardiology

"In the majority of robotic-assisted cases I perform, automated movements are particularly helpful in delivering gear – I can easily get balloons and stents around the C-shaped curve in the right coronary artery from the cockpit just like I would be...

What needs to change in medicine for it to be sustainable?

"A prospect seeking a career in medicine must start with their own awareness of boundaries and perfectionism before entering the field. This inner work must be indoctrinated in schools and encouraged through residencies and mentorships. Furthermore,...

What a good death looked like

"He needed to be taken to the hospital to be pronounced, and he was put on a gurney. One frequently mouthed wish was to be taken from his home feet first. I stood beside him as he was placed in the ambulance. His soft, sweet smile told me everything I...

Allow yourself the space you need to heal

"As doctors, we are called to heal. We are called to serve. It’s in us. Our ability to heal and serve others does not have to be limited to the hospital and clinic walls. I want all our brilliant doctor minds to be part of the solution to the...

We are humans first and gifted healers second

"If I knew back in training and practice what I know now, I would have looked for the support and mentoring that would have helped me to forge a path in clinical medicine. But I saw help as an admission of weakness. I felt too much shame and guilt to...

Stop financially handicapping non-citizen physicians

"I acknowledge that as a physician, I am overall financially secure. However, after jumping over multiple extra hurdles to prove myself throughout my medical career, I couldn’t help but feel I have been handicapped financially compared to my...

Guns and public health advocacy

"Nineteen children were killed in a mass shooting in Texas. I have barely escaped the pandemonium of the pediatric emergency department to scarf down a bowl of pasta when I hear the announcement on the breakroom TV. My stomach drops. Again? How is it...

Patient platforms should be intuitive in design and execution

"Communication is both the sending and receiving of information. Data is as difficult to receive and act upon as the ingredients of a meal because much work is left to be done. Information is palatable, actionable, and leads to measurable results in...