Episodes

Why health care delivery is an exceptionally different industry

"The business of health care delivery differs markedly from other consumer and service industries in many ways. First and foremost, the economics differ. Specifically, the payers of medical care are often different from the customers, the government...

Why we should celebrate the Great Resignation

"I see lamenting the Great Resignation. I celebrate it. It’s not so much about what people are leaving – but where are they going? What have they empowered themselves to become? The thought, 'There has to be something more,' has been pondered and...

Digital apps and sustaining mental health

"Digital mental health apps have increased access to mental health care for people around the world. You can find services that fit your specific needs, often on a 24/7/365 basis, so if you need support in the middle of the night, it’s there....

A nuanced look at the Tuskegee syphilis study

"The Tuskegee Syphilis Study is widely acknowledged as a violation of ethics today, but the social conditions of the time allowed the grave injustices to happen in plain sight. In the 1930s, social Darwinism emerged as justification for racist...

High deductible health insurance is bankrupting Americans

"Regulators should push health savings accounts (HSA) and businesses should offer them. While HSAs are growing, they are still only available to 30 percent of workers — more likely for larger companies than smaller ones. This, of course, is a way to...

Stop health care’s great resignation

"As the next COVID-19 variant hits our country, I feel a renewed sense of urgency. We need to move faster to invest in an infrastructure that protects our nation’s health care workforce before we lose more nurses, doctors, and other care team...

Diabetes impacts the whole body, but the foot can’t be forgotten

"As we know, diabetes is a comorbidity that can cause more severe symptoms in COVID-positive patients. This knowledge, along with the sense that diabetes is overwhelming the entire body, can quickly deplete a patient’s reserve of positive energy....

Why boundaries should be part of your 2022 physician goals

"Setting boundaries can look like setting a time limit for patient appointments, availability for email responses, the number of shifts worked this month. You can set boundaries by saying 'no' to low compensation, setting a time limit on conversations...

How not to be a broke doctor

"Remember the things that we’ve discussed as the majority of people are broke. And just because your friends are showing off the 'stuff' things they buy doesn’t mean they can actually afford them. Once you realize that everybody in the world is...

Opportunities from the coding changes in primary care

"There’s a new best practice emerging, one that lets you deliver a high standard of care today but that well-prepares you for a shift to value. We’ve been talking about it throughout this article series in terms of doing more with less and making...

Pandemic behaviors, dog poop, and the social contract

"It is hard to understand and communicate the uncertainty that comes with evolving science, the changing recommendations as we learn more, the vaccine that didn’t do all that was initially promised. It has become even harder with the erosion of...

A PSA from a neurologist to the medical community

"Have you ever been to a new city and realized you’d been pronouncing a street or a town name all wrong? Have you ever been from one of those cities and has it broken your heart to hear someone call Copley Square Cope-ly? Or pronounce the Schuylkill...

I am an ICU nurse. We are drowning.

"Tears and sweat drown my face as I try to rip off my PPE and exit the room. I didn’t want to leave him, but I couldn’t bear another second in that reality. A whirlwind of emotions crash over me, and my knees weaken. I thought, “If I can just...

A milligram of understanding for the vaccine-hesitant

"The starting point is to do our best to approach discussing COVID and vaccination with the appropriate type of empathy and understanding. To understand that our patients don’t have access to the same level of data and research that we do, and even...

How to convert medical knowledge into digital assets that work for you

"Instead of trading up for a faster horse by drawing in the exam room, it felt like I’d just built a motor car. I created a new workflow around my digital assets. When patients checked in for a clinic visit, I scanned the chart for their visit...

Guns, the Supreme Court, and physicians' voices

"When my patients asked me about losing weight, I would say, 'Eat less and exercise more.' I know that it is more complicated than that. There are psychological and socioeconomic factors. There is bariatric surgery and there are medications. But 'eat...

How to fix the CDC

"A resurgent CDC is necessary to recapture the vitality of U.S. medical science. A scientific researcher alone cannot do this work. This will also require heavy managerial work and restructuring and charting a different course altogether. CDC will...

A shout out to small hospitals

"I’m a small-time doc in a small town, and I work at a small hospital in the Midwest, and I’m proud of it. The huge university hospitals (like Cleveland Clinic) get all the glory (especially in society and in the press), but small hospitals like...

Danielle Ofri, MD on sharing stories and the emotional epidemiology of disease

"This last mile of the COVID pandemic—Omicron or not—is a painstaking one-on-one endeavor. As is most of primary care. Sadly, we now have to deal with political epidemiology as much as emotional and clinical epidemiology. We’ll sit with each of...

Medical-legal consulting as a side gig

"Medical-legal consulting is a great way to use your medical training in a non-clinical field that helps people. I started this field 14 years ago and have trained over 1,600 physicians to be medical-legal consultants. Most physicians do medical-legal...

Fund this: Policies can fill medical funding gaps for all

"Instead of trying to earn a spot on a talk show to help a person dealing with costly treatments for illness, perhaps it is best to lobby policymakers to pass legislation that impacts big numbers of patients dealing with the high costs of treatment,...

Autism spectrum disorder and the masks we wear

"In the ongoing saga of the pandemic, there is the debate whether to wear a mask or not. These are physical masks that temporarily hide our face, but we all wear another type of mask, a metaphorical mask. These are the masks we put on to present who...

Why is Covaxin not in the FDA's toolbox?

"As a clinician who has received two Pfizer doses and a booster without any side effects, I wholeheartedly embrace vaccination to solve this pressing public health crisis. The key is for policymakers to identify the best tool for the job (i.e.,...

Physician informatics and the chief medical information officer

"At the beginning of my time as a CMIO, I needed to remain clinical to build camaraderie with my colleagues. This proved essential as the health system was going through a transition to a new EMR. The medical staff needed to know that every decision I...