Episodes

May 5, 2021

How reviewing medical malpractice claims made me a better gastroenter…

"When a patient is dissatisfied with his or her care, he or she can consult an attorney, who will enlist a physician 'expert' to determine if a doctor has deviated from the standard of care and whether that deviation caused a negative outcome. Over...

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May 4, 2021

Rest in peace, primary care

"The corporatization of medicine has destroyed primary care as a specialty. The primary care physician is supposed to be your go-to doctor, your advocate, the coordinator of your health care. Now that corporations buy out hospitals and private...

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May 3, 2021

End-of-life conversations: Embrace the responsibility

"For physicians who lack experience in end-of-life counseling, the process can be daunting at the beginning. However, they can be confident that once they have obtained the proper training, preparation, and experience, these conversations will be...

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May 2, 2021

Falling in love during a pandemic: a medical scribe's story

"Nowadays, I go on long walks through the city alone. I make dinner for one. When I go on bike rides, it’s a solo activity. I find comfort in myself, slowing down and making every small occasion a simple, peaceful one. I have a stronger sense of...

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May 1, 2021

An acupuncturist's take on the doctor-patient relationship

"Every professional I have done the exercise with admitted that their ideal patient was inspired by someone they were close to in their personal life. It was usually a family member, a best friend, or themselves. The ones who carry the most unbearable...

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April 30, 2021

What role does the science of complexity play in medicine?

"The science of complexity lays a conceptual foundation for understanding “complex adaptive systems.” What all complex adaptive systems have in common is that they are all bound by the same set of physical laws. Their “behavior,” i.e., growth,...

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April 29, 2021

What medical professionals can do to take climate action

"As health professionals, we have the platform to enact change within our own institutions, as well as local and federal governments. We must elect leaders and officials who spearhead climate action. We must reduce the carbon footprint of healthcare....

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April 28, 2021

Our work as physicians and healers is to see the whole patient

"Instead of focusing on one organ system, I want to know everything. The diagnostic challenge is to discern patterns of insults, symptoms, and lab tests that correlate with specific microbes, specific organ dysfunction, specific diet issues, and...

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April 27, 2021

Physician suicide: We need safe spaces to talk about it

"Suicide is a path, whether fast or slow, that a person chooses to take because of their own reasons. We certainly can never predict suicide or truly understand it. But with that said, every time it happens, it is a tragic loss of life that time can...

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April 26, 2021

My Klonopin withdrawal story

"Our relationship with Big Pharma is a dangerous, nasty, and abusive one, and it can prove to be fatal too. Benzos aren’t limited to a specific class, race, gender, creed, etc. Many stars have died from mixing benzodiazepines with opioids or illegal...

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April 25, 2021

Focus medical education on training the whole person

"Had I understood the nature of my struggles and felt permitted and supported in actively addressing them, I would have been more effective, a better learner, and more fulfilled. After trying out a few clinical settings, a lot of reading, and some...

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April 24, 2021

Leadership lessons from Dr. Fauci

"Dr. Fauci navigated the delicate balance between his obligation to the American people as one of our most respected physician-scientists and holding on to his job in a federal government whose leader doesn’t take kindly to independent thought that...

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April 23, 2021

A nurse shares her story of sexual assault

"I am a nurse who has worked at a rural hospital. My husband is a board-certified family medicine doctor. In the fall of 2020, I was raped by my massage therapist. I know that everyone has an opinion of what they would do in that situation, and I was...

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April 22, 2021

Don't forget about influenza and the lessons learned from COVID

"When the public was made aware of the risk of transmitting the virus and the far-reaching measures of social distancing, closing schools, and lock-down, most Americans willingly complied. After all, they became aware, for the first time, of the risk...

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April 21, 2021

Expressing grief through the power of story

"Now the room is silent as if nothing at all occurred. I stand watching the red stain forming on the pristine white sheet, mocking me in my failure. I trained at excellent institutions, survived residency, and served in combat. Now, here at a Level 1...

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April 20, 2021

How essential workers cope with COVID

"I really shouldn’t complain. I haven’t lost my housing or job. I have plenty of food and toilet paper, and so far, no close friend or family have died from COVID. That said, this pandemic is hard. In fact, it is exhausting. During the spring and...

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April 19, 2021

Physician morale and the doctor's voice

"It is dangerously unfortunate that the use of masks has been politicized in many parts of our nation. The Dakotas (or North and South COVID as they were recently called on Saturday Night Live) are far from exempt from this phenomenon. Likely, if...

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April 18, 2021

PCPs could counter virtual plans by increasing telehealth visits

"If PCPs want to meet the new competition from virtual primary care plans, I suggest that they gradually increase the percentage of their visits that they do through telehealth. Now that payers are reimbursing those visits at the same level as...

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April 17, 2021

My first end-of-life conversation

"Looking back on these words at the end of my rotation, I understand what I had felt, and I feel confident naming it: the futility of medicine. We can comfort and treat patients, but there’s nothing more we can do after a certain point. As a...

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April 16, 2021

Advice to pregnant surgical residents

"Motherhood has been the biggest gamble of my adult life thus far. How was I going to operate for 12-plus hours while 39-weeks pregnant? Where would I be when I went into labor? How would was I going to return after three weeks? How would I pump...

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April 15, 2021

President Biden’s quest for a public option

"COVID-19 disproportionately impacts those with pre-existing conditions, and our health care system leaves one in five Americans with a pre-existing condition uninsured. Further, with multiple COVID-19 vaccines already in early but slow distribution,...

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April 14, 2021

Patients don’t need quick diagnoses. They need accurate ones.

"The patient knocking on your door is not your enemy. They’re sick. They’re scared. They’re in pain. They don’t know why, and they’re hoping for an answer. If you can’t find the source of a problem quickly, it doesn’t mean it’s not...

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April 13, 2021

Meet the orthopedic surgeon who stopped taking insurance and does hou…

"I can tell you what I don’t want to do. I don’t want to mill through 50 patients a day, mindlessly clicking through EMR checkboxes so an insurance auditor five states away will deem that I’ve done my job and deserve reimbursement. That’s a...

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April 12, 2021

Harness the power of the humanities to counteract burnout

"Humanities can be seen as part of the fabric, society, and culture of human experience. In many ways, they might be seen as the disciplines that make us human and make life meaningful. They broadly encompass ancient and modern languages, literature,...

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