In the core of what we do, nothing's really changing. Deep down, this is who we arecaring for complex patients over time, solving problems, and being disease detectives. We're expert diagnosticians at heart. Sure, there are external pressures that complicate things and add to the moral tension we feel. It's…
It's astonishing how vaping can impact reproductive health, yet so many overlook it. Recently, a patient shared their long-term vaping habits with me, vaping two to three times a day for years. Despite their efforts, improving sperm quality remains a challenge. The correlation between vaping and poor sperm health suggests…
Facing challenges in medicine requires more than just skill; it demands strong advocacy. I'm thrilled to share how the American College of Physicians is at the forefront of this effort. Our annual Leadership Day in Washington D.C. allows us to engage with congressional leaders on critical issues impacting our field.…
We welcome Ann-Louise Puopolo, a nurse executive, to discuss the critical issue of the nursing shortage crisis and the impact of burnout and technology fatigue on health care workers. Ann-Louise shares insights from her experience at Boston’s Beth Israel Deaconess Hospital, exploring how technology can support the nursing workforce, improve…
The stories that initially shocked me began to reveal a fascinating pattern. By the 20th time, it became clear there's a narrative epidemiology at play. In the U.S., we often believe health is solely based on individual choices, but Telltale Hearts suggests otherwise. These stories highlight how social and environmental…
Growing up with a general surgeon as a father, medicine was always a part of my life, but not in the way you'd typically expect. My journey took me to medical school at the University of Pennsylvania in Philadelphia, a city without a public hospital at the time. The real…
Public hospitals are unique spaces where diverse communities intersect for a common cause. As an internal medicine physician trained at Boston Medical Center, Ive seen firsthand how these environments reflect the greater challenges in our public health and social safety net systems. Practicing in this setting shows how healthcare meets…
We sit down with Taylor J. Christensen, an internal medicine physician and health policy researcher, to discuss his health care incentives framework. Taylor explains how restructuring financial incentives can encourage providers and insurers to deliver higher value for patients. Tune in as we explore the barriers preventing patients from choosing…
Understanding health in America requires looking beyond medicine to our social and environmental conditions. We need to engage in social and health policy initiatives at a public health level, or we'll face serious financial challenges as Medicare and Medicaid expand. Thinking about health in all policies, like how the USDA…
We sit down with Oluyemisi (Yemi) Famuyiwa, a fertility specialist and founder of Montgomery Fertility Center, to explore the hidden barriers patients face when accessing fertility medications. We delve into the complex role of pharmacy benefit companies and discuss how their influence can create unexpected challenges, delays, and additional stress…
As more practices adopt MGME, the pressure to enhance charting efficiency is on. I've seen firsthand how embracing A I isn't just about staying currentit's about survival. I once spoke to a client who, even with a physical scribe, found themselves overwhelmed by EMR notifications and patient messages. It was…
Can E-cigarettes really help you quit smoking, or do they just add to the addiction? I often advise patients to seek a coach for support in quitting, as relying on E-cigarettes might not be the best path forward. The nicotine levels in E-cigarettes can be even higher than in regular…
We sit down with Muhamad Aly Rifai, a practicing internist and psychiatrist, to explore the complexities of health care fraud investigations and the profound impact these cases have on physicians' lives and careers. Muhamad shares his firsthand experience of enduring a seven-year federal investigation that ultimately resulted in a "not…
AI is transforming the medical office landscape faster than we imagined. Now, AI software isnt just for documentation; it's managing patient interactions and streamlining processes. Imagine walking into a clinic where a tablet handles your medical history and medication reconciliation. Patient portals are evolving, using chatbots to answer questions and…
Discovering that some e-cigarettes pack more nicotine than regular ones was a real eye-opener for me. It's startling to think about how addictive they can be. Even more concerning are the hidden chemicals in the vapor, which many people aren't aware of. These substances, known as endocrine disruptors, can interfere…
In this episode, we delve into a fascinating yet often overlooked medical phenomenon—near-death experiences (NDEs)—with John C. Hagan III, an ophthalmologist and expert on the subject. Despite being reported by as many as one in five patients who survive critical medical events, NDEs remain absent from most medical curricula, leaving…
Is it cognitive fatigue or decision fatigue that truly limits our capacity to care for more patients each day? When documentation isn't the bottleneck, we face the mental strain of rapid-fire patient interactions. Understanding our cognitive limits is crucial in managing how we handle complex histories without breaks. How do…
Navigating the balance between efficiency and overload in healthcare is like walking a tightrope. We need representation in the C suite to advocate for manageable workloads and ensure visit volumes can increase without burning out our physicians. Constantly monitoring and adjusting workloads is crucial since the next barrier to physician…
We sit down with Banu Symington, a hematology-oncology physician, to explore a looming health care crisis affecting rural America. As more retirees move to rural communities, the number of health care providers is not keeping pace. Banu sheds light on the growing disparity between rural and urban health care access,…
Imagine a world where software adapts to your unique styleit's not as far off as you think. I'm urging everyone to become early adopters because soon, this tech will be a necessity. Get it on your computer, start interacting, and train it to speak like you. This isn't something to…
Imagine a world where suits and scrubs must coexist, not compete. In this video, I explore the intricate balance between financial goals and the core mission of healthcare. It's not about choosing one over the other, but understanding how both are essential, especially in the private equity landscape. Financial considerations…
We speak with Heather Luing, a psychiatrist specializing in treatment-resistant depression. As depression rates in the U.S. have tripled over the last year, we explore why traditional treatments may not work for everyone and discuss innovative therapies like transcranial magnetic stimulation (TMS). Heather sheds light on how TMS offers hope…
You are enough as you are, and that truth is more powerful than you might realize. As physicians, we often worry about finances, but the reality is, we have the capacity to achieve great outcomes with what we earn. It's not just about making a living; it's about crafting a…
Waiting in lines can turn a fun day into an emotional rollercoaster for some kids. Even a short wait, like 15 minutes at Disney World, can feel overwhelming. For my child, what might be a minor disappointment to others becomes an intense emotional experience. While many kids handle these moments…