Monthly Archives: June 2019

The sigh of relief on Match Day quickly changed into a sobering reality

15 Shares Share Tweet Share The residency interview trail quickly becomes a lonesome journey, so when I was on it this winter, I’d usually have the hotel room television turned on for some background noise and often find myself watching ESPN’s SportsCenter. On my last interview in Philadelphia, the show was featuring the high flying … Continue reading

What does it mean for physicians to be financially free?

46 Shares Share Tweet Share What does it mean to actually be financially free? If we make it a goal, what are we really working toward? Rather than looking at financial freedom as an abstract concept, it can be very useful to visualize exactly how it could impact your life. Ultimately, financial freedom means different things … Continue reading

The end of a life never just impacts the individual who died

23 Shares Share Tweet Share To my knowledge, three people who were under my care killed themselves. The first was a young man — late 20s, maybe? — who I met while I was a psychiatry intern. He was hospitalized in the psychiatric unit where I had just started my rotation. I did not have … Continue reading

Why doctors shy away from business

41 Shares Share Tweet Share The Hippocratic Oath says nothing about taking out a bank loan to outfit your own office to start your practice, nor does it include investing in real estate to diversify your income.  Of course, most doctors didn’t opt to enter medicine with the intention of building an empire of medical … Continue reading

MKSAP: 52-year-old man with progressive weakness

11 Shares Share Tweet Share Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 52-year-old man is evaluated for a 1-year history of progressive weakness that began as right foot drop and bilateral tingling in the feet. Within the past 2 months, the patient has developed progressive weakness, which … Continue reading

The consequences of being treated by a master herbalist

30 Shares Share Tweet Share In August 2014, a 13-year-old boy with Type 1 diabetes died after being treated by self-described “master herbalist” Tim Morrow who was tried for child abuse resulting in death and practicing medicine without a license. He had told the boy’s mother to stop administering insulin and instead prescribed herbs which … Continue reading

Physicians and the employee conundrum

48 Shares Share Tweet Share I used to loathe being an employee. I felt like I was always a slave to the whims of my employer. Exposed. So it was with great excitement that I started a business of my own. Yet, it took only a short period of time to realize that being your own boss carried … Continue reading

What to do with physicians who don’t explain

20 Shares Share Tweet Share How doctors treat patients’ need for information has changed significantly over the past decades. Sixty years ago medical practice was much more paternalistic than it is now, although some would say it continues to be so in important ways. Still, not too long ago it was common for doctors to … Continue reading

The allure of complementary and alternative medicine

17 Shares Share Tweet Share “Complementary and alternative medicine” (CAM) is a category that includes all the methods of physical or mental healing that do not fall under the umbrella of western medicine. Examples include comprehensive healing traditions from other cultures, such as Chinese or Ayurvedic (Indian) medicine; herbal remedies; and a wide variety of … Continue reading

Pulmonary embolism: the killer clot in your veins

9 Shares Share Tweet Share We had just exchanged “I love yous” about 15 minutes before the intercom blared: “Code blue.” Just like that, my sister was gone — all from what seemed like a simple knee surgery. Simple in the fact that the type of surgery my sister was supposed to have had that … Continue reading