Monthly Archives: July 2019

4 tips to become a “nice” doctor

175 Shares Share Tweet Share When I was an intern, one of my attendings told me that I was “too nice.” He said it to mean that I needed to toughen up to “make it” as an emergency medicine (EM) physician, and that the alternative might be fatal. To give some context, this attending was … Continue reading

Off-label use of gabapentin and pregabalin for anxiety

22 Shares Share Tweet Share An excerpt from Understanding Medicines for Anxiety. In addition to medicines with FDA indications for anxiety, such as benzodiazepines and some antidepressants, a number of drugs are frequently prescribed off-label. Among these are gabapentin and the related compound pregabalin, collectively known as gabapentinoids.  Their popularity is remarkable: gabapentin has been the … Continue reading

4 tips to become a “nice” doctor

174 Shares Share Tweet Share When I was an intern, one of my attendings told me that I was “too nice.” He said it to mean that I needed to toughen up to “make it” as an emergency medicine (EM) physician, and that the alternative might be fatal. To give some context, this attending was … Continue reading

Physicians are not commodities to be cut. Physicians are not waste.

555 Shares Share Tweet Share Another emergency physician asked me what I think will happen if the “surprise bill reform” with a benchmark fix happens.  I told her privately, but I am sharing, so everyone can understand why I am working so furiously on a seemingly boring and crass issue of reimbursement.  I do believe … Continue reading

Beware the hidden agenda of free hernia screenings

12 Shares Share Tweet Share Some hospitals are trying a curious new tactic to attract patients: free hernia screenings. One Illinois hospital raffled off tickets for a smart speaker to entice people to get their abdomens checked by a surgeon, while an Indiana hospital offered a chance to win dinner at a chophouse. Announcements for screening events … Continue reading

Moral injury in health care: What have we learned?

30 Shares Share Tweet Share When we began exploring the concept of moral injury to explain the deep distress that U.S. health care professionals feel today, it was something of a thought experiment aimed at erasing the preconceived notions of what was driving the disillusionment of so many of our colleagues in a field they … Continue reading

I’m sorry: Why I lost my love for medicine

10K Shares Share Tweet Share I’m sorry you are sick. I’m sorry you had to wait a long time in the waiting room. I’m sorry you haven’t gotten your pain medications. I’m sorry I don’t have an answer. I’m sorry the department is busy. I’m sorry it’s loud. I’m sorry I don’t know why it … Continue reading

Are pediatric hospitals ready to embrace value-based payment models?

5 Shares Share Tweet Share Although pediatric (children’s) hospitals are not yet mandated (as are their general population counterparts) to participate in value-based contracts (VBCs), as competitive medical institutions they are very cognizant of the market changes toward value-based payment models while tirelessly seeking to increase value in pediatric health care delivery. The push towards … Continue reading

If you want something done right, have other people do it

5 Shares Share Tweet Share The line, “If you want something done right, do it yourself,” is complete bull. To run a successful business of any kind — but especially to run a thriving medical practice — you have to make sure you’re using your time wisely and properly delegating responsibilities. In 2019, health care … Continue reading

How physicians become medical narcissists

171 Shares Share Tweet Share It is no secret that health care providers shoulder a lot of responsibility. As a whole, they take this on with both competence and kindness. Sacrificially, they go above and beyond in order to provide patients with the highest of quality care. They juggle a multitude of professional and personal … Continue reading