Medicine

Where is the best state to practice medicine? I would argue the latest study on the topic does little to answer the question given the metrics chosen. But, the project does provide a template and way to calculate your personal level of interest in the pre-selected benchmarks. The result is a starting point that guides your thought process more than it might firm up any decisive actions on the subject.

Given the parameters of cost of living, residency retention rate, tax climate, physician density, malpractice premiums (averages) and Medicare’s Geographic Cost Index (1),...

For most of us, the word “doctor” in the health care setting tends to conjure up a person who completed college, innumerable pre-med requirements, medical school, internship, residency and possibly specialty fellowship (sometimes more than one). It implies a long road that ranges more than a decade, inclusive of countless board examinations with continued recertification, annual mandatory continuing medical education credits and accounts for exposure to the most clinical hours of other staff personnel in breadth, depth and scope.

It is this description that we think of when the individual responsible for our care in the hospital or an emergency room or outpatient facility interacts with us. They are no better than any other caregiver albeit a nurse, respiratory therapist or you-...

Recently, I published an article More Bad News for Single Payer Health System detailing the reasons for a disastrous report recently generated out of London by the National Health Service (NHS) about poor quality of care for the sickest patients. Care that was deemed less than good for every four out of five cases with a climbing mortality rate of one in three all being attributed to sub-standard practices. (See here). (1)

Then, news came out from NHS England that the number of people waiting for routine surgery exceeded 4 million. The highest in a decade. The...

When people hear of Miss America or Miss USA and the like, they tend to conflate the organizations and dismiss them as “beauty pageants” and whatever that must mean. Having just judged the Miss America’s Outstanding Teen (MAOTeen) scholarship competition—Miss America’s sister program— in Orlando, Florida, I would argue to do so would be a disservice to some extraordinary, talented young women who not only are currently impacting their communities, but will no doubt reflect future leadership in society.

Momentarily, I will take you behind-the-scenes of my experience and demonstrate how this group of 13-17 year olds and the ancillary programs Miss America provides (that range in age from childhood to young adulthood) could be an opportunity for...

With information —bad, good and worse— overload from all media forms at all hours of the day and night, it is no surprise that public confidence in the medical realm is precipitously plummeting. So says a new report identifying that only 37% of the public trust evidence from medical research as opposed to 65% who prefer the experiences of friends and family. (1)

This latest work out of The Academy of Medical Sciences which, according to their website, is an “independent body in the UK representing the diversity of medical science” whose “mission is to advance biomedical and health...

Since I am a huge proponent of laughter often being good medicine, I didn’t have to look very far to find funny movie scenes that also delivered meaningful medical lessons.

Limiting the number of options became the challenge!

So, here are 5 examples from films where medical knowledge can be extracted from the humor (of note, be aware there is cursing in some of the linked clips and so may be NSFW) :

Space Cowboys (2000)

Clint Eastwood, Tommy Lee Jones, Donald Sutherland and James Garner play former NASA crew members finally getting their shot to go on a repair mission in space. To do so, they must meet the same physical standards, usually by much younger colleagues, to get the go ahead to undertake their dream...

We have entered dangerous times in my beloved medical profession. Non-doctor health professionals, backed by powerful lobbies, are increasingly interested in the easing of certain practice restrictions. New titles like “clinician” or “advanced practitioner” or “provider” are masking a stark reality - people will be able to practice medicine without ever having to attend medical school, perform rigorous residencies or be comprehensively and extensively trained as physicians.

This is not to diminish the powerful benefits of nurses. Far from it. But nurses are not doctors and the people most likely to get medical treatment from people who are not doctors are among the poorest that health care reform was supposed to improve. We shouldn't cave into it. From an ethics perspective...

The New England Journal of Medicine (NEJM) just published distressing accounts of three patients who endured irreparable damage to their vision after seeking treatment at the same unnamed “stem cell” clinic in Broward, Florida.

Shortly, we will address where things went very, very wrong and how such situations can be avoided. But, first, let’s discuss what happened.

The women aged 72-88 years old suffered blindness to near blindness as a direct result of untested “stem cell” therapies being injected into their eyes while being fleeced $5000 for the procedures. Promised “revolutionary” therapy, they were left with catastrophic reminders of the unfortunate and unnecessary ordeal.

Each patient had age-...

Obamacare was always about health coverage, not health care. Whatever destiny awaits its future iteration —albeit repeal, replace, repair, what have you, Trumpcoverage would be a better suited name than Trumpcare

If the highest quality of medical care persists in being of unequal consideration to access where continuity of care is permitted to fragment further and individual choice of physician be ever limited, then we all lose no matter the new enactments.   

Whatever your political affiliation, all we hear about from both sides of the aisle are the two aspects of Obamacare that we all desire to keep: not penalizing those with pre-existing conditions and covering young adults under their parents plans until age 26. Bravo to those who...

Watching the jaw drop or tug-of-war facial reaction battle of another person when they discover my educational and career endeavors is so uniformly commonplace that I would be hard pressed to come up with a day let alone a week where such an occurrence didn’t take place.

Apparently, I don’t look like a doctor.

Earlier today the waiter at lunch was first speechless then over-complimenting once it sunk in how dramatic his response was to the news that not only was I one, but I was not fresh in or out of training and had dabbled in the possibility of brain surgery as my chosen vocation.

Typecasting by others or the insistence on attempting to place me in a box is the story of my life.  I always joke I am like Rodney Dangerfield, “I just get no respect.”  Though...