The biggest change in medical practice that has occurred during my 25 years as a physician is the open acceptance of physician employment. Compared to this change, the ACA, EMRs, “Gorillacillins,” and the latest sepsis protocol, combined, a…
Category: Policy
The problem with these specific words in health care
Words are powerful. So few symbols can evoke such deep feelings and rouse incredible emotion: “I have a dream.” Language is the achievement that makes us who we are. But while you, I and everyone else employ the same words to communicate sh…
Be mindful of the language we use in medicine
At LGBTQ health conferences, I am always impressed by how much care and consideration is given to providing a safer space for all who are present. For example, the check-in process typically involves a volunteer asking the attendee whether or not they …
How to choose the right rehab option after a hospital stay
This is the scenario. You (or your mother) were admitted to the hospital with pneumonia. On the third day a cheery continuing care nurse comes in and says, “You don’t have a fever, and the doctors feel you can be discharged to finish your course of ant…
Why is health insurance so unaffordable?
Honestly, I have never been a big fan of insurance. I am not much of a gambler, and paying for insurance feels like betting on my own misfortune. I have never purchased insurance for a cell phone or appliance. I would rather save the money and make an …
I speak for the nurses
“I would submit to you that those (small hospital nurses) probably do get breaks. They probably play cards for a considerable amount of the day.” – Maureen Walsh For the first ten years of my professional life, I was an inpatient nurse, first on …
What do we want our health care system to look like?
I think the time has come for us all to do a little more than put our 2 cents in. Our health care system is a mess, and while many of us fighting in the trenches and taking care of patients are working to make things better (despite the best efforts of…
How can we fix the research bias from industry sponsorship?
Late last year the New York Times reported that Dr. José Baselga, the chief medical officer of Memorial Sloan Kettering Cancer Center, had resigned for failing to disclose his conflicts of interest at professional meetings and in scientific and medical…
How physicians and administrators can get to a place of greater trust
Recently, I wrote about some key findings from a 2018 survey of U.S. physicians by The Physicians Foundation. It’s no surprise to anyone working in health care today that the survey found alarming levels of professional dissatisfaction, burnout, and pe…
Change the approach to triage to alleviate ER overcrowding
“Triage” is French for “to sort.” It developed as a concept on the battlefield as a way to address injured soldiers and ensure that care was provided to those most in need. In the emergency department, triage is usually the responsibility of a trained,…
