When my medical career was in its infancy, providing for my family after divorce meant moonlighting in addition to working full-time hours. Although it was my decision, I was torn between my children and my work. Time in the hospital meant missing out…
I am a primary care physician for adults and children at a safety net clinic in Los Angeles. I also teach medical students. I am an out lesbian and am planning on becoming a parent. I struggled with my LGBTQ identity as a teenager in the early 2000s. I…
In my first quarter of medical school, we learned the pulmonary exam. We were told to watch the patient’s breathing, feel for any asymmetries, use our hands to gauge resonance and listen to all lung fields with our stethoscopes. It didn’t seem too dif…
“Yearly physicals are usually afforded a longer time than regular visits. If I can use most of that time focusing the discussion on what a healthy life means to each of my patients and what they need to achieve it, I feel that I’ve accomplished m…
I was somewhere over the Atlantic Ocean, heading to Ukraine “to make a difference,” or so I hoped. I was leading a medical mission to this beautiful yet poor and war-torn country. I was watching the movie First Man about the landing of Apollo 11 on the…
“Last question,” the woman from the insurance company said. Good, I thought; I was eager to get back to seeing patients. “How long have you been taking care of Sarah?” “I’m not sure,” I replied, “How old is she?” “She’s 34.” “Then I have been taking ca…
As I finished the endless clicking, the clinic day came to a close. Clicking to begin and end phone visits. Clicking to get on and off Zoom visits. The endless video game clicking that is life as a physician documenting electronic health records. Too b…
There is ample evidence that patients with severe mental illness are at high risk for significant medical comorbidities. A complex combination of factors contributes to this excess risk and consequential poor outcomes. Socioeconomic factors, side effec…
“We are all interrelated. This is the foundational basis of osteopathic medicine. Whether considering internal relationships of the systems of the body or the external relationships of a person with the world around them, connection is a key prin…
Today I lost one of my patients. He saw me in the office for the first time about three and a half years ago. It went downhill after a simple infection, with repeated hospital visits back and forth, and ultimately today, he passed away. He gave a good …
