Has medicine lost its why?

From the halls of ancient Greece to the heights of television screens, the myth that the physician is more god than mortal has stood the test of time. As such, we are held to moral and superhuman standards no matter how tough things get. And thanks to …

It’s called crying and it’s normal

Doctors treat people in all types of situations. Life or death. Sometimes both. Babies die, children die, and teenagers die. Women die. Men die. Sometimes you even have the misfortune of delivering a stillborn. Everyone experiences death, but for docto…

A goodbye note to my suicidal teenagers

On the day before the last day at my last job, I reviewed my patient roster. Five of my seven most worrisome teenagers were currently admitted to a psychiatric hospital for a suicide attempt. This was not completely surprising. It is the fall. Teenager…

The physician’s real problem isn’t burnout

I read an article recently suggesting that physicians were burned out from hearing about burnout. The proposed solution was to create systemic changes to help alleviate the burden of complexities of care that have polluted health care delivery. The sol…

PTSD after medical education

Dear Art: On Friday, June 11, 1982, members of the faculty convened to discuss the performance of the psychiatric residents during the last six (6) months. The following is a summation of their comments as they apply to your performance. The faculty&#8…

What does self-compassion look like in your life?

I’ve spent years deeply uncomfortable in my skin. Wanting to disappear. Last night, a wave of anxiety hit me as it often does when the world gets quiet. In tune with my body for a brief moment, my heart ached. Why? I envisioned that moment when w…

Medical support staff is neglected, disrespected, and mistreated

Medical support staff is leaving in droves and leaving patients’ health at greater risk. Calls and messages to doctors’ offices have surged as patients try to access care. Wait times skyrocket to book visits. News stories about the current …

How can doctors slay their Goliaths?

An excerpt from Doctor and Goliath. We’ve all heard about David and Goliath, correct? In one of the most epic underdog stories ever written, a young boy defeats a giant Philistine warrior. But how did that happen? What tools did David employ to w…

The slow death of primary care: a Canadian perspective

Loss of autonomy, gaslighting, abuse, exploitation, and hypocrisy are all strong words. Just writing them brings to my mind the harsh reality of my experience and the collective experience of others who have dared to speak up. These words come to mind …

Ambulatory medicine today: Focus on what you can control

Patient volume has recovered across the country, and most medical offices are back to a steady state of care delivery—but ambulatory care has changed irrevocably. We’ve entered a phase shaped by crisis and marked by even more intense cost pressur…

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