



I travel quite a bit for work. For the most part, it runs smoothly. There are times, however, where it does not. Recently, I was traveling to one of our practice sites in the morning. The plan was to take the first flight out, have meetings during the day at my sites, and then fly […]

Let me get this out of the way: Yes, physicians earn a very good living. Many, if not most, physicians make way more money than the overwhelming majority of the population. In fact, many specialists make way more than the President of the United States. In order to make that money, however, it takes literally decades […]

For more than a year, I have stopped consuming diet soda. My go to drink was Diet Coke, and it was not uncommon for me to consume almost a 12 pack a day. I enjoyed the taste, it did not have any sugar, and it was a substitute for food, allowing me to decrease my […]

The intensive care unit can be a very intimidating place, not only for patients, but for their doctors and nurses as well. Usually, only the sickest of the sick get admitted to the ICU. In many countries around the world, in fact, an admission to the ICU is synonymous with a death sentence. It is […]

Vaccination against SARS CoV-2 has made a tremendous difference and impact on the course of the SARS CoV-2 pandemic. This is indisputable. Vaccination against SARS CoV-2 has saved lives. That is indisputable. That said, it is clear that vaccination against SARS CoV-2 also comes with risks. It is not completely benign. That is also indisputable. Specifically, […]

On April 10, 2023, President Biden signed H.J. Res. 7, which ended the national emergency order for COVID-19. The Public Health Emergency by the U.S. Department of Health and Human Services is set to expire on May 11. I also recently celebrated the end of mandatory universal masking at my hospital. We have definitely turned a corner […]

Clinician documentation is everything. It tells the story of the patient’s current condition and what is being done to fix it. Against it patients’ charts are coded for billing and reimbursement. Upon it insurance companies can deny level of care or specific DRGs. And upon it malpractice lawyers build a prosecution against clinicians. Like I […]

On March 13, most of the country “sprung forward” its clocks and entered into daylight savings time. The American Academy of Sleep Medicine, of whom I am a Fellow, came out with a statement against daylight savings time: The American Academy of Sleep Medicine continues to oppose the Sunshine Protection Act, which Sen. Marco Rubio of Florida […]

Whenever we get sick with an infection, a very important component of our treatment and recovery plan is sufficient sleep. It allows the body to rest and focus its energy on fighting the infection. Sleep deprivation, in fact, can be quite deadly. In the classic rat sleep deprivation trials, total sleep deprivation ended up killing the […]

In early January 2023, the Federal Trade Commission proposed a new rule banning noncompete clauses in employment contracts. According to the FTC, noncompete clauses “constitute an unfair method of competition and therefore violate Section 5 of the Federal Trade Commission Act.” In explaining the rationale for this new rule, FTC Chair Lina M. Khan said, “The freedom […]



