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I was taken aback by the term used in the article published in JAMA Network Open: Medical gaslighting has been defined as, “…an act that invalidates a patient’s genuine clinical concern without proper medical evaluation, because of physician ignorance, implicit bias, or medical paternalism.” In medicine, the clinician-patient relationship is certainly vulnerable to gaslighting, in […]
In the classic sleep deprivation experiments, two rats were placed on a disk that can rotate over water. They had as much food and drink as they wanted, and if the experimental rat fell asleep or entered a prohibited sleep stage, the disk started to rotate. If the rat did not keep waking, it would […]
In my conversation with Dr. Elaine Chen of Rush University Medical Center, who is both an Intensive Care and Palliative Care physician, I asked her how being a Palliative Care specialist has helped her as a Critical Care physician. The part of her answer that affected me the most was this statement: “Death is not […]
The battle against critical illness in the ICU is self-evident. The battle against an ignoble death is paramount for me.
At Long last. The CDC has updated its guidelines with respect to Covid isolation. This has been a long time coming, and many in our field are relieved that the CDC finally changed its guidance with respect to how long people should isolate if they test positive for COVID-19. First, the guidance itself removes a specific […]
The NY Times published an article about violence against healthcare workers. It was heart-wrenching to read: Last year one of my patients was on the phone, lamenting about how long he had been in the emergency room. He had already waited several hours to get a CT scan. Medications he was supposed to be given were repeatedly […]
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 […]
