“11 out of 10” is Released!

Please check out the new medical anthology, “11 out of 10” released today! I contributed one of the stories (Thanksgiving of the Dress) that I wrote during my residency training. All proceeds will be donated to the Deworm the World Charity.

It’s been and honor and pleasure working with so many talented writers in the medical field!

Click here to buy a copy!

 

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A Deeper Dive into Patient Experience

Recently, my blog on Patient Experience was re-posted on KevinMD. The comments that patients and providers made on the site were challenging, insightful and difficult to read at times.

So many providers, mainly physicians, are so incredibly angry about the idea of patient experience. They get red in the face and raise their voices as they talk about it. They get defensive and make all kinds of excuses about how the data collection methodology is wrong and how medicine is going down the tubes.

Continue reading A Deeper Dive into Patient Experience

The Human Side of Corporate Medicine

“I want to explore employment opportunities with you.”

He is looking at me. Trying his hardest. Passion, yet anger, in his eyes.

Everything I know about him and his tenure in the community helps me understand how difficult this conversation is. Everything I see in his eyes helps me understand how painful this is.

Private practice is dying…on the vine…in America.

Continue reading The Human Side of Corporate Medicine

The ACOG Disconnect: Confessions of an OB/GYN Physician

In May of this year, I attended the Annual Clinical Meeting for ACOG. While there was a wealth of information and innovation shared at the meeting, the conference was missing critical content: collaborative care.

Not one lecture on best practices in collaborative care.

We are facing a physician shortage of great proportions in this country over the next decade and collaborative care is the most patient-centric approach to addressing this crisis. Why aren’t we sharing best practices to overcome that hurdle?

Continue reading The ACOG Disconnect: Confessions of an OB/GYN Physician

The Roasted Birth Plan

I can’t claim to have authored this most hysterical satire on birth plans, but I will say that the person who did write it is one of the most compassionate and capable physicians I know – in addition to being extremely midwife, doula, hypno-birth and birth plan friendly. She just recently had a baby and wanted to poke a little fun at the whole process and arrived on the labor unit with this birth plan in hand. The nurses had to do a double-take before they realized it was all in good fun.

Dr. Roast’s Birth Plan

Pain Control: We are opposed to torture. However, we believe that labor is not truly painful, and therefore plan on using a butterfly and fairy based hypnosis performed by my husband during times that are more “intense”.

Continue reading The Roasted Birth Plan

Reflections of ICD-10 Change

While trying to come up with the perfect reflection today, I wanted to consider the most difficult change USA providers will need to embrace in the coming months. I think most of us would admit that it’s ICD-10.

Our biggest challenge to the ICD-10 transition will probably be ourselves. We are creatures of habit. When something works for us and a process in place serves us well, it is hard to move that process into a whole new domain.

But, is it really going to be that hard? Is it really going to be that bad? When I think about change, I try to put the changes I am facing into perspective and relate change to the important people in my lives…

Continue reading Reflections of ICD-10 Change

The Skeptic Doctor: Reflections of a Physician Leader

“Patient experience. I’d like you to take over the initiative,” he said. I looked to my left and right.

Shit. He’s talking to me.

 For a moment, I had an overwhelming sense of insecurity. Give me operations. Give me finance. Give me quality. Give me strategy. But don’t give me patient satisfaction. That’s not me. I’m not light and fluffy. I’m not mushy-gushy. Nor am I very good at the touchy-feely leadership stuff. I’m a cynic. A skeptic. A no-nonsense gangbuster.

Continue reading The Skeptic Doctor: Reflections of a Physician Leader

Nurse Respect: Confessions of an OB/GYN Physician

Sometimes I’m not the nicest. Sometimes I don’t say “thank you” or “please”. Sometimes I seem gruff or insensitive. Sometimes my tone does not put you at ease.

It’s not because I disrespect you. I value our interactions each and every day. It’s not because I don’t like you. Some of it is just the way I was trained. Continue reading Nurse Respect: Confessions of an OB/GYN Physician

Advice to my medical student self…

“I start my first clinical clerkship in medical school tomorrow. Any last minute advice?”

I stared at the text message from my cousin as I rolled my first patient of the day back to the operating room. I chuckled to myself.

What fun?

Continue reading Advice to my medical student self…

Prayer and Medicine: Confessions of an OB/GYN Physician

The hand stretched out towards me and I looked at it solemnly.

“Will you pray with us, Doctor,” her mother asked.

I was at a loss for words or an appropriate response.

Pray?

 The day prior I had received the lab test. Her baby was 99% certain to have the devastating diagnosis of Trisomy 18, or Edwards Syndrome. It is an unfortunate condition in which a child is severely mentally retarded and typically does not live beyond the first year of life. Continue reading Prayer and Medicine: Confessions of an OB/GYN Physician