Recognizing structural drift and institutional failure in health care

Most institutional failures appear sudden. A hospital collapses under regulatory scrutiny. A leadership crisis erupts. A…

Pharmacy closures threaten our entire public health system

We turned pharmacies into the backbone of public health during coronavirus disease 2019 (COVID-19). Then we…

Knee replacement marketing undermines informed consent

She came in having done the work. She had watched the clinic videos. Read the website.…

Surviving a hospital blizzard as a physician on call

The recent record snowstorm in New England got me all in a deep wintery nostalgia. I…

A humorous parody of medical specialties and the modern patient

Prologue As a practicing gastroenterologist for more than 50 years, now emeritus, I was privileged to…

Artificial intelligence is changing medical writing today

The moment was small, almost trivial. I handed my daughter her polished curriculum vitae (CV), clear,…

Redefining physician leadership and adversity after a life-changing illness

There are moments in life when the identity you have carefully built over decades is interrupted…

Why Florida physician background checks are driving doctors away

I decided to be a physician because my mother died from tuberculosis, after quite a struggle,…

Managing food allergy anxiety through diagnostic testing

Food allergies affect roughly 8 to 10 percent of U.S. children and adults, and prevalence has…

Low-dose lithium treats suicidal ideation safely

A patient in his 20s recently came to see me in a state of severe distress.…