February 7, 2018

Off the Grid: • Youtube video on a “retired” doc who now goes by the name Slomo and spends most of his time rollerblading on the beach sidewalks of San Diego. Cool, high production quality video, worth watching. Certainly one way to deal with burnout.  Mobility: • If you sit at a desk or table for any length…

January 31, 2018

Transcend:  Transcendental Meditation is different from Mindfulness Meditation. TM involves mentally repeating the same word/phrase with each exhalation. Supermind provides a comprehensive summary of the benefits, but like other TM books, it gives very little instruction on methods.TM effects: decreased sympathetic nervous system activity and blood pressure; less atherosclerosis and heart attack; increased insulin sensitivity and longevity.TM increases activity in the default mode network (DMN)…

January 24, 2018

Medicine: Very cool article from the New Yorker on anesthesia. I haven’t bought Katie Cole-Adams’s book yet, and might start with this one. But I like how this article (and apparently Cole-Adams’s book) explore the philosophical aspects of being put to sleep, rather than the clinical side. Some scary reports of people being “awake” during a surgery. It does appear that…

January 17, 2018

Survey Article: Interesting article on 1580 low carb dieters who answered an online survey. The majority had improved blood markers of diabetes, 25% had medication cost savings (average $288 per month!). Also, use of pain relievers / anti-inflammatory medications dropped. Sure its just survey data, but if a new drug achieved these results it would be all over…

January 10, 2018

Wisdom from a patient: Below is a quote is featured in this article about patients who are referred from one ER to another due to lack of insurance. WE hear a variation of this every shift at UofL. “Like awful, man. Awful like a piece of trash, because if you don’t have the money or health insurance you ain’t worth nothing.”-Patient and…

January 3, 2018

Tax Overhaul:  Most of us are not rich enough to benefit from the tax cuts. If you are, please take me out on your yacht! But if anyone is interested in the impact of the legislation on physicians specifically, check out this post on White Coat Investor. It is comprehensive, includes unbiased political background, and is easy…

December 27, 2017

Reverse Bucket List:  Article in Fast Company about writing your own “reverse bucket list.” Rather than thinking about all of the things you want to accomplish someday, take some time to write down some big achievements you already have. Celebrate small wins like fitting into your old pants again, up to bigger stuff like getting accepted to medical…

December 20, 2017

Wisdom from a med school graduate:  Check out this article from a physician who has practiced more than 30 years, giving advice to his younger self.Patients are real, not mechanisms. You don’t have to be the hero (emphasized by Dr Drummond of happymd.com). Patients heal themselves (Voltaire). Doctors make mistakes. You can change the world – hint: choose to…

December 13, 2017

Good!: I love this motto from Jocko Willink (the guy who said “discipline equals freedom”). “Good!” is basically a shortened version of Amor Fati. Anytime something bad happens, say “Good!” and decide how you can turn it into a positive. Jocko used this in his Navy Seal career. “Phone battery died? Good! I can read a book.”“Forgot my coat? Good! I can…

December 6, 2017

Accept:  Amor Fati. Love Fate. This is the daily commitment to accept what happens, even the negatives. According to Neitzsche, “want nothing to be different, not forward, not backward, not in all eternity. Not merely bear what is necessary, still less conceal it…but love it.” The wise Robert Greene speaks of a power “so immense it is hard to fathom … you feel that…