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For years, I gave my patients advice that I was not following myself. Reduce your stress. Protect your sleep. Listen to your body. Set healthier boundaries. Then I would finish a full day of back-to-back appointments and stay late answering inbox messages, reviewing charts, completing forms, and responding to insurance
Every few months, the news runs with a headline about artificial intelligence replacing doctors. A model passes an exam. A chatbot answers a patient question. A system summarizes a chart or reads an image. The debate starts again. Will AI replace physicians? I think that is the wrong question. The better question is: W
For decades, stroke survivors have been told the same thing: Whatever function you haven’t recovered in six months, you likely never will. That assumption is now being dismantled. The American Stroke Association estimates that 1 in 4 American adults will experience stroke in their lifetime, often with devastating conse
Halfway through our dry run, we paused in the boardroom of a national health insurance company. Talking points refined. Slides polished. Empty chairs at empty tables, staring back at us. I didn’t linger on the silence then. Now, as a medical student, I cannot escape it. Because empty chairs look different here. Perhaps
On July 29, Hackensack Meridian Health became the first health system in the country to earn The Joint Commission’s Responsible Use of AI in Health Care certification. Most coverage treated it as a milestone for one New Jersey network. I read it as a deadline for everyone else, because of a single question that certifi
She was a young mother. We had never met her before. She arrived gasping for air. Within moments, the room was full. Everyone came together with one purpose, to save her. Then her heart stopped. CPR began immediately. The obstetric team delivered the baby while compressions continued. Thirty minutes passed. No pulse. W
Clinicians are trained to demand certainty before they act. In the operatory or the exam room, that risk-averse instinct is exactly what keeps patients safe. Applied to career decisions, the same instinct becomes one of the most expensive habits in modern health care. There is a sentence I hear almost every week from y
I am writing this from the slow, disciplined landscape of recovery (one repaired shoulder, one sling, and one unrepairable truth): Medicine did not suddenly become fragile when AI arrived. It did not suddenly become threatened when APRNs and NPs expanded their scope. It did not suddenly become replaceable in the twenty
The American health care system, as I see it, is undergoing a quiet, clinical decapitation. At the root of this crisis is a fundamental, irreconcilable conflict of interest: the presence of health care companies on the public stock market. While we like to believe our medical institutions are guided by the Hippocratic
In the months since the United States marked its 250th anniversary, I find myself sitting in a unique vantage point. As a psychiatrist, my office acts as a microcosm of the American experience. Behind closed doors, the broad and often raucous headlines of our national discourse distill into the visceral, unfiltered rea
Artificial intelligence (AI) is entering medicine faster than many physicians expected. It is already helping draft notes, summarize records, answer patient questions, support imaging workflows, and organize clinical data. Some tools are useful. Some are premature. Many are somewhere in between. The question for physic
I have some version of the same conversation every week now. A patient is starting semaglutide or tirzepatide, and partway through the visit they ask the question I suspect most of us are hearing constantly: What happens if I ever stop? For a while I gave the honest-but-incomplete answer, that we’d cross that bridge wh
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