Physicians are often told they are burned out.
What if burnout is not the disease?
What if it is a symptom?
After twenty years in medicine, I came to believe that many physicians are struggling with something deeper: the erosion of meaning, identity, and agency within the profession itself.
The Disease of Me explores why this is happening—and how we might reverse it.
Available now on Amazon.
https://t.co/PujKP0Aarf
Physicians spend their careers helping others confront mortality.
Yet many of us spend surprisingly little time examining our own relationship with death.
Avoiding that conversation doesn't make death less influential. It simply allows it to shape our fears, priorities, and decisions unnoticed.
Perhaps one of the most important things medicine can teach physicians is not simply how to delay death—but how to live in its presence.
One of the most striking changes in medicine is not technological—it is cultural.
Appeals to duty and professionalism that once inspired physicians are increasingly viewed with skepticism by trainees.
We should be curious about why.
Technology rarely reshapes professions overnight.
Instead, it slowly changes what society values within those professions.
The question is not whether AI can replace physicians.
The question is whether physicians will continue to cultivate the uniquely human skills that AI cannot replicate: judgment, wisdom, trust, and presence.
A very impressive discovery of a new ECG marker for sudden cardiac death validated in 3 different cohorts and linked to benefit of defibrillator, an outgrowth of human research ingenuity and AI deep learning https://t.co/yinBsn791C
Employment has solved many problems for physicians.
It has reduced financial risk, administrative burden, and practice management headaches.
But every solution creates new challenges.
What happens when a profession grounded in judgment, autonomy, and responsibility unwittingly adopts the values of its employer?
That question deserves more attention.
I'm very pro-statins for their incontrovertible benefit vs atherosclerotic buildup and reduction of cardiovascular adverse events. Their benefits greatly overrides the risks.
However, I always keep in mind 2 key side-effects:
1. Inducing Type 2 diabetes, uncommon, but more likely with aggressive dosing of statins. I've written about this concern since 2012 in a @nytimes oped and got a lot of flak for it. Can be missed by clinicians not cued it.
https://t.co/Bd7lZADuY4
2. Myopathy, muscle inflammation, cramps. Not uncommon, hit me after years of taking statins. New paper on the putative mechanism https://t.co/gcnGOEBsGx
Many physicians say they are searching for better work-life balance.
I wonder if what many of us are actually searching for is meaning.
Balance is important. But a meaningful day can be exhausting and still feel worthwhile.
A meaningless day can be cognitively easy and still leave us depleted.
The distinction matters.
Within our body, different cell types exhibit a varying pace of aging. Discovery of how that can be tracked by cellular proteomics, from a tube of blood, and what that means for health outcomes, For example, the clock of brain astrocytes and development of Alzheimer's disease. @NatureMedicine@wysscoray
This takes organ clocks to the next level!
https://t.co/7k296L8tGw
Discovery of a 14-protein biomarker that predicts lung cancer 5.6 years before it is diagnosed, even in non-smokers, and an anti-inflammatory medicine that prevents its progression. And, challenging dogma, the proteins are not coming from cancerous cells!
After 25 years of brave & brilliant work by hundreds of scientists in my lab to understand then safely reverse aging for the first time, it was moving to witness the first human dose being delivered 🥹 https://t.co/veQsyUEORz
"The term [provider] should not be used to describe physicians, nor should physicians use it to describe themselves, their team members, or their trainees."
https://t.co/C1hEu3mUr2 @AnnalsofIM@ACPIMPhysicians
A review of the new trial results (below) along with all the other evidence and conclude it's time to move to AI-support for all mammography (with no cost to patients) https://t.co/hITOBNd7pg
"We should be skeptical of any people who sell themselves as singularly capable of giving health advice on the internet and should always follow the money and connections where they lead."
gift link
https://t.co/9oD62gxdC1
A success story for a physician with Alzheimer's which, in spite of the obstacles outlined, is a precursor for our enhanced ability to prevent the disease in the future
gift link
https://t.co/8cqUCGiQVi
DANGEROUS COLD tonight, especially for those without heat sources. Check on neighbors and ensure pets and other animals are warm. Check with local media or emergency management for info about warming shelters. Most areas are likely to stay sub-freezing all week.