I'm an odd oncologist, maybe. When my patients opt for no chemo, I keep seeing them if they wish. I help w/ symptoms, follow scans over time, & help interpret data about alternatives. A doctor is a guide. We should continue to guide, even if a person opts for a different path.

We see specialty disrespect all the time in medicine. The truth is that every specialty carries a different kind of weight. Each has its own value. We are all caring for humans in our own way. Diagnosing, stabilizing, operating, listening, preventing, following through.

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Success is not about finishing everything you start. It’s about knowing when to grit and when to quit. 235 studies: When people adjust their goals and plans in the face of challenges, they make more progress—and feel less depressed and anxious. The ultimate flex is flexibility.

I wish that med students had to rotate for a day with bedside nurses... lab orders that trickle in over hours, sliding scale insulin for non-diabetic patients, unnecessarily frequent vitals. We know so little of what the clicks of buttons mean for nurses or how hard they work.

There is no better feeling in medicine than telling a patient they are cancer free 🙌

just spent two hours crafting a thought, only to realize I didn’t agree with it anymore. this is one of many reasons the act of writing is so important, and should never be outsourced. thinking hones your writing. writing hones your thinking.

Research shows that admitting you don't know something actually helps people trust you more. Instead of making up an answer or pretending you know everything, try saying, "I'm not sure what this is, but I'll work to find out."

RESIDENCY INTERVIEW TIP: When an interviewer asks, “Do you have any questions for me?” try asking, “What do you like most about your job?” Two applicants have asked me this, and both times it sparked a great conversation. I also found it more engaging than the usual questions

Please remember that patients on ventilators can often hear you. Speak how you would if they were awake. Introduce yourself. Say what you're doing ("I’m going to listen to your heart and lungs.") Tell them the plan for the day.

Because of science: Your mother survived childbirth. You never got polio. You’ve never seen smallpox. Your friend with type 1 diabetes is alive. That infection you had? Antibiotics cured it. We don’t live longer because of luck. We live longer because science works.

Many situations in life are similar to going on a hike: the view changes once you start walking. You don't need all the answers right now. New paths will reveal themselves if you have the courage to get started.

CDC’s ACIP just voted to delay the Hepatitis B vaccine in babies, overturning a 30-year policy. Experts warn this could lead to 1,400 new chronic infections & 300 preventable liver cancers, as screenings in pregnancy can get missed, & some people are infected later in pregnancy.

Congratulations to all the resident doctors who matched into fellowship today, and for those who didn’t match (or who didn’t match where they wanted to be), please know that you can still have a meaningful, successful career, no matter your match result.

Sometimes I get caught up in how busy I am during clinical days that I forget how much work and time it takes for patients to come see me. Some travel six hours round trip. Some arrange rides. Some wake up early. Some take off time from work. May we remember this.

Each morning before clinic, I look at my list of patients for the day and pray for each person: For peace and presence during our time together, for insights into their care, for their wellbeing and healing, and for their families. Do you have rituals in your practice?

"You can smile and still be grieving. Show up and still be struggling. Hold space for others and still be collapsing inside. Be kind—always. We’re all carrying more than we show.” ~Lori Deschene

"My name's Raymond. I'm 73. I work the parking lot at St. Joseph's Hospital. Minimum wage, orange vest, a whistle I barely use. Most people don't even look at me. I'm just the old man waving cars into spaces. But I see everything. Like the black sedan that circled the lot every

The chart: "Patient noncompliant." The reality: She works multiple jobs. Has gaps in health insurance. Lives in a food desert. Has an inflexible schedule. Has transportation issues.

I've told someone my own age they have incurable cancer and guided them through the end of life. Life is too short and precious to obsess over unimportant things, to bicker over nothing, or to ignore relationships. Especially over the holiday season.

Happy Thanksgiving from our family to yours! I am grateful for each of you. Thank you for every insightful comment, every moment you helped me feel I wasn't alone, every kind message. Hoping you have a peaceful day with your family, and to everyone working today THANK YOU.

The people who truly make a difference in our lives are not the ones with the best pedigree or the most letters after their name. They are the ones who cared for us in the moments we needed them most.