All Posts by Gerard DiLeo, M.D.
Politics is a very strange thing. It changes your friends and your enemies faster than the turnover in a schoolyard playground. It is a flawed system in which the disgruntled are tempted to think that the only people politicians represent are themselves. Like most responsible people, politicians are neither as bad as their detractors say nor as good as they themselves feel they are. A moral compass is usually there, but it is fragile because its needle is easily magnetized toward the politician him or herself.
Being a physician requires a crystal-clear moral compass because it’s too hard and too important of a job to do for just money. The labor, whether it’s cost efficient or not, is worth the satisfaction of doing one’s best while helping someone out the most. For doctors, their moral compass points to true North; for politicians, it sometimes points the way the wind is blowing.Read more
Is Medicine Fun? Does That Make It Funny?
Roller coasters are fun. Playing sports is fun. Neither is really funny. Like a roller coaster, the practice of medicine can be thrilling and unpredictable, rough or smooth. Like playing sports, to do it well, you have to know what you’re doing—be good at it.Read more
You need to convince them that you appreciate these things—common to all programs or particular to this one specifically—and then you need to convince them that you can give more than you get—that they will benefit from selecting you.Read more
From thousands of years ago to now, we harvested the opium poppy and eventually the morphine molecule to give the LC some competition. The LC tones down the pain signals initiated by injury, but narcotics, when they fill the opioid receptor site’s on neurons, block the pain signals from registering at the brain level, and the LC’s response doesn’t even happen.Read more
In my dad’s time, I know he did hysterectomies, appendectomies, vein stripping, colon surgery, proctology, and many other things that just having his diploma and a knife qualified him for. True, it was a pretty good diploma as diplomas go, but today we know that you can’t know everything about everything.Read more
Of all the ways one can practice medicine, one of the most fulfilling is in research. Research medicine involves searching and re-searching for, as well as discovering, proving, and implementing, approaches and applications of the medical arts that will move […]Read more
Finishing your training is “transitioning” to a life vastly different from the one you’re leaving. While the specialty of Hospital Medicine is one of the many choices available to you, the life of a hospitalist, like Hotel California, can be Heaven or it can be Hell.Read more
The ink on your graduation diploma isn’t even dry yet. It is 6:59 AM on July 1, a minute before 7 AM on the day all shiny, new doctors begin working as real doctors for the first time.Read more
Don’t fool yourself. A medical partnership is indeed a marriage, so some caveats are in order before “marrying” into that partnership.Read more
A new construct that takes the “smaller town” motif to the next level is the large multi-specialty group. In this, there is a group of doctors of each specialty practicing under a much larger, shared overhead of a constellation of specialty groups. It has all of the good features of the large single-specialty group in that there is help and assistance within your specialty, decreased costs of practicing (translated, higher net income), and you’re never at the mercy of someone calling in sick—even if it’s you.Read more