MomMD Blogs

Blogs for women in medicine which cover topics such as health, medical school applications, pediatrician moms, physician success, childcare and many other thoughts for women in medicine.

A working physician mom touches the texture of her days

I’m one month into my redesigned life as a physician mom and simultaneous physician business owner who traded in a nanny for an online business manager. As each day passes, I feel myself reaching out more and more to touch and stroke the textures of my life. There is the start to the morning – a brief lie-in as I catch the news headlines and drink the welcome cup of tea brought to my bedside by my dear husband who knows I can’t open my eyes until that first sip. As I lie enshrouded in semi-sleep and the warmth of the winter sheets, I keep hoping my eight-year-old daughter will jo......
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How do you know when your medial practice or business needs a kick in the butt?

At some stage in its "life cycle", every medical practice or physician-owned business starts to spin its wheels, either because there isn't enough business, or the patients or clients are showing dissatisfaction, or there’s way too much business and things are bogging down. Ideally, we the business owners can spot this coming and have a plan in place for taking action. More often than not, we're caught unawares, and we find ourselves frantically trying to put things right with disgruntled clients, patients, colleagues and/or employees. Or coping with a feeling of pressure in the chest......
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speak up

I'm seething.  A Huffington Post article this week misrepresented a caring, wonderful doctor and her informed perspective.  Most upsetting, the article could endanger young anorexic women by promoting an inaccurate perspective of their treatment needs. By inadequately emphasizing and elucidating the medical perspective, the article is dismally skewed.  The article implies that firm limits and aggressive treatment of anorexic college women during acute illness is somehow mismanagement.  That psychology is not adequately addressed.  This perspective could not be more misguided.  Of course, the ......
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Is it time to get on the Internet-as-marketing-tool wagon again?

As a huge proponent of executing a consistent marketing plan for an entrepreneurial physician business venture or even a medical practice (especially with regular blogging), I've been a poor example recently! By now, some of you know just how important the Internet, and specifically blogging, has been to the growth of my business, as I have shared the story with you on several occasions. And just like many businesses and even medical practices do at some point in their life cycle, my physician coaching business experienced growing pains last year. I found myself getting stuck on the ......
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Physician business marketing is critical - straight from the horse's mouth!

Wanna get insights straight from the horse's mouth - a physician business owner who writes about successful marketing of a physician business (or perhaps in your case, a medical practice)? Some of you have medical practices you are wanting to get off the ground or grow, while others of you have moved on to non-clinical businesses and are discovering just challenging it is to get traction with new business and generating revenues - correct?? Once in a while, I receive an e-mail from a colleague that is such a gem that I am compelled to share it with you, with the permission of the e-m......
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Balancing work and mommyhood - The Entrepreneurial MD goes nannyless

I started the New Year in a whole new mode - no more regular nanny! This is a big step for me, as I have pretty much had a nanny working full-time since my daughter was three weeks old. These have been busy years, birthing and then raising a child and a business at the same time. As my daughter neared her eighth birthday, and we faced the decision of hiring yet another full-time nanny, I acknowledged the ache I’ve been feeling at how fast my daughter’s childhood is passing. Where did the last eight years go? At first ambivalent, and then with excitement and enthusiasm, I made the dec......
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Resolve to make medical practice marketing your key New Year's skill

Medical practices are facing momentous decisions - to join the en masse migration to being part of larger groups, multispecialty entities or corporate entities, or to fly "solo" as stand-alone small businesses. For many "acronym" reasons (AHCAA, ACOs, EMRs, etc), the pressure is on! What decisions do you and your medical practice have to confront as you glide into 2011? Are you throwing in the towel and finding a handsome suitor with pockets deeper than yours? Or are you stubbornly resisting the urge to merge and looking instead for ways to thrive in 2011? If it's the latter, I b......
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The quiet within

This morning I parked in the physician only parking spot of the first nursing home I ever worked in, on my way to visit one of my clinic patients.  I remember years ago when I worked there looking at that parking spot and thinking to myself - one day, I'll get to park there.  :) Yesterday in clinic I found myself spacing out while auscultating a patient's lungs.  I suddenly realized that the poor lady had been taking deep breaths in and out for quite a while while I was seemingly mesmerized by the soothing rush of air in and out, in and out.  After reassuring the patient everything sounded gr......
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kid translations

So visiting the pediatric GI doc, my five year old never turned around to face the doctor.  He silently kneeled on the chair and stared out the window throughout the interview.  Admittedly, there was a lovely view of downtown. The level of miscommunication and misunderstanding which can occur even with good docs, soon became clear.  The gastroenterologist's questioning began to evidence a real concern with developmental level.  Finally, after having had not one answer from the little guy directly, she turned to me and asked if he was potty trained at all. I laughed and tried to explain that ......
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translations

I know that despite my best efforts, I only hear the tip of the iceberg around my patients' struggles.  So much simply is so hard to share. I wonder if those in other medical specialities are also constantly struggling to understand not only what is said -- but what remains unsaid.  It seems translations would help. So, here I offer a couple of my proposed translations.  This time  for the oncology clinic.  This attempt is dedicated to all of the oncologists out there, including mine.  And, by the way, I would love to hear others' translations, so please share if you have some. Translations......
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the wake of illness

I'm increasingly aware that my clients often spend as much time and energy dealing with the wake mental illness creates, as they do with the illness its self to begin with.  I work with a lovely group of clients who fight hard to feel better whether coping with life issues, developmental issues, anxiety disorders or mood disorders.  And, time and time again -- they do get better. Unfortunately, when finally "all better" though, life so often just isn't all better too.  Then, they have to contend with that wide and long wake that illness creates.  Those broken things that didn't get tended to ......
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By the time we get there...

... the kid won't even be dead anymore.  What a great quote.  Those boys in Stand By Me embarked on a destination and ran into a journey.  I've always wanted to be a doctor, and that destination has truly become a journey I never expected.  What a great ride. I'm finishing up my first month as a senior in the ICU.  As much as I liked night float, I l-o-v-e the ICU.  I love the acuity of the patients, the skillset of the nursing staff, how quickly things change, and how amazing it is to see someone get better.  I love helping patients and families navigate difficult end of life decisions and w......
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When motherhood calls, what's a working gal doc to do?

Ever since my pregnancy a little over eight years ago, I have been working as a business and career coach to physicians and healthcare folks … and taking my professional role very seriously. Despite having a home office and theoretical complete control over my working hours, I have worked full-time and used the services of nannies and au pairs to help raise my daughter and manage our household. And that’s not including some help from a housekeeper and a gardener. Yes, it has been a good professional life with plenty of balance… and yet something has been missing. It finally dawned on me ......
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Have fun with your friends

Night Float is Sun-Thurs nights from 8pm to about 8am.  My ability to sleep during the day is intermittently efficient, but I typically have a few hours with the kids before I head out to work in the evenings.   In the mornings, I sometimes see the kids briefly before they go to school - I always say "goodbye, kids.  Have a good time at school, have fun with your friends" to remind them that leaving a tired mommy at home really isn't all bad.  The last few nights I've gone to work, Big Girl has said "Goodbye mom, have fun with your friends at work!".  Which makes Honey and I laugh.  The funn......
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Physician burnout & physician happiness - 2 sides of the career coin

The Entrepreneurial MD's November newsletter tackles the issue of physician burnout, and finding happiness at work. Here's an extract from the full article: As many of you know by now, I have long been fascinated by the subject of happiness – what it is, how we find it, how we create it – and especially happiness at work. So my eye is always caught by anecdotes and information in which there is an absence of happiness, or a secret to finding it! I was recently alerted to a new study published in the November issue of the Journal of the American College of Surgeons, titled "Surgeon Distress......
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Physician coach's "Top Ten Tips" for a successful physician career transition

As much as I love working with entrepreneurial physicians, I recognize that many physicians plan to transition out of clinical practice into non-clinical careers that don't include starting their own business. Yes, many fantasize about being their own boss, with all the tantalizing flexibility and autonomy. However, the realities of a drop in income, lack of time, and lack of business knowledge and experience wreak havoc with their dreams. And Fear doesn't hesitate to show its pinched face too! Instead, these doctors who are hungry for a change in direction seek out new physician care......
Recent comment in this post
EmilyK
Loved reading this. Taking it all to heart. Thank you so much!
Wednesday, 23 December 2015 03:36
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Teen Spirit

Age Thirteen. My parents (and I) will be the first to tell you that I have made mistakes and bad choices in my life (sorry, mom!).  How I avoided life-altering consequences I will never know.  Therefore, I am somewhat sympathetic to the bad decisions of others.  *Somewhat* Today, I voraciously defended Big Brother's honor on the phone with THE MIDDLE SCHOOL REPRESENTATIVE who demanded I "have a conversation with my son regarding the importance of telling the truth to every adult at all times" and emphasized the "serious problem" evidenced by Big Brother's behaviour  (in the grand scheme of t......
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Integrity – a magic ingredient for entrepreneurial physician success

'Tis the season for sleaze! I can barely watch my television as we head into the final month prior to the elections. I'm horrified by the stories of bigotry and intolerance that are surfacing in the media. I'm cynical about so much that passes for "big business". And yet I've had occasion to experience professional interactions recently that have sparkled with integrity. One in particular has been characterized by trust and honor. In this relationship, I have no way of tracking whether promises are kept. And yet my colleague, whom I now consider a real friend, has displayed solid integ......
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What's the ideal work day for women physicians leaving medical practice?

A physician coach wonders what the work options are for women physicians who quit clinical practice...
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My Outlier

"I'm not really feeling all that great, I think I'll just go home and lay down instead of going back to work."   "You don't look so good, maybe you should go to the clinic" "No, I think I'll be ok, I'm just really tired."  The ashen grey pallor, diaphoresis, and panic-stricken look in his eyes told me differently.  "Dad, turn the car around now and go to the clinic.  I mean it." "Someone help us, my dad's having a heart attack!"  We barely made it to the clinic. Sign here, sir, so we can take care of you.  Do you have insurance?  Sir, you have to sign here now.  Sir?  Hey, can you help your ......
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