I've been catching up on Lisa Rosenbaum's Not Otherwise Specified podcast series on primary care. https://not-otherwise-specified-podcast.nejm.org/e/when-no-ones-watching/ The final episode is titled When No One's Watching. Near the end, Jonathan Han, a family physician and residency director, ta...

When we talk about stewardship in medicine, it usually means handling precious resources wisely: Blood bank stewardship (don’t squander that O-negative so it’s there in a crisis) Antibiotic stewardship (use the narrowest spectrum possible, so we don’t fuel resistance) Resource stewardship (choo...

Recently, I’ve been supporting my mom from afar as she’s gone through a complicated health issue. Like many patients, she didn’t show up with a single neat explanation. She had two separate issues—Occam’s razor didn’t apply. That alone created delays and misdirection, but this story isn’t about w...