I Believe In You….International Women’s Day

I Believe In You…..

That was that greatest gift that my father gave to me.

No matter if I succeeded, failed, won, loss, triumphed, defeated, landed or fell…he always believed in me.

I have had the privilege of having several mentors along my journey that continue to believe in me, in my voice, and in my vision of an alternative reality. I need to acknowledge them especially on today, International Women’s Day.

Sister Jude (1st grade), to Judy Kandler (6-8th grade English) and Kristine Saeger (Program Director for undergrad). All educators that saw my love for thinking, writing, and people. My first boss Barb that took a chance on a recent grad to join an established team. To Becky Flink that allowed me to push the envelope with technology and processed, to do things a new way, versus the way it has always been done.

I have to thank Casey Quinlan (@mightycasey), Stacey Tinianov (@coffeemommy), Dr. Sison (@giasison), Marie Ennis-O’Connor (@JBBC), Andrea Borondy-Kitts (@findlungcancer), and Janet Freeman-Daily (@JFreemanDaily). All of you have been wonderfully understanding, endearing, and an inspiration to me. You have all been a pleasure to know, friend, collaborate and learn from and with. You are the fire that keeps me light lit.

To the amazing women of Radiology that have taken a chance on me, allowed me to become a part of your world, and to include me on helping to shed light on the important work done by Radiologists. I can never thank you enough. From Dr. Geraldine McGinty (@DrGMcGinty), Dr. Ruth Carlos (@ruthcarlosmd), Dr.  Amy Kotsenas (@AmyKotsenas), Dr Amy Patel (@amykpatel), Dr. Lucy Spalluto (@LBSrad), and Dr. Monica Saini (@overprocessed).

To my wonderful friend, mentor, and inspiration who has been a Northstar to me in the past few months, Dr. Kristina Hoque (@KristinaHoque). I appreciate all you do, and for always taking the time to listen to my ideas and help me formulate them into actionable work. You remind me that anything is possible.

Lastly, we have to acknowledge the harsh reality that men have had hundreds of years to make health and care work the right way. No matter the time, money, technology, or scientific advances accomplished, we, as men, have continued to royally fuck it up.

We managed to move a world that was built on relationships and communities to a world that is sterile, monetized, and inconvenient for those that need it the most. We took all of the humanity out of it. We took something extraordinary only to scale to the masses, share best practices, mediocritize it all, and become extra ordinary at best.

My vision of the future is a world of healthcare broken into health and care. Where we focus on knowing people, making recommendations within the context of their life, and meet them where they reside. Moving from we care, to me care.

A world led by women. Not because they are women, but because they are the leaders we need in this pivotal moment in our humanity.

I believe women can and will lead us to this new world.

Let’s be real men, admit our fuck up, and step aside and allow the real leaders to make health and care great again.

I believe health and care is performed at the N of 1.

As always you can feel free to email me at cancergeek@gmail.com or follow me on Twitter @cancergeek


Buzzword Bingo – Healthcare Semantics


Recently I noticed an increasing amount of buzzwords floating around the news, in magazines, in startup announcements, in blogs, in marketing collateral, during medical conferences, and on the Twitterverse specific to healthcare.

It is a lot of buzzwords. A lot glitter. A lot of terms that really do not effectively communicate reality. I created my own game called buzzword bingo. I count the number of words  strung together in a single sentence to sound important and yet mean nothing at all.

Terms like ‘patient – centered care,’ ‘centers of excellence,’ ‘best practice,’ and ‘patient engagement of empowerment.’

Minute by minute there is a new buzzword attached to a topic or technology or a patient. Honestly, while it may help in gaining more clicks, shares, or re-tweets I question the value it adds to the dialogue?

To patients.

Does a patient really become “empowered” just because you slap it in front of a title or technology? Shouldn’t care always be about the patient? Seriously, like wtf?

It reminds me of a quote by one of my favorite fictional characters, Hank Moody, in which he says the following:

“…the fact that people seem to be getting dumber and dumber. I mean we have all this amazing technology and yet computers have turned into basically four figure wank machines. The internet was supposed to set us free, democratize us, but all it’s really given us is Howard Dean’s aborted candidacy and 24 hour a day access to kiddie porn. People… they don’t write anymore, they blog. Instead of talking, they text, no punctuation, no grammar: LOL this and LMFAO that. You know, it just seems to me it’s just a bunch of stupid people pseudo-communicating with a bunch of other stupid people at a proto-language that resembles more what cavemen used to speak than the King’s English.”

I know this may seem a bit harsh, but if we want patients to take an active role in their care, shouldn’t we start by telling them that first and foremost, that it is THEIR decision? Shouldn’t we give them all of the information, both good and bad, in an unbiased manner? If we are not transparent in the information, can patients really make an ‘informed decision?’

If words build worlds, and patients trust us with their lives, then shouldn’t we simplify the language? Shouldn’t we mean what we say and know what the hell we are talking about?

Think about the term ‘engagement.’ It is defined as an appointment or an arrangement; betrothal; an encounter, conflict or battle.

Why are we placing ownership on the patients? Patients already made the choice to come see you for their care. They are trusting you with their life. They are deciding to give their money to you.

Perhaps what patients need in this example is a bit of transparency, management in transition of care, and your time so that they continue to trust you.

Since I enjoy studying semantics, let me rant for a moment….

Maybe it is more about collaboration? Maybe what healthcare really wants are cooperative patients? Or maybe healthcare simply wants compliance?

It reminded me of an article Edward Bukstel (@ebuktstel)  shared from the Washington Post entitled, “List: Ban ‘echo chamber,’ ‘post-truth,’ ‘bigly,’ and ‘dadbod'”.


An annual List of Words Banished from the Queen’s English for Misuse, Overuse and General Uselessness curated by the Northern Lake Superior State University.

I began to ask myself what are the commonly misused, overused, or useless words in healthcare? What would a healthcare list look like if we were to curate it over several months?

I reached out to fellow colleague Christoph Trappe (@CTrappe) and asked him to collaborate on a healthcare list. Christoph agreed and was eager to share some of his thoughts on words needing to be added to the list of ‘Uselessness’ in healthcare. Christoph mentions that some of these words may be useful to someone, but they could be improved for the patient (aka consumer).

Words such as:

Multi-disciplinary, Innovative, Precision Medicine, State of the Art, Board Certified, The best, Provider, World class, and my favorite…Personalized Patient Care.

So, as we begin 2017, let’s start noticing the words that are overused, misused, are generally useless, and are nothing more than a bunch of buzzwords.

I encourage everyone to identify healthcare word(s) that you believe should be collated and added to a list.

Tweet them along with the following hashtag: #healthcaresemantics

Feel free to add comments to further explain your point of view.

Healthcare happens at the N of 1. (that isn’t a buzzword, it’s a fact)

As always you can feel free to email me at cancergeek@gmail.com or follow me on Twitter @cancergeek