A New Home for My Writing posted on 2026-01-30
I’m grateful you have been reading my work here, and I’m honored that so many of you around the world have viewed or downloaded educational materials from bronchoscopy.org in support of our shared educational mission. I will continue to add to this website, and to post on Colt’s Corner. For some time now, however, I’ve been thinking about [Read More]
Communication in Health Care: Patients and Providers posted on 2026-01-24
Communication in health care relies on a foundation of trust and psychological safety amid unexamined assumptions, non-dits (which is French for things left unsaid), potentially mismatched expectations, asymmetries of knowledge and power, vulnerability, unspoken emotional defenses, and differences in understanding or health care literacy. Perhaps this is why effective communication requires more than clarity of language. It [Read More]
Maleficence in Healthcare posted on 2026-01-20
Maleficence in healthcare refers to any intentional and unintentional harm caused by healthcare providers or health systems. It is usually discussed in contrast to nonmaleficence, the avoidance of causing harm, one of the pillars of the Four Principles approach to medical ethics proposed by Beauchamp and Childress in the 1970s. Intentional maleficence manifests as deliberate actions that [Read More]
The Ethics of Truth-Telling in Procedural Medicine posted on 2026-01-15
In this first essay of the new year, I thought I would dedicate a few paragraphs to the ethics of truth-telling in procedural medicine. From the time they are medical students, doctors are burdened by decisions of what to say and how much to share with patients. The range of topics for which these decisions [Read More]
Wishing you all health and happiness posted on 2025-12-31
Looking forward to an exciting new year!