Super Star Blogs!

Compound Your Effort

Can you think of an overnight success? So often we hear this phrase. The media uses it for companies, actors, musicians. But is this true? Are these people and organizations really overnight successes?

Usually they’re not. Rather they’ve worked super hard for several years and benefited from a little concept called compounding interest. Compounding interest is really a banking term that explains how money grows exponentially over time. In other words, the small daily contributions will eventually grow into a large sum.

This concept extends beyond money and into all other areas of life. As it pertains to the medical field, becoming the best doctor possible is a step wise process. It’s a real grind that at times feels extremely unrewarding. Social media has trained us to desire immediate gratification. Put up a post and get a like. It’s kind of like the mouse pushing the button and getting the cheese.

My message to you today is simple….let your efforts compound on themselves. The hour of work you put in today will one day be worth a medical degree. Value every minute. They all matter! The power of compounding is among the strongest as it pertains to ultimate success. So those days and nights when you can’t make sense of why you’re studying an esoteric subject….just remember that it’s all part of your compounding effort to reach your pinnacle of success.

Bringing Value: The Essential Employee

COVID-19 has turned the world upside down. Many of us have been forced to realize the things we truly value in life. In fact, I recently heard someone thank a grocery store cashier and told him that his job is more valuable than a lawyer these days. It really got me thinking…


Over 22 million Americans have filed for unemployment in the past month. This breaks my heart. Many people do not recognize that many doctors are also taking a huge hit. Sadly, more and more clinics are being closed. For example, there are some dentists, dermatologists, and plastic surgeons (to name a few) who are having difficulty staying busy. These are very important fields but when times get hard, our patient’s priorities change. This is when money needs to be saved for essential medical needs.

When med students ask for my opinion on choosing a specialty, I always give the same answer; chose something that brings value to others. Bringing value allows you to live with purpose. It brings fulfillment. It gives you a strong reason to wake up in the morning. It brings job security. Bringing value to others is what will make you essential. Here are a few tips to find a valuable career:


1. CHOOSE A FIELD THAT TOUCHES EVERYONE

Preferably one able to serve the rich, the poor, the young, the old, the educated, the uneducated. If your field covers a condition that nearly every household is affected by, then you are of huge value.


2. CHOOSE A FIELD THAT CAN SERVE YOUR FAMILY AND COMMUNITY

You want to be there for those you treasure most at their greatest time of need. This will likely give you the most purpose in life.

 

3. CHOOSE A FIELD THAT IS FLEXIBLE

Being able to provide your services from any place in the world gives you a huge advantage. The less strings you have tying you down the better.

4. CHOOSE A FIELD THAT REQUIRES SKILL

You’ve got to have the skills to pay the bills. It’s wise to pick a field you go into having a particular skill set allowing you to have an advantage. A job without skill is an easily replaceable one. Nowadays, it is sometimes the wiser choice for a company to hire someone with less schooling and credentials than you if they are cheaper and can do similar work.


5. CHOSE A FIELD THAT REQUIRES A HUMAN MIND

We all know computers are taking over. It’s best not to be in a field where you are competing with an inanimate object. Spoiler alert, machinery will win that battle 9 out of 10 times.

Notice I did not mention choosing the job that pays the most. While money is a huge necessity and it should be factored in, it truly cannot buy you happiness. It cannot buy you purpose. It cannot buy you the knowledge you need to save your sick loved one. It cannot substitute for value. We currently live in a vain society where one can post YouTube videos doing anything and make money. However, our society is quickly changing. The teachers will come out more appreciated than ever. Our frontline healthcare workers have a new platform to voice their opinions. This pandemic is a wake-up call which just may better align value with compensation. 

Whether you become a doctor or not, choosing a job that adds value to the lives of many will serve you through thick and thin and provide purpose in your life.

————————————————

Other blogs by Dr. Daniel

Med School Application Timeline

Getting into Med School with Subpar Scores

The Five Types of Premeds

5 Factors Why Premeds Don’t Get into Medical School

Making The Most of Your Free Time!

 As much as this COVID situation stinks, there’s always a silver lining. For many premeds, an obvious benefit is time. You may never again in your life have this much free time so it’d be wise for you to take advantage of it. Here are 5 ways you can make the most of your free time.

1) Read Read Read. I always tell people that one of the best questions you can ask someone is what their favorite book is. Read the books that leaders read and you’ll be on your way to a similar position. Set a goal to read one book per week. Need a suggestion on which one, try Up From Slavery By Booker T Washington. It’s one of my favorites.

2) Write. There are few things that provide greater mental clarity than writing. Take this opportunity to write your personal statement. Even if you’re already accepted to medical school, write a personal statement for your life that is broader than just medicine. This is the perfect time for you to jot down your life goals and make a plan to achieve them.

3) Mentor. Just because most people on home lockdown doesn’t mean that communication has to stop. This is the perfect time for you to reach down the ladder and dedicate time to helping someone coming after you. Also remember, anybody can be a mentor. Don’t fall into the trap of believing you have to be at the next level to mentor. Start today.

4) Exercise. Unfortunately, it’s likely that many people are going to decondition during this time. Most will have limited access to a gym or their usual workout facility. Don’t let that be an excuse, get innovative and keep on exercising. Do pushups, dips with a chair, in house cardio. Stay fit!

5) Pray. This is the perfect opportunity for all of us to spend quality time with ourselves and our creator. Life typically has us doing a millions things and we never stop to spend time with God. Why not make it a priority now.

Finally, I’d caution you NOT to spend too much time on social media. So many people are focused on nothing but facebook, IG, TikTok, etc, that they fail to realize how much more they could grow if they invested that time in developing themselves. I’ll tell you this, most ultra successful people are not spending all that time on social media. Check it, post a few things, then get back to your grind!

I’d love to hear how you are spending your time during this COVID season?

[Spotlight] Dr. Patin: Naturopathic Medicine

We want to congratulate Dr. Patin on being featured on the Member Spotlight with the American Association of Naturopathic Physicians (AANP). In her brief interview she discusses why she chose Naturopathic Medicine and why she is a proud member of the AANP! Read her responses below:

1. What started your pathway in naturopathic medicine?

Growing up I was raised by my parents to follow a healthy lifestyle, though I was not privy to naturopathic medicine. However, after losing my father unexpectedly at the age of eight years old to a complication of his heart transplant and being diagnosed by the similar condition four years later -I did not want the same fate. I was very determined to seek the why, what and how regarding the causes of my father’s demise and stop the pre-destined fate for myself and future generations. Fortunately, with the help of my mother I found my way to Naturopathic Medicine, quickly applied and attended SCNM and the rest is history.

2. What do you like most about being a naturopathic doctor and what are some of your challenges?

I thoroughly enjoy the investigative process and following the principles of our medicine. Naturopathic medicine at its fundamental core implements individualized therapy and seeks to treat the root cause of a person’s ailment by following the laws of nature and eliminating the obstacles impacting the innate healing process of the individual, thereby allowing restoration to take place.

It is a wonderful feeling to see the transition of a person and witness the evolution of their healing process when these principles are implemented. Common challenges I found when being in practice is that many people are still learning what a naturopathic doctor means. Many people need understanding that we licensed naturopathic doctors are trained as a primary care physicians and often times get confused with the public that we are a nutritionist, homeopath or acupuncturist- which are just a few of the modalities that we are trained in and can provide to our patients, but we are able to provide much more. The caveat to the services or modalities we can provide is stipulated by the state in which we practice. This is also another challenging issue that comes up for many of my patients, which are they type of services which can be received. Unfortunately, the political factors involved vary for each state which can limit the services offered. However, the good news is following the laws of nature can never be limiting!


3. What makes your membership with AANP valuable as a naturopathic doctor?

I love being an active member of AANP because it is a comprehensive and national database that keeps me informed on the local and regional concerns within our industry. The accessibility of information allows me to write to my legislators on petitions and support our efforts by creating more awareness with the public and our government. Personally, I do enjoy the benefits of discounts to services that have helped build my practice and webinars to stay current with changes in our medicine.

If you are interested in Naturopathic Medicine feel free to ask any questions below or message Dr. Patin.

Who is Looking out for the Med Students and Residents?

Yep, you’ve got it. You’ve got the Swine flu.

It was my second year of my internal medicine residency and I was the sickest I could remember ever being in my life. Fever, coughing, night sweats, chills, and…. the first and only migraine I have ever had in my life. I was miserable sitting in my third floor one-bedroom apartment. I still find it a bit funny thinking back. I remember my mom and dad knocking on the door and I walking in my apartment draped in garbage bags. My mom had the antidote in her hand. A pot full of pepper soup. [Anyone with Nigerian blood knows what I’m talking about.]

According to the CDC, the 2009 H1N1 (Swine Flu) led to the death of 151,00 – 575,000 people worldwide during the first year. 80% of these were individuals younger than 65 years of age unlike the flu. Apparently, older individuals had built up enough immunity to that type of virus that they did not suffer as much as the youth. Those were interesting times but we were nowhere close to where we are today. The SARS-CoV-2 virus is a different beast from the H1N1 virus. It appears more contagious and to have a higher mortality rate. It is most deadly in those over age 60 who have comorbidities unlike H1N1 that target younger populations.

After my quarantine period, I returned to the wards like nothing had happened. Back to seeing patients. Back to taking calls. Back to studying. Back to little sleep. My fellow residents weren’t too thrilled that they all had to take prophylactic Tamiflu during my absence and they weren’t silent about this. I don’t recall ever feeling as though my life was threatened by the virus but I do remember looking forward to getting back to work. I guess the sense of servitude to your fellow man superseded all fear. Or maybe it was the fear of missing work and having to extend my residency.

Looking back, I can appreciate how the voices of medical trainees can go unheard during a pandemic like this. I am hearing stories about students stepping up to assist in busy hospitals. Many 4th year medical students across Europe are now being asked to join the workforce early. At the same time, I hear stories about concerned medical students serving with inadequate protective equipment. There are no good solutions I have heard thus far and it can especially be very tough when your performance is being evaluated by a resident, fellow or attending. Now as a practicing physician, I have a seat at the table and get to voice my opinions and concerns to colleagues and hospital administrators.

I’m curious how premeds, med students, and trainees are handling this current pandemic. Do you feel safe? Are your voices being heard?

Stay safe out there. Limit your exposures and listen to your gut at all times. 

COVID 19 – Hysteria???

Lions and Tigers and COVID…oh my!


So, I’m a lung and ICU doctor…today that translates to a lot of people wanting my opinion pertaining to the impact of COVID 19. Let me preface this short post by stating even though I am a specialist, I am NOT an expert of COVID 19. Nothing in this post is intended to be advice or medical guidance. So don’t say…. “But Dr. Dale Said…”

The main question I seem to be getting is whether or not everyone is freaking out for no reason. Is this mass hysteria or appropriate precaution? Schools are closing, the NBA has suspended it’s season, and worst of all…it’s so hard to find TOILET PAPER! Why is everyone tripping!!!!

In brief, my answer to the question is NO, we are not over exaggerating the situation. People who disagree with that stance use Influenza as a key argument. Yes, the flu has killed a lot more people, but at least we have a general idea of what we’re dealing with there.

COVID 19 stands for Coronavirus Disease 2019. The virus that causes it, coronavirus, is commonly thought of as your typical cold. Yes, it is VERY likely that you have had a strain of coronavirus in your life. As a matter of fact, you’ve likely had coronavirus multiple times. But you probably (well, some of you reading this may have had it by now) haven’t had SARS-CoV2. This is simply the name given to this specific coronavirus that we’re dealing with at the current moment.

If you’re watching the news and you’re a relatively young and healthy individual, you may be thinking, even if I get it, I’ll be fine, so what’s the fuss about? I’ll tell you what the fuss is about. Our elderly individuals in society and those with underlying health conditions may not be fine. These “hysterical” precautions we’re taking are in large part to protect these populations. And as a society, we’re all linked. 

So it these groups take a huge hit, we ALL take a huge hit. I’ve seen some individuals make flippant and sarcastic comments about the entire situation. My response to that is we need to be sensitive to our fellow humans and ensure we are doing all we can to protect everyone.

A second reason our massive response to tackling COVID 19 is appropriate is we must buy time to prepare our healthcare systems for large influx of patients we may see as a result of this disease. This is a particularly unique situation because not only will the number of patients increase, the number of healthcare workers will decrease as a result of many of them becoming infected with SARS-CoV2. Even if these healthcare workers are asymptomatic, they’ll still be forced to take time off from work in order to ensure they do not spread the infection. By and large, I believe most healthcare systems across the country are NOT prepared for this. That being the case, whatever we as a community can do to slow the progression would be beneficial for our medical infrastructure nationwide.

Finally, there is a school of thought that by slowing down the progression, we can buy time and allow for seasonal change. Many viruses are seasonal and some believe that as we enter spring and summer, SARS-CoV2 may begin to fade away. As this is our first known encounter with this virus, we cannot be certain, but can be hopeful.

There is NO need to panic, but PLEASE take appropriate precautions, to ensure we’re all doing our part to care and show love to those who are at greatest risk to having negative outcomes from COVID 19.

Free MCAT Study Guides For PreMeds

Hey everybody,

Below is a link to two really helpful FREE MCAT study guides. As far as content review goes, this is great free option. You can review the study guide sections that are relevant to the premed classes you’re currently taking. If a topic in class overlaps heavily with the MCAT study guide, then you know its really important. (tip: press Ctrl+F and search keywords from your current premed classes)

https://drive.google.com/drive/u/2/folders/1kK82iHz1IbUNANk6-1hIS3YuJtj7iMtz

Content review for the MCAT does not have to be expensive. Although it can be hard to find, there are tons of free resources online. In addition to these study guides, there is Khan Academy (vids and problems), YouTube vids, and more mentioned on the website AmdayMed.com. If you need more free MCAT resources/questions/books, email me at AmdayMed@gmail.com or just shoot me a message on here with your email address.

All Free PreMed Info/Resources I’ve found along my journey to medical school can be found at AmdayMed.com and on IG.

https://www.instagram.com/amdaymed/

Getting Free Money

Going to college for free was a major goal of mine. I vowed to myself I would never be a financial burden for my parents who had already invested so much in me. The only problem was I did not know how to get this money. I thought I would have to work 2 jobs, donate a kidney and panhandle on the weekends to make this a reality. Thanks to my junior year English teacher, I was able to achieve this goal with all of my organs still present. You see, every morning at the beginning of class, we would grudgingly pull out our journal, flip to the back and begin writing down 5 scholarship opportunities she had projected on the screen. We would write the title and the criteria for each one. By the end of the year I had accumulated a nice list of scholarships, many of which I was eligible for and applied for the following year. I still wish I remembered that teacher’s name. I would give her a huge hug if I could.


A few weeks ago, I was super proud when my mentee (who was accepted to medical school already!) informed me he was applying for a scholarship. Isn’t that awesome? I certainly didn’t take full advantage of applying for scholarships during college but I tell all premedical students to do so. It sure could have helped with books, MCAT classes, etc. 

There are so many organizations with money sitting there waiting for someone to apply for it. In fact, a few years ago on this website, we had a partnership with Kaplan and they allowed us to literally give out free MCAT courses. We struggled to find takers for this FREE $2,400 course yet we received so many messages from students challenged financially. I want to encourage each and every one of you to apply, apply, apply for scholarships and awards. Seek opportunities to be ambassadors. I recommend following these simple steps:

1. Purchase a journal or start a spreadsheet

2. Make a budget and set goals

3. Research scholarship and award opportunities through a Google search or your school’s website and take notes on criteria and deadlines. Make sure source is reliable.

4. Once a month, check in and aim to apply for one of these opportunities

By taking these steps, your pocketbook and maybe your parents will be very grateful. Always be careful though because there are scammers out there. If you have any suggestions on good websites or opportunities, please share. Or, if you have additional tips I’d love to hear/see them.

Beware of The Minority Tax

It’s time to pay your taxes!!! I never believed in the concept of burn out until I finally burned out. For years and years I told myself to push through and that nothing could touch me. Then I realized we are all human and everyone can be touched. This caused me to take a step back an ask myself what it was that drove me to such fatigue. It was the “minority tax”.

Minority tax is the basic concept that when you are one of the few racial/ethnic minorities you’ll be called upon more than others simply because someone who looks like you needs to have a seat at the table. For example, as one of the 2-3% percent of black men in the medical field, I am often asked to do certain tasks related to getting more black men in the field of medicine. Fortunately, I believe that is important work and I enjoy doing it. However, it’s not all things of a similar vein that I desire to do, yet I understand the need to have a representative voice.

The real issue with the minority tax is more often than not, we are not credited for the work that is done. Keep in mind that I said credited, not acknowledged. Typically, we are expected to do the same amount of work as everyone else, PLUS that which is specific to our minority status. That’s why it’s called a “tax”, we have to do more than others. The downside to this is it makes career progression more challenging. It becomes more difficult for us to perform other assigned tasks to the degree of excellence which we otherwise could. Again, I’d like you to pay special attention to my choice of words. I said it becomes more “difficult” not impossible. That is important to note because we still have to find a way to perform at that level.

I’m writing this blog specifically with students in mind. I want you to be familiar with this tax before Uncle Sam comes knocking on your door. Prepare for it and have strategies in place to ensure you perform at a level of excellence while paying the tax collector. The answer is NOT to avoid the taxation. We need your voices at the table. Rather, prioritize what’s important to you, master the work so you become efficient in it, then train up the next generation to do the same.

Nobody said this journey into and through medicine would be easy…but I am telling you it will probably be worth it!

Meet the Man of the Year

This year’s San Antonio Business Journal 40 Under 40 Man of the Year title was awarded to a long time friend of mine, Dr. Ray Altamirano. This is one of the most down to earth, passionate and altruistic individuals I know. He has recently been on the Kelly Clarkson Show and the Doctors TV show and has a very interesting background. He had a unique path to becoming a medical doctor and now has a unique style of practice incorporating art and family medicine to assist his underserved community including undocumented immigrants. Check out our interview with him.


Diverse Medicine: So tell us a little about yourself.

Dr. Altamirano: I am Ray Altamirano MD, first generation American born and raised in San Antonio, TX by Mexican immigrant parents. I am a board-certified family medicine physician practicing in ER as well as my own clinic as a fee-for-service practice for the uninsured.


Diverse Medicine: What did it take to become a family medicine doctor?

Dr. Altamirano: I applied for medical school twice in Texas and interviewed with multiple schools only to be wait-listed, twice. I attended medical school in Mexico at Universidad Autónoma de Guadalajara (UAG) and completed the 5th Pathway Program to practice in the USA

Diverse Medicine: How was your experience attending medical school at UAG?

Dr. Altamirano: Uphill battle. School was in a foreign country with their own set of rules. Abide or get nowhere. It molded me to be headstrong and gritty.



Diverse Medicine: So, you practice a very interesting type of medicine. Can you tell us a little about it?

Dr. Altamirano: I left primary care after 3 years to pursue higher-paying roles such as hospitalist work and eventually ER. Financially, I felt comfortable, but there was a hole in my heart to practice in my community with the underserved. I founded my clinic not because I needed the job, but I needed peace for my soul. I needed to fulfill God’s work at the community level and start a one-man movement for better care and access for the uninsured and undocumented

Diverse Medicine: That’s amazing! What do you find most challenging and most rewarding about this type of medical practice?

Dr. Altamirano: Most challenging is definitely the pioneering of it. Healthcare for the uninsured is an abyss. There is no system. Get in where they allow you to (and can afford). The most rewarding part is the community coming through for itself. The respect and support from my community



Diverse Medicine: Do you think this type of practice will catch on?

Dr. Altamirano: Yes, I do. We did not invent the wheel. This is how healthcare was in the 1980’s. The doctor and patient with no one to get in the way. There is 100% autonomy to practice as I see fit. This freedom is bliss for an altruist. We are a very close cousin to direct primary care (DPC).



Diverse Medicine: We’ve seen you all over the place on the “Kelly Clarkson Show” and “the Doctors”. How did they find out about you?

Dr. Altamirano: They “discovered” me through local news mediums and social media. Adam King with KABB in San Antonio aired a story on my efforts and the Kelly Clarkson Show producers saw my piece on a Seattle affiliate. Seattle? I know.


Diverse Medicine: This is super cool. I love your artwork by the way. Make sure ya’ll check it out. What inspires you to paint?

Dr. Altamirano: The content of my art has very little to do with my emotions at the time I create it. I usually draw from past-time nostalgia. Usually, things that are light-hearted and make me laugh. My art is called Amar Es Vivir: To Love is to Live. I like vivid colors and am generally flattered when other’s like my work, but each project is process over product. Whatever I was feeling in those times is on canvas to stay and off my shoulders.



Diverse Medicine: What have you learned working with the patient population you work with? 

Dr. Altamirano: I learned that connecting on the human level ALWAYS works. Treat people like family and they respond with their best effort. The coolest experience has nothing to do with the exam room and much more to do with the lobby. I witnessed a man (who could barely afford his own $100 visit) pay for a complete stranger in the lobby because he felt compelled to do so after meeting me. That’s the true spirit of my clinic.



Diverse Medicine: Do you feel diversity is important in medicine and why?

Dr. Altamirano: Diversity is America. Cultural understanding is very important when connecting with people who are already afraid of the circumstance. If the patient relates to you before you even speak, you already started the process on an unspoken level. The rest is passive.


Diverse Medicine: Do you have recommendations for our premedical students, medical students and residents on Diverse Medicine?

Dr. Altamirano: No matter how you think others see you, you are just as important and entitled to seek your passions. I had to go to another country to prove it to myself. There will always be an obstacle: money, uneven playing fields, skin color, that accent you didn’t know you have…but when you recognize that steam engine of grit inside you, there’s no greater power.

Pretty cool huh? If you have any questions for Dr. Altamirano feel free to ask in the comment section.

@

Not recently active