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JL Lycette author Posts

Under the Surface, an Oncologist’s Reflection on the Movie Encanto

(Warning: This blog post contains minor spoilers for the Disney movie Encanto ) There I was. In a movie theater for the first time in almost 2 years. The occasion: to celebrate my youngest child attaining full vaccine immunity (2 weeks out from the second Pfizer vaccine). We wore our N95 masks and skipped the popcorn. One…

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How the Airline Crisis Can Help Lend Understanding to the Healthcare Crisis

(I recently posted a Twitter thread that seemed to resonate with people, so thought I’d turn it into a blog post here as well): What is happening in the airline industry is happening in healthcare, too, only, unfortunately (for reasons that go back hundreds of years and are complex), physicians don’t have unions. Imagine if…

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Dear Patient: An Open Letter on Why I’ve Been Working Part-time During the Pandemic

Dear Patient, I heard you were asking my staff about what I do all day when I’m not in the clinic and why I work part-time. This is an important question and one I’d like to answer. When I’m not in the clinic, I see my vaccinated teens off to school each weekday morning. Then,…

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Serious Hair

If you want to be taken seriously, you have to have serious hair. That line has lived in my brain since 1988. I was fifteen years old, and I was convinced Melanie Griffith’s character in Working Girl had revealed one of life’s secret truths. In the movie, she utters the line as she directs her…

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Being Human: The Preexisting Condition of Disease

As a medical oncologist of almost 20 years, I’ve seen my share of patient-blaming stigma. People are indicted for their cancers in various ways: “They ate too much sugar.” “They were obese.” “They were a smoker.” “It runs in their family.” I find the current culture of attributing severe COVID-19 illness and deaths to “preexisting conditions”…

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The World Needs to Collectively Grieve: Acknowledging the Pandemic Losses

Many of us, if not all, learned in our medical training about the Kübler-Ross five stages of grief: denial, anger, bargaining, depression, and acceptance. I’ve been thinking a lot lately about grief during the pandemic and how it seems that what we might be missing is collective grief. But what could collective grief look like for the world?…

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A Tale of Two Patients: Female Body Image and Cancer Treatment

How body image and unhealthy societal ideals affect women undergoing cancer treatment “I want to stop this treatment.” These are not the words I’m expecting to hear from my patient. She has advanced stage IV cancer, and the third-line endocrine (antihormonal) therapy I recommended a few months ago is working. The imaging shows a significant…

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COVID-19 and Cancer Misinformation: An Oncologist’s Viewpoint

As a medical oncologist, science denialism from my patients is all too familiar to me. Cancer misinformation is, unfortunately, endemic in our society. After 18 years as a cancer doctor, it sadly doesn’t come as a surprise anymore when a patient declines treatment recommendations and instead opts for “alternative” treatment. When it happens, I explain…

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Burnout in Physicians vs Pilots: Who’s Flying the Plane?

Safety in aviation has been compared with safety in healthcare. As the only physician in a family of career pilots, I think about this often. While the aviation industry has been used as a safety model at the systems level for healthcare, I have not seen any data comparing burnout between the two industries. I…

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