A question I get often: How do you handle the hardest cases? Complex diagnoses, patient resistance, or even high-pressure situations with peers?

My answer: Go back to the basics.

Medicine in the U.S. is built on decades of collective wisdom — guidelines written by thousands of physicians treating millions of patients. When in doubt, I lean on that structure. I resist reinventing the wheel. And when mistakes or complications arise — as they inevitably do — I ask: how do we respond?

One of the most powerful acts in medicine is not in avoiding error but in confronting it with courage. We grow when we face the truth, not when we sweep it under the rug.