HeyJaredMichael’s Substack
Practicing gastroenterologist and writer, giving readers a peek behind the curtain of the medical profession.
- Indexed issues, last 90 days
- 12
- Latest publication
- Sep 27, 2026
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- Jul 12, 2026
Latest issues
How to Read a Chest X-Ray (opens the original)
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To succeed is to struggle. Indeed, up to now, an accomplishment was the result of sweat, study, setbacks, discipline, collaboration, and hopefully triumph. Of course, the latter result is never guaranteed, which makes the outcome so much more satisfying. This process of struggling for success is well known to athletes, musicians, scientists, students, writers, chefs, farmers, and many others. All of us go through the same process in more mundane pursuits, such as doing a crossword puzzle, learni
Medical Ethics for Patients (opens the original)
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I’ve always had an interest in medical ethics. Indeed, I’ve been thinking and writing about them throughout my career. I also do my best to comport myself to a high ethical standard, although as a flawed member of the human species, I’m sure I’ve had lapses along the way. Ethics is a tough discipline, since there is often not a single correct pathway to follow. This is not mathematics, in which we expect that an exam question has one solution. If medical ethical issues could be similarly solved
A Patient Asks for Antibiotics. Let's Negotiate! (opens the original)
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I have addressed in past writings the common practice of physicians negotiating with patients. Here, I will offer other examples of this phenomenon, which is an integral element of the doctor-patient relationship. Patients who understand how this process works will have an additional tool to advocate for their health.These negotiations are give-and-take exercises that are successful when both parties feel good afterwards. Realize that these negotiations are different from conventional business d
Labor Day 2026 (opens the original)
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Tomorrow is Labor Day, which became a federal holiday in 1894 after President Grover Cleveland signed a congressional act into law. This action followed the Pullman Strike, which crippled railroad operations across the country. Workers were protesting wage cuts, housing costs, and other grievances. Originally, the holiday only applied to federal workers. Over time, all US states, territories, and the District of Columbia observed the holiday.Similar to other national holidays, such as Independen
Can Anyone Perform an Appendectomy? (opens the original)
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In the olden days, purchased products were accompanied by instruction manuals. I realize that these anachronistic items will be unknown to today’s technophiles who direct Alexa to turn up the heat or play Sinatra songs during dinner. Permit me, as a courtesy to them, to offer a working definition.Instruction Manual: A printed document that explains how to operate and maintain the new item. It might sound quaint to the Gen XYZ crowd, but we antiquarians relied upon these instructions regularly. Y
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