Internal Medicine

Kshama Bhyravabhotla, MD Kshama Bhyravabhotla, MD (1 Posts)

Resident Editor

Tulane University School of Medicine


Kshama Bhyravabhotla is a Med-Peds intern at Tulane University in New Orleans who is passionate about underserved patient care and teaching. When she's not at work, she can be found watching Atlanta sports, discovering good street art and live music, and alternating between eating her way through the city and running the calories off.




Battling Burnout and Our Quest for Perfection

Two months ago, I woke up one morning at 5:30 a.m., as usual. I played my gym motivation playlist in the shower, ate oatmeal for breakfast, and headed out the door, as usual. I swore at the car that swerved into the lane in front of me without signaling, as usual. An hour later, I pre-rounded on one of my favorite patients, a man with wide, childlike eyes who had a great deal of difficulty expressing his feelings.

A Call to My Fellow Residents in the Era of the Opioid Epidemic

I met Julian six months ago. He was the first patient I watched go through a buprenorphine/naloxone induction. My preceptor carefully guided him through a series of deeply personal questions: How old were you when you first started using? What is your drug of choice? Have you ever injected? How much? Have you ever traded sex for drugs? When did you last use?

Figure 1. “Relationship between System 1 and System 2 thinking.” Daily encounters lead to the activation of System 1 or System 2 thinking. Problems demanding higher levels of thought either directly or indirectly activate System 2. Repetitive exposure decreases the demand for System 2 thinking and increases both productivity and the risk for error.

Systems-Based Thinking: How Subconscious Thought Affects Medical Decision Making

System-based thinking describes a set of subconscious thought processes aptly named System 1 and System 2. The profession of medicine relies heavily on SBT — the ability to rapidly diagnose, treat, and improvise during stressful situations is dependent on these systems, which develop and mature throughout one’s training.

Gebran Khneizer, MD Gebran Khneizer, MD (1 Posts)

Resident Physician Contributing Writer

Saint Louis University Hospital


Gebran was born and raised in Beirut, Lebanon. He comes from a family of five children, including four sisters. After his volunteering experience at the Children Cancer Center of Lebanon, Gebran decided to pursue pre-medical studies at American University of Beirut. He also attended medical school there. Following that, he pursued postdoctoral research in transplant Nephrology at Johns Hopkins. He completed his residency in Internal Medicine at Saint Louis University hospital. For the love of the Midwest, he plans to move to Indiana University to work in academic hospital medicine. Basketball and scuba diving are some of Gebran's passions. In his free time, he enjoys watching the NBA and buying all the gear for the Cleveland Cavaliers.