Timothy Lesaca MD

Articles

On Health Care and Human RightsHuman rights are generally understood to be universal and egalitarian. They are inalienable, indivisible, and derived from the ideology of natural law, which seeks to uphold universally accepted moral principles.

Telehealth stimulant conviction: lessons from the Done Global caseThe Done Global conviction highlights the dangers of prioritizing profit over safety in telehealth. Learn why responsible telepsychiatry remains essential.

The ethical conflict of the Charlie Gard caseThe Charlie Gard case was a tragedy rooted in love and the limits of medicine. Understanding the burden on parents, clinicians, and courts reveals no villains.

Mental Health and the Unresolved Tragedies of Commercial AviationTimothy Lesaca MD Introduction Modern aviation is a triumph of technological precision, procedural discipline, and human reliability. It is also an industry that places immense psychological demands on its professionals—particularly those in the cockpit.

Imposter SyndromeWhy do people sometimes feel like frauds despite the abundant evidence of their accomplishments? Rather than internalizing their capabilities and efforts, they attribute their successes to transient and external causes, such as good luck or random chance. Impostor syndrome is a psychological phenome

How online physician reviews impact your medical careerOnline physician reviews can damage reputations, but do they reflect competence? Explore the ethics, accuracy, and impact of patient ratings on doctors.

When Care Becomes Harm: Recognition and Management of Factitious Disorder Imposed on AnotherFactitious Disorder Imposed on Another (FDIA), formerly referred to as Munchausen Syndrome by Proxy (MSBP), is among the most egregious and dangerous manifestations of child maltreatment encountered clinically. Though terminology has evolved, the key phenomenon described decades ago remains unchange

Gaslighting and Health CareThe 1944 classic psychological thriller film Gaslight tells the story of the fictional character Paula and her new husband Gregory, who goes about the task of isolating her and leading her to believe that she is insane. He accomplishes this by dimming and brightening the gas lights in their house an

Litigation, the Physician and Achilles’ RageTIMOTHY G. LESACA, MD As long as we work with patients in the high-risk environment of health care, we will live with the inevitability of adverse events.

Civility Under Pressure: Ten Rules of Professional EngagementIn an era of shrinking attention, rising pressure, and constant interaction, professionalism is tested not in grand moments, but in brief encounters. In the late 19th century, a school notebook entitled Forms of Writing was discovered at George Washington’s home in Mount Vernon, Virginia.

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