Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

True confessions of a hospitalized hospitalist

Jeff Manaloto, MD
Physician
March 2, 2016
Share
Tweet
Share

A road trip from Georgia to New York was going splendid, dare I say, wonderful — catching up with old friends and family — when it took an unforeseen and slightly less desirable turn: I got admitted with a small bowel obstruction.  Thanks to truly excellent care from a community hospital, I am home and now subjected to endless computer questions from my father that has me briefly contemplating readmission (just kidding).

I’m a hospitalist.  What happens when a hospitalist gets hospitalized in a hospital?  He amuses himself with some observations.

Quality of toilet paper matters in a patient with diarrhea. After a few wipes with standard hospital/Penn Station-grade toilet paper, I can only imagine my behind looked like a kid’s skinned knee when falling off his skateboard at 30 mph onto asphalt.  I might have been better off wiping myself with glass shards.

Is there a distance record for projectile vomiting? I projectile vomited like a champ.

Phlebotomists must be ninjas. Someone would announce “phlebotomy,” but before I could gather my senses, all that was left was a gust of wind trailing the shadow who had managed to escape with some of my blood.  I searched for stray throwing stars and nunchakus.  Nothing.  Not even a bruise.  Incredible skill, and I thank them for their service.  Your identities are safe with me because I never knew who you were.

It is second-nature for health care providers to remain untangled. I’ve seen them, we’ve all seen them: the unfortunate patient trying to get out of bed but is entangled in a spider web of IVs, Foleys, telemetry, nasogastric tubes, and headphones so dense that hospice is an option worth considering.  But good news, fellow healthcare providers!  Should you be hospitalized (and I hope you are not!), it will be second nature to deftly maneuver and remain untangled.  It’s an elegant waltz, in my case with the Alaris pump and nasogastric tube, turning clockwise or counterclockwise, ensuring I had my degrees of freedom without dislodging anything in the process and forever being labeled as “agitated” or, worse, “altered.”

Theory: Doctors like their pagers as much as nurses like Alaris pumps. I know every time my pager goes off a little large part of me dies inside; a negative Pavlovian response, though I feel Pavlov’s dogs got the better deal.  Is it safe to conjecture that nurses feel the same way about Alaris pumps?  Every time I saw a nurse walk up to my IV infusion pump, he or she stared it down like a disobedient child.  When they beep (the pump, not the nurses), they beep so loud it perforates eardrums within a fifty-foot radius to the displeasure of ENTs.  I tried to do my part to minimize the beeping: I kept my arm with the IV extended at all costs and kept that thing plugged in whenever I was within proximity to a socket.

I haven’t decided what’s worse: the NG tube going in or coming out. Contrary to popular belief, a nasogastric tube is not very pleasant.  As gentle as my nurse was in placing the NG tube and as much as I’m a medical professional, all I kept thinking was, “He’s gonna shove it through my face!”  I sipped my water through a straw; he advanced it, and I prayed that the tube avoided my brainstem.  My right eye watered (the right nare was sacrificed), but my brainstem was spared.  I looked forward to the NG tube coming out.  As it was pulled, I felt the unsettling sensation of everything from my GE junction to my sinuses getting scraped by the NG tube as it got pulled out, along with any clot and dried glob of mucous adhered to it.  Actually, I changed my mind: I loved them both.

An SBO makes one appreciate the joys of green Jell-O. I hadn’t had Jell-O in forever.  But once I started recovering, I heard those three beautiful words: clear liquid diet.  Music to my ears!  First, I didn’t know Jell-O was a clear liquid, but I will forgive that detail.  After all the abdominal distension, pain, nausea, vomiting, I was never so thankful to have a bowl of jiggly green semisolid matter of questionable origin placed in front of me to consume.

My first solid bowel movement so was glorious, you would’ve thought I pooped out a rainbow. Imagine you’re a child and you have to go poop and realize that instead you’ve emitted a beautiful rainbow, complete with a pot of gold and unicorn at the end of it.  You’d be the happiest darned child in the world, right?  Exactly.

I want to sincerely thank my medical team, especially my nurses and surgeons, who took care of me and got me well.  I want to thank my family and friends for all the support and making me laugh so hard that I, therapeutically, pooped.  I want to thank my parents for keeping me company, racing laps around the floor with me, though do you really have to ask everyone if they’re single or married? 

Jeff Manaloto is an internal medicine physician.

Image credit: Shutterstock.com

ADVERTISEMENT

Prev

Doctoring to the test: The unintended consequences of performance measures

March 1, 2016 Kevin 9
…
Next

Let's fix performance measurement for physicians

March 2, 2016 Kevin 7
…

Tagged as: Hospital Medicine, Hospitalist Medicine

< Previous Post
Doctoring to the test: The unintended consequences of performance measures
Next Post >
Let's fix performance measurement for physicians

 

ADVERTISEMENT

More by Jeff Manaloto, MD

  • A patient asked, “How are you doing, really?” It meant the world to me.

    Jeff Manaloto, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • Help hospitalized patients vote by requesting emergency ballots

    Priya Joshi
  • Physician Suicide Awareness Day: Where are the patients? 

    Jennifer M. Sweeney
  • Define what true resilience means for you

    Sarah E. Jorgensen, RN
  • The true cost of being uninsured in America

    Michael Weiss, MD
  • Loved ones are hospitalized and alone during COVID

    Linda Nguyen

More in Physician

  • Choosing a limb lengthening surgeon requires accountability

    Hrayr Basmajian, MD
  • How to reassure patients: 5 steps beyond normal tests

    Devina Maya Wadhwa, MD
  • Setting boundaries as a physician doesn’t mean caring less

    Jerina Gani, MD, MPH
  • How emergency medicine decision making works under pressure

    Geoffrey Mount Varner, MD, MPH
  • Why I stay in emergency medicine: a dancer at nearly 100

    Howie Mell, MD, MPH
  • Distrust of science is inviting the Middle Ages back

    Tomi Mitchell, MD
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • Hospital IT approval has no path for clinician-built tools

      Sanjay Khicha, MD and Gautam Nayak, MD | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology
    • How AI phone systems in health care create barriers

      Thuy D. Bui, MD | Health Technology
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 15 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • Hospital IT approval has no path for clinician-built tools

      Sanjay Khicha, MD and Gautam Nayak, MD | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology
    • How AI phone systems in health care create barriers

      Thuy D. Bui, MD | Health Technology
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

True confessions of a hospitalized hospitalist
15 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...