Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Why medicine is like a jazz solo

Arthur Lazarus, MD, MBA
Physician
September 6, 2025
Share
Tweet
Share

An excerpt from Born to Heal: Medical Narratives Set to the Soundtrack of Classic Rock.

Dr. Evelyn Moore had always believed medicine was more than a profession; it was a calling. Not in the dramatic, messianic sense that some doctors held onto (where they saw themselves as saviors) but in the quiet, steady way a lighthouse stands guard over stormy waters. She was not there to rescue ships but to guide them safely home.

For nearly forty years, Evelyn had practiced cardiology in a mid-sized city where heart disease was prevalent, but specialists were scarce. A group practice had recruited her fresh out of fellowship, and she had stayed, despite more lucrative offers elsewhere. Commitment, she often told her students, was not about chasing prestige but about being present. And she was present: through long nights, difficult diagnoses, and moments when she had nothing to offer but a hand on a patient’s shoulder.

Her reputation extended beyond medical expertise. Evelyn was known for the way she spoke to her patients: no jargon, no condescension, just clear, compassionate truth. She believed communication was as much a part of healing as medication or surgery. When Mr. Alvarez, a retired mechanic, was diagnosed with congestive heart failure, she sat with him and his family for almost one hour, drawing pictures of the heart on a notepad. She outlined his options, not just what was possible, but what was best for him as a person, not just a case.

Her colleagues admired her, but some found her pace exasperating. “Evelyn, you cannot spend that much time with every patient,” Dr. Kim had once said, shaking his head. “You will burn out.”

She smiled. “I would rather burn out than rust out,” she said, in agreement with Neil Young’s legendary line: “It is better to burn out than to fade away.” Music had always been her second language, a soundtrack to both her life and her practice. Her love for rock and jazz was no secret; her office had a turntable with Harvest stacked next to Blue Train, and she often used music as a metaphor for medicine.

The way she saw it, patient care was like jazz, structured but improvisational, deeply technical yet reliant on feel. “Medicine is like a Coltrane solo,” she once told a group of residents. “You learn the foundation, but every patient forces you to improvise.” She saw her role not as a virtuoso but as a member of a band, listening and responding, letting the patient set the tempo.

One of her longtime patients, Mrs. Holloway, shared her love of music. At 83, she had outlived a heart attack and two valve replacements. At every appointment, they talked about jazz. “Doc,” she once said, “you ever notice how a good jazz tune finds its way home, no matter how far it strays?” Evelyn nodded. “Just like the heart,” she said. “It skips a beat, gets lost in the noise, but it always finds its rhythm again.” The same is true of the doctor-patient relationship, Dr. Moore thought to herself. She always reeled in the melody of the conversation at the end.

Her ability to connect through music extended deep into clinical conversations. Once, after diagnosing a young musician with an arrhythmia, she could see the fear in his eyes. “Your heart is just playing a little offbeat,” she told him. “Nothing we cannot smooth out.” She handed him a printout of his EKG. “See this? It is syncopation. You are a jazz drummer; think of it as polyrhythm. We will bring you back to four-four time.” The young man smiled. He was relieved and laughing. “That actually makes sense.”

It was moments like this that defined her. She understood that following medical oaths was the foundation of good practice, but it was not the ceiling. From Hippocrates on down, she was required to do no harm and act in the best interest of her patients, maintaining high ethical standards. But it did not require her to listen to Mr. Alvarez’s grandson talk about his soccer game or to personally follow up with a worried patient after a procedure. Those things were beyond duty. That was where medicine became a commitment: a commitment to presence, to understanding, to the moments that statistics and guidelines could never capture. A commitment to seeing patients not as cases, but as people, with fears that needed soothing and victories that deserved celebrating. A commitment to making medicine more than a science, but a human art form, one that, like jazz, thrived on rhythm, improvisation, and the patience to listen.

One day, a young medical student shadowed her on hospital rounds, watching as she examined a patient recovering from a bypass surgery. The student was eager, eyes full of ambition. “Dr. Moore, what is the most important skill for a cardiologist?”

She smiled as she adjusted the blanket over her sleeping patient’s feet. “You would think it is knowledge, but knowledge is everywhere. The real skill is earning trust. When patients trust you, they listen, they follow through, they heal.”

And that was why her patients loved her. It was not just the cutting-edge care, the evidence-based decisions, or the collaboration with her colleagues. That was done behind the scenes, out of view from patients. No, it was the way she treated them, not as cases, but as people with stories, with fears, with aspirations.

She never saw herself as a hero. She was simply a physician who honored her commitments. And in a world where medicine often felt rushed and impersonal, that was more than enough.

Because medicine, like music, was not just about playing the right notes; it was about listening. About knowing when to lead, when to follow, and when to pause for quiet passages. And as long as she could keep the rhythm, as long as her patients still trusted her to hear their stories, she would keep playing, playing in the band.

Arthur Lazarus is a former Doximity Fellow, a member of the editorial board of the American Association for Physician Leadership, and an adjunct professor of psychiatry at the Lewis Katz School of Medicine at Temple University in Philadelphia, PA. He is the author of several books on narrative medicine, including Narrative Medicine: New and Selected Essays, and Narrative Rx: A Quick Guide to Narrative Medicine for Students, Residents, and Attendings, available as a free download.

Prev

Why so many patients ask for drips—and what doctors wish they knew

September 6, 2025 Kevin 1
…
Next

Why doctors must ask for help before burnout escalates

September 6, 2025 Kevin 0
…

Tagged as: Psychiatry

< Previous Post
Why so many patients ask for drips—and what doctors wish they knew
Next Post >
Why doctors must ask for help before burnout escalates

ADVERTISEMENT

More by Arthur Lazarus, MD, MBA

  • The hidden risks and rewards of AI scribes in medicine

    Arthur Lazarus, MD, MBA
  • The hidden risks of AI-generated progress notes in psychotherapy

    Arthur Lazarus, MD, MBA
  • Why your nonprofit hospital system is spending millions on marketing

    Arthur Lazarus, MD, MBA

Related Posts

  • The magic of medicine stems from the empathy of one heart opening itself to another

    Claire Brown
  • Leaving medicine is not a failure: It might be the change you always needed

    Christopher Nmai
  • Medicine rewards self-sacrifice often at the cost of physician happiness

    Daniella Klebaner
  • To the physician who didn’t match: You are not forgotten

    Amna Shabbir, MD
  • From penicillin to digital health: the impact of social media on medicine

    Homer Moutran, MD, MBA, Caline El-Khoury, PhD, and Danielle Wilson
  • Medicine won’t keep you warm at night

    Anonymous

More in Physician

  • Independent medical practice: Why private clinics are essential

    Marcelo Hochman, MD
  • How hindsight bias distorts clinical medicine

    Olumuyiwa Bamgbade, MD
  • Do no harm: Why physician burnout requires bottom-up reform

    Desiree Francis, MD
  • Institutional distrust in health care: Why a doctor lost faith

    Joshua Mirrer, MD
  • Debunking 4 myths about fertility treatments for women of color

    Ilana Ressler, MD
  • Whole-body MRI screening: a radiologist’s guide to preventive scans

    Amit Newatia, MD
  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician

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

Leave a Comment

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

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today

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

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

Leave a Comment

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

Loading Comments...