There was nothing unusual about my hotel in Anchorage, Alaska, when I checked in, but when I headed down to check out the laundry facilities and saw police swarming the lobby and parking lot, I knew it was time to move.
Thankfully, experiences like that have not been common during my time working as a locum tenens (physicians who work in temporary assignments to fill critical gaps in care) for over …
How to stay safe as a traveling physician
Sir Isaac Newton dedicated as much, if not more, of his time to the study of alchemy than he did to the natural order of the universe, but most of his work as an alchemist remained unpublished until long after his death when a metal chest full of his belongings was auctioned in 1936. The great man of science, the first of the Age of Reason, was simultaneously the last …
Halloween is almost here. Why aren’t you writing?
This could be the mythical and mystical tale of organized health care. Humans and their systems may become organized to evolve as large and stable entities, as disorganized ones may never grow large and may remain perpetually unstable, risking disintegration. However, once they reach the status of being “too big to fail” and become self-aware of this situation, the lines between ethics, morality, and legality may begin to blur. This …
Too big to fail: health care’s moral quandary
“All I know is how to be a doctor.” That’s the story many physicians tell themselves when they feel pulled to pivot from direct patient care. Through working with a coach, therapist, or mentor, doctors see there are always other possible paths forward. Sometimes, it’s what you need to do to take care of yourself, short or long term, and there is nothing more important than that…
Charity Hix, MD
I knew …
Pivot from clinical work? Sometimes the answer is yes, and that’s OK.
Happiness is a widely discussed and sought-after topic. This dream, or the ideal world of happiness, is something many people claim they want but struggle to find. So, what exactly is happiness? According to the Merriam-Webster dictionary, happiness is a state of well-being and contentment.
Do you remember your happiest moments? As I write this, I reflect on my happiest moments—such as the birth of my first child. Then, as I …
Achieving happiness: practical strategies for physicians
An excerpt from The Adventures of Dr. Anonymous.
During the COVID pandemic, I wished I could put out a public service announcement for physicians, patients, and families about end-of-life care. Palliative care is critical to hospitalist practice and one of the least discussed fields of medicine. It also is a major …
Open conversations about end-of-life care
There is no shortage of the problems that plague health care. Even so, health law gurus make problems worse by creating the medical liability litigation industry. Gurus deny creating this industry. They create health reforms and tort reforms to solve problems. That explains the Affordable Care Act, 100 tort reforms, the medical liability litigation industry, and difficulties.
Have you …
A new approach to health care liability management
As a resident physician working in a rural state that recently underwent a legislative session characterized by an overwhelming anti-patient, anti-trans, anti-abortion, and anti-physician-patient relationship stance, I find myself invigorated by the commitment and action of community members who persistently call for change and advocate for their right to health. They remind me of the expansive diversity within rural communities.
Despite state legislators who may present a loud, anti-diversity voice, they …
Rural health care advocacy: Inspiring communities
What is a legitimate medical reason to prescribe an opioid medication today? For pain or addiction? Who decides which patients are worthy of treatment? This question is not just of academic interest. Any prescribing medical provider today must constantly live in fear that a law enforcement agent somewhere will disagree with the prescriber’s answer to these questions. On its face, it seems simple. If a patient has severe pain, a …
Balancing medical ethics in opioid treatment
An excerpt from All Bleeding Stops: Life and Death in the Trauma Unit (Mayo Clinic Press, December 2023).
Trauma surgeons, particularly in our roles as directors of a surgical intensive care unit, must frequently chat with families of critically ill patients after they have sustained …
Navigating complex ICU conversations: a trauma surgeon’s perspective
Scientists refer to this seeming paradox as being derived from the nature of quantum reality and Heisenberg’s Uncertainty Principle. Ignorance can be a “strength.” For example, when we want to identify someone, the photons that arrive at our retinas will be different depending on the many other factors surrounding that person.
However, we tend to disregard most of the objects, colors, or obstacles in the way and conclude that it is …
Harnessing ignorance: quantum reality and medicine
Today, more than one in five Americans are caregivers, providing care to an adult or child with special needs at some time in the past 12 months. Given this sobering statistic, I’m surprised we do not see as many health narratives written by caregivers as, say, doctors and patients, at least not in print.
Caregiving is emotionally draining. However, writing when you are in a caregiving role is one of a …
Expressive writing reduces caregiver stress
I sit in my clinic office, looking at today’s schedule. It’s a nice office with lots of white and pastels, modern furniture, an up-to-date computer, and a desk. I always wanted my clinic to look like something from the future, and now, after twelve years, it finally does. Besides the screen on my desk, there is a large screen on the wall to my left, the patient’s right. From my …
Navigating medication prescriptions in a DEA-observed world
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“That patient still haunts me,” I heard one of the PICU fellows murmur as he walked out of the auditorium. I wondered if I should have taken comfort after hearing that I was not the only one still struggling with this patient’s death. Despite months passing since this baby died, the memories of this family and their child continued to gnaw at me. It wasn’t until after that morbidity and …
Coping with haunting memories of a patient’s loss
The global cosmetic surgery market has witnessed remarkable growth in recent years—in 2021, it was valued at $67.3 billion, and projections suggest it will reach a staggering $201 billion by 2031, with a compound annual growth rate (CAGR) of 11.6 percent from 2022 to 2031. We can largely attribute this exponential growth to society’s increasing desire for enhanced aesthetic value and the evolving beauty standards of our time. As societal …
Cosmetic surgeons’ contribution to mental health
In an unlikely intersection, pageantry has the potential to play a pivotal role in accentuating career progression in academic medicine. Through meticulously crafting one’s professional demeanor and image, physicians can hone their interpersonal and networking skills and bolster their professional credibility. Drs. Wada and Nelson share how their participation in pageants over the years has served as an influential catalyst for success, both in medical school admissions and academic promotion.
Pageantry, …
Pageantry: an unconventional catalyst for career advancement in academic medicine
Picture yourself as a junior resident on morning rounds with a senior and a rotating intern. You’ve been up almost all night on call, and you’re almost at the end of the patient list. Your senior asks you about the next patient, and you stumble. You can’t find your notes, and you’re blanking on the answer. Your senior becomes impatient and starts to raise their voice. How do you react?
If …
Skills for resident physicians to increase distress tolerance
In the vast universe of all that has been written, writing about loss, illness, and death is probably second only to writing about intimacy, relationships, and longing. In the world of narrative medicine, the order is reversed. Patients are harnessing the power of writing, sharing, and telling stories of health and sickness using personal narratives to navigate illness, trauma, and grief. The experience of being ill is made less isolating …
The essence of health narratives, including poetry
This summer, my cousin Cindy has been raising Monarch butterflies. Two weeks ago, when I was visiting her for the weekend, she gave me a chrysalis to bring home. She’d already done the bulk of the work, feeding and caring for the caterpillar. I left with a mesh-sided carrier and an expected due date of 7 days. I was instructed on how to determine the gender and that I needed …
Discover the power of patience
Challenging and frustrating are two words describing what it feels like to be a doctor today. Yet numerous physicians are sharing their journeys as to how they moved through difficult times and have been able to find joy again by practicing medicine on their own terms.
The following doctors describe how they have continued seeing patients while incorporating additional pursuits that help them feel balanced and fulfilled.
Be sure to watch their …
Doctors rediscover joy in practicing medicine, on their own terms
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