In late 2017, I was standing in the hallway between two different departments in a hospital where I was rounding on a particularly busy day. As a hospitalist, I was very familiar with this facility and where to go in order to find a moment of peace away from the hustle and bustle of my workday.
As I held the stack of rounding sheets in my hand, I had a fleeting …
How direct primary care saved my career and my life
We take care of the living, and remember those who passed, what they taught us, and how they touched us.” These were some of the words my parents said to me after I called them, sobbing in tears, that my patient had passed away. She was only eight years old. To most of her doctors, she was the patient with retinoblastoma that had metastasized to her liver, causing her to …
Unveiling the emotional toll: a resident physician’s journey through pediatric loss
Letters of recommendation help open gates to university admissions, jobs, and scholarships. Now that more colleges are ditching SAT/ACT requirements and medical schools are grading pass/fail, these letters will likely rise in importance. As a decision-maker myself, I rely on a letter writer’s personal judgment in vouching for (or not mentioning) an applicant’s work ethic, experience, and character.
At least I did—until the subject of one of my own letters …
Let’s rethink letters of recommendation
During my fellowship in palliative medicine, I have learned the value of home visits. I learn more about my patients’ lives in two minutes of seeing their homes than I could in a lifetime of clinic visits. During home visits, I get to pet dogs, touch quilts, study photos, and admire charming heirlooms that would fetch only a few dollars in a garage sale, but that in these homes are …
Embracing compassion: a physician’s journey in overcoming prejudice
In the dynamic field of health care, physicians hold a vital role. Their invaluable contribution as life-savers, pain alleviators, and guides towards healthier living necessitates continuous learning and improvement. A potential catalyst for such progress is friendly competition among physicians. This concept isn’t about outdoing each other for a prize but striving for better patient outcomes, refining medical practices, and nurturing a culture of excellence.
A study by the National Bureau …
The role of competition in health care: a complex interplay
I love medical ethics, and I am fortunate to be able to spend a substantial portion of my professional life working within this growing field. I recently demonstrated that when medical students engage in debates involving bioethics, it improves their tolerance for ambiguity. Medical school, and the years leading up to it, focus mostly on multiple-choice tests – with one correct answer. Licensing exams do the same. The young physician …
Medical ethics: Navigating ambiguity, honesty, and patient well-being in health care
Kindness is a quality of being considerate, compassionate, and generous towards others. It is a virtue that has always been valued throughout human history and remains an essential quality for creating a harmonious and compassionate society. In today’s fast-paced and interconnected world, kindness holds even greater significance. It has the power to transform lives, build stronger communities, and foster understanding and empathy among people.
In a society where stress, anxiety, and …
Four clicks. That’s all it took. Four additional clicks were added to the process of putting in a post-op order after surgery, arriving without any warning or explanation. Eleven seconds of additional work on top of the tripling of the time taken to complete paperwork my way out of the operating room, necessitated by the advent of EMR. That’s all it took. Why? Why did we have to add this …
From four clicks to burnout: How tiny stressors pushed me to the edge
Over the past five years, the term “burnout” has become closely associated with the health care field. It has reached the point where more than 60 percent of surveyed physicians reported experiencing burnout in 2021, indicating that it has become an epidemic within our profession.
It’s important to understand that burnout is not a personal flaw or a psychological disorder; rather, it is a response to chronic stress in the workplace. …
Burnout and compassion fatigue: chronic workplace stress and emotional withdrawal
Allow me to share with you two remarkable stories that unfolded before my very eyes in the course of this past week. The lessons learned resonate deeply within my soul, and it is my hope that they will awaken your true essence.
It was June 3rd, a busy Saturday prior to Memorial Day. The atmosphere at home brimmed with excitement as we celebrated my wife’s birthday. After a nice family dinner, …
Unveiling the profound lessons: Remarkable stories of life’s fragility and resilience
I love two nurses. One of them is my son, and the other is someone very close to me. She’ll have her own article.
My son has just finished his seventh 12-hour ICU shift. He’s wiped out, devastated, and shell-shocked. Let me introduce him to you before sharing his pain.
The kid was always enthusiastic about medicine. He wanted to be a physician more than anything. Maybe it runs in the family; …
The heartbreaking reality of a nurse’s struggle: a father’s tale
Limiting beliefs are thoughts that often hold us back from achieving a desired outcome. An example of this is internalizing negative criticism received. Instead of being an opportunity for growth, the dark side of criticism is that it can make us believe we are not talented enough, innovative enough, or qualified enough. That we are not enough. Often, this depends on how and when it is delivered.
According to the National …
Overcoming limiting beliefs in a culture of growth
“The cause of man’s problem is a lack of knowledge. It does not stem from a shortage of information but rather from the rejection of information.”
– Hosea 4:6
This event in medical history is one such lesson that describes the blinding of physicians to the realities of open-mindedness and the destructive potential that results from ignoring factual truth.
If it weren’t for the persistence and medical ingenuity of an early 1800s medical …
Unlocking the secrets of medical practice success
ADVERTISEMENT
I am a physician, specifically a urologist. However, what most people do not know about me is that I am a survivor of multiple suicide attempts. My essay attempts to tell my personal story—a story of burnout, mental illness, and suicide—and to discuss the shame that accompanied these experiences.
I completed my urologic residency in 1987 at Stanford University and began practicing with the Southern California Kaiser Permanente Medical Group in …
From physician to survivor: My inspiring journey through burnout, mental illness, and triumph
Ten years ago, as a new graduate, I sought an academic job that would protect my time for research. I was surprised to find that I was “unqualified”: I had no research funding and few published manuscripts. With these deficits, no institution was willing to give me a research job. Eventually, I was offered a clinical job that would protect my time at 20 percent. With this time, I was …
I sometimes grieve the life I left behind … and that’s OK. Necessary, even.
I wonder if I got in my own way, if I tried hard enough, if I fought hard enough. What would have happened if I believed in myself? Trusted that I could accomplish what I set out to do? Accepted love …
Embracing life’s unexpected turns and finding contentment along the way
The Little Mermaid remake was recently released, and I was excited to experience the film for a few reasons. First, it was my favorite animated Disney film of all time. It came out when I was three years old, and I watched the VHS tape until it didn’t work anymore. Yes, I’m dating myself. Second, there were updated lyrics and a Black Ariel. Although it was strangely controversial that Ariel …
This is a story of headlines and the power they wield for good and evil (apologies for the melodrama). Words matter, and I, for one, am frustrated with the words in headlines often doing more harm than good.
I am a family doctor whose passion in life is preventing disease. I don’t want to see my patients suffering from diabetes or heart failure, nor from a contagious disease that is preventable …
Unveiling the truth: How headlines shape our world and the urgent need for reliable news
As I stood there, my mentor, Dr. S, spoke in his gentle, wise voice, “Congratulations! You have been selected as the hospital’s new nocturnist.” The news hit me like a wave of disbelief, and a surge of emotions rushed through me. The competition for this position had been intense, leaving me uncertain about my chances. But now, at this moment, all those doubts were swept away. A whirlwind of feelings …
From doubts to triumph: The inspiring journey of a nocturnist doctor
As an emergency physician, I’m a strong proponent of living wills, POLST forms, and discussing uncomfortable topics with your loved ones. Even making decisions about your child being an organ donor, if, Heaven forbid, something happened. You never know when the “last time” might be.
A recent case I had served as a reminder of this. The patient and their spouse came to the hospital for what was supposed to be …
Powerful lessons from a tragic hospital incident: the importance of living wills and last goodbyes
Get free updates delivered free to your inbox.
