Physician

This doctor gives his cell number out to patients. He explains why.

Physician

March 27, 2017

Contrary to what my wife and colleagues think, it is not all about me. Well yes, I do get lonely sitting at my desk late at night, when my wife is busy, and the long-ago-moved-away kids are not available, and there is nothing running on NASCAR. Nonetheless, it is not really about my needs. I am talking, of course, about why I give patients my cell phone number.

It is printed …

My cold hands met their match

Andrea Eisenberg, MD

Physician

March 27, 2017

Despite living in Michigan for over 30 years, my cold hands disclose my Southern California origin. As a physician, these cold hands have touched many lives. For my pregnant patients, they usually sigh with relief as I touch their bellies, the coolness of my hands offering them respite from the inferno growing inside them. They smile when I tell them I can feel their baby squirming and how it is …

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My cold hands met their match

Solving the telephone problem in primary care

Fred N. Pelzman, MD

Physician

March 26, 2017

The phones, the phones, the phones.

Every time we look, everywhere we look, getting the phone answered seems to be a problem we just can’t lick, a continual thorn in the side of our practice, something that’s hindering all the other efforts we try to make things better, to get ourselves to the best care environment for our patients, our staff, and our providers.

Without …

Let’s pay doctors like we do athletes

Hans Duvefelt, MD

Physician

March 24, 2017

Think about it; athletes aren’t the ones who document their performance. It’s other people that keep the score. That’s a whole science in itself. People talk for hours after the game or tournament is over about how each athlete did this or that in whatever way they did it, and the numbers are in many cases captured by extremely sophisticated electronic equipment.

Physicians work hard to diagnose and treat their patients, …

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Let’s pay doctors like we do athletes

Death is a blessing in its right time and place

Uzma Khan, MD

Physician

March 24, 2017

I am working hospitalist right now. On Friday, a man in his 80s was admitted with difficulty breathing. He had a complicated history, including a heart attack at age 35 with all the subsequent sequela of heart disease. He had an abnormal heart rhythm and was taking a blood thinner for stroke prevention. In addition, he had scarring of his lungs (cause unknown).

He was transferred to us from another hospital. …

Sleeping with the enemy: When a physician dates an administrator

Sandra Scott Simons, MD

Physician

March 23, 2017

“I’m going to write a column about dating you and call it ‘Sleeping with the Enemy,’” I announced from my rocking chair. His rocking stopped. “The enemy?” The rain was falling on the trees in front of my porch and on his parade. “Why am I the enemy?” “You know, clinicians vs. hospital administrators.” “Really?” he naively asked. “Why don’t clinicians like us?”

I was surprised he was so in the …

A physician-mother on maternity leave learns how she can’t ignore her job

Amy Hughes, MD

Physician

March 23, 2017

The stretcher was wheeled into the operating room. I had been in this room on three prior occasions, under very different circumstances. But today, as I lay flat on the table, listening to the small talk around me, I tried to breathe against the weight of the baby and the pressure of the procedure. My husband will later tell me it happened so quickly, but for me, time stood still …

Angry? Welcome to being a doctor. And here’s how to fix it.

Jordan Grumet, MD

Physician

March 23, 2017

It will start as a minor curiosity. Maybe a student will seem slightly too close to the resident on your team. When the grades are posted, you’ll wonder why you didn’t get honors, but he did. You might wallow for a few days. Make an offhanded comment to your fellow students. Then you’ll let it go and move on. Or so you think. Until during surgery when the scrub nurse …

In the hospital? Here are 7 things you must keep in mind.

Suneel Dhand, MD

Physician

March 22, 2017

Being in a hospital is a scary and frightening time, and it’s easy for those of us at the frontlines — doctors and nurses — to forget that as we go about our busy work days. Patients are at a very low point in their lives and will remember everything about their hospital stay, including all their interactions, for a very long time.

As someone with a keen interest in improving …

I was done being a doctor at the end of fellowship

Roozehra Khan, DO

Physician

March 20, 2017

I burned out early. I was done being a doctor at the end of fellowship. Although I took a job as a critical care physician, I desperately sought to alter my career somehow. I looked into website development, something I had been good at in high school. I took a few refresher classes on my days off and started coding my own sites. Luckily, my first job out of fellowship accepted many …

When healthy children die: Pediatricians are not superhumans

N. Bande Virgil, MD

Physician

March 19, 2017

I’ve always wanted to be a pediatrician because I love kids; if you ask most people who work in pediatrics whether nurses or physicians they may say that. It’s a very common response to the question “Why pediatrics?” Or how can you do pediatrics?” when students and physicians are asked. Yes, we love working with children for many reasons. Some love the unexpected unrehearsed things kids say; they will shock …

What does it mean to be well? Ask an opiate addict.

Casey Grover, MD and Paul Harper

Physician

March 16, 2017

Wellness. It’s all the rage these days as we try to manage our crazy work schedules while still maintaining balance in life. We have wellness committees, wellness workshops, wellness coaches, and wellness apps for our smartphones.

So, then, what does it mean to be well?

To the average person, and to the dictionary, to be well is to be “in good health” or “in a good or satisfactory way.”

However, to those suffering …

How do physician-mothers do it all?

Uchenna O. Njiaju, MD

Physician

March 16, 2017

So, how do you do it all?

It’s a Monday morning. After a flurry of activities, I am walking into the office at 8:00 a.m. I think back to the past 2 to 3 hours. I was up at 5:30 a.m., and in my workout clothes soon after. I managed to squeeze in a 20-minute workout, thanks to a video on YouTube. I then reviewed my schedule and patient charts for …

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How do physician-mothers do it all?

Improve the patient experience with anticipatory patient service

Neil Baum, MD

Physician

March 15, 2017

How do you describe the feeling when you are at a restaurant, and the waiter sees your coffee cup at less than half full (never half empty) and without asking they refill the cup or better yet, bring you a fresh cup of coffee? If you are like most customers, you have a nice feeling about the restaurant and the waiter as they have anticipated your needs. Usually, this anticipatory …

Doctors: Be careful, your words matter

Michael Kirsch, MD

Physician

March 14, 2017

Here’s a quote that readers will not readily recognize: “It is a pity that a doctor is precluded by his profession from being able sometimes to say what he really thinks.”

I’ll share the origin of the quote at the post’s conclusion. How’s that for a teaser? I’ll give you a hint below.

Physicians, by training and experience, are guarded with our words. To begin, we are never entirely sure of anything, …

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Doctors: Be careful, your words matter

Stop judging: Sometimes terminating a pregnancy is necessary

Andrea Eisenberg, MD

Physician

March 13, 2017

The women’s health has a history of being a volatile sector, especially of late. It is an area of medicine where politicians think they can have access to intimate and confidential patient-physician relationships. This is unacceptable and an invasion of privacy.

Voluntary termination of pregnancy. Voluntary interruption of pregnancy. These are the medical terms for what the layperson thinks of as an abortion.

Missed abortion. Threatened abortion. Incomplete abortion. Spontaneous abortion. Septic …

Are primary care doctors referring too much?

Fred N. Pelzman, MD

Physician

March 12, 2017

“I can do that?”

During a recent morning practice session, a resident was presenting a patient who had had several episodes of syncope which culminated in a trip to the emergency room. She had a brief stay there, and on the discharge plan was written “follow-up with PCP and with cardiology.”

We went through her history and physical examination, we talked about how to further …

Doctors are not God. Even if some patients want them to be.

Shahla Siddiqui, MD

Physician

March 11, 2017

I am not God.

Nor do I want to be, but I feel sometimes that my patients and their families do.

When I entered the ICU early that overcast morning I knew judging from the throng of anxious people waiting outside that things were not right. He came to me straight away, his eyes haunting and sunken as if he hadn’t slept for the whole night. His body barely able to support …

What this physician learned from a medical mission

Dirck A. Curry, DO

Physician

March 10, 2017

In August of 1991, I became a family practitioner in the United States Air Force and was sent to Clark Air Force Base in the Philippines. During my time there, I was asked to go on a medical mission. This experience struck me with the missionary bug to provide my talents and to care for others in another country. With medications that were near expiration date in USAF stock and …

A letter from a grateful physician to his patients

Chiduzie Madubata, MD

Physician

March 9, 2017

To my beloved patients and your families,

Over the years, it has been an incredible experience and honor to be allowed to enter into your world. It is a world that I know few people are privy to, and it is an intimate world where the deepest questions about life tend to arise. I know that when you are confronted with sickness that leads you into this world, it can be …

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