“I quit residency.”
Three words that many physicians couldn’t ever imagine coming out of their mouth, but for me, I say it all the time, usually with a smile on my face. I was a year and a half into my family medicine residency and decided it was enough. My decision mostly revolved around the birth of my son. My husband (a resident in the same program) and I planned to …
This doctor quit residency. And now she’s truly happy.
“I admire anyone who has the guts to write anything at all.”
– E. B. White
“All you have to do is write one true sentence. Write the truest sentence that you know.”
– Ernest Hemingway
“Writing is easy. All you have to do is cross out the wrong words.”
– Mark Twain
“There is no greater agony than bearing an untold story inside you.”
– Maya Angelou
“There is nothing to writing. All you do is sit down at …
A surgeon blogs for one year. Here’s what she learned.
From ancient times, doctors have appreciated that, for all their similarities, no two patients are exactly alike. This understanding is what made physicians act like, and earn society’s respect as, professionals.
The commercialization of health care has brought in managers from other industries and other branches of academia, and their rise to power has been predicated on their ability to treat patients and doctors not as individuals, but as small cogs …
It’s time to stop comparing health care to manufacturing
When I was pregnant with my first child, I worked full time as a physician in the emergency department. I worked mostly 9-hour shifts, but some 12-hour shifts as well. Days, evenings, nights, holidays and weekends were divided up amongst the entire group of physicians. I worked my share of those shifts as well.
I have worked in the ER while pregnant twice now, and while I am proud to be …
You have no idea what it’s like working in the ER as a pregnant physician
Another workday comes to an end. 11 a.m. rolls around and freedom from the hospital beckons after another 24-hour call is finished. In the span of the preceding day, it is likely that numerous important decisions had to be made with the expectation that all of your mental faculties would be used, irrespective of what time of day it was or how much sleep was obtained. It is a day …
Physician, heal thyself. A reflection on physician self-care.
Since undergoing a double-lung transplant at the Johns Hopkins Hospital in December 2011, Podge Reed Jr. has had four medical admissions, two surgical admissions, eight outpatient procedures requiring anesthesia, more than 100 outpatient appointments, and 700 labs and other tests. He’s amassed enough experiences with the health care system to write a book. So far, though, he’s mostly kept it to two letters, totaling 12 pages, to our patient relations …
Here are 10 patient suggestions for hospitals. Let’s make them happen.
I have lately been discussing the state of health care with a lot of doctors. I’m a doctor, and I’m also a consumer of health care services.
Imagine my surprise when I visited a local ER on a three day weekend, hoping to get some advice from someone who might be able to use the panoply of diagnostic tools available in the ED to help me mitigate the pain of a …
An emergency physician goes to the ER, and is shocked at the care she receives
Dear patients,
This is a hard letter to write, but it is important that you know about a major change that is coming for both of us in 2017, just a short year away.
As you recall, last year I left a large hospital group practice and opened my own office, and I want to thank you for your faithfulness in following me to my new location. With the newfound freedom of …
A physician’s open letter to Medicare patients
Hospital culture is largely influenced by the relationship between administrative and clinical staff leaders. In the “old days” the clinical staff (and physicians in particular) held most of the sway over patient care. Nowadays, the approach to patient care is significantly constricted by administrative rules, largely created by non-clinicians. An excellent description of what can result (i.e., disenfranchisement of medical staff, burn out, and joyless medical care) is presented Read more…
What creates a toxic hospital culture?
“For some must watch, while some must sleep.”
– William Shakespeare, Hamlet
I admit, I was taken aback at the headline that ran in the Houston Press today: “Going under: What can happen if your anesthesiologist leaves the room during an operation.”
It’s bound to make the curious reader wonder why the anesthesiologist would leave the operating room in the first place.
Of course, reporter Dianna Wray explains that in many hospitals, one …
Will your anesthesiologist leave the OR? Patients deserve to know.
Wrong procedure, wrong side/site, wrong implant, retained foreign object: big problem. No patient should ever have to undergo these types of events, and they are therefore called never events. However, these events do occur and when they do they not only jeopardize patient safety but they also breach the trust between patient and practitioner, have financial implications, and reflect negatively on the entire health care system.
The good news is never events …
Why do never events occur? It’s because of the human factor.
We’re not imagining it: We really are losing our connections to each other. It’s a huge problem. In fact, it’s life-threatening.
A recent Wall Street Journal article discussed the Brigham Young University study that found that social isolation increases our risk of death by 32 percent.
Duke University and the University of Arizona have been watching our connections go down the …
Open your eyes. Look at each other. And make the connection.
I lost a very dear friend about a week ago. She was my nurse, office manager, and friend. She was Ginny. Ginny came into my life about eight years ago as I assumed the responsibility of medical director for a multi-location clinic. I spent about as much time with her as I did my family, she was my “work wife.”
About nine months ago I became concerned with her rapid loss in …
Life and death are in God’s hands, and we are merely his instruments
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One word: gun. That is all it takes to spark a debate between two very different camps. One end of the spectrum feels guns are an evil haunting the nation by their mere existence, and they need to be dealt with by restricting (or even eliminating) everyone’s ability to possess them. The other end believes it is a core right to keep and use firearms for sport, personal defense, collecting, etc., and that no …
Should doctors be allowed to concealed carry at work?
Netflix listens to doctors. Google, Facebook, and Apple listen to doctors. The United States Navy and Marine Corps listen.
The above companies have updated their maternity leave policies — lengthening them all past 12 weeks. And all paid.
But yet, health care doesn’t listen to doctors. And let me tell you how.
I am pregnant. Which is a blessing in of itself. In fact, this is my 4th pregnancy, but I only have one child living. …
Maternity leave for physicians is a disgrace. It’s time to fix that.
I was working at a small hospital when I heard the nurses talking about a new rule. The rule was that the only people who could wear lab coats would be physicians and administrators. It made me laugh a little. I’ve hated lab coats since medical school.
I currently sport what a family medicine resident told me was the ER mullet: khakis and polo shirt. (Who knew?) I find it much …
Lab coats and scrubs don’t make the physician
Recently, Pope Francis visited Philadelphia to finish out his five-day visit to the United States. Prior to his visit, many hospitals in the city were preparing for possible emergencies involving visitors from many countries around the globe, particularly elderly visitors. On-call teams were present in these hospitals, and contingency plans were in place in case people needed to be transported emergently to different hospitals despite the high level of security …
An emergency in public: When should doctors help?
It’s a change in nomenclature that’s come a bit out of the blue over the last few years. The forces appear to be aligning to gradually push the word “doctor” out of the center and towards the periphery of health care. Whether we are talking about administrative communication or health care information technology order entry — it seems that we are no physicians or even clinicians, but we have all …
Why we need to stop calling physicians “providers”
As a physician, you are required to have keen senses. Touch, smell, hearing, and sight are absolute necessities for most practicing physicians while we can only hope that taste is reserved for meals and non-professional situations. I recently returned from a week of vacation in the great outdoors and found myself wishing that I had more olfactory agnosia. Olfactory is a Latin adjective from olfacere that translates “of or relating …
The aroma of medicine can be found everyday in hospitals
I have previously written about a patient on this site: “How elderly patients can be stubborn to their own detriment.” In that post, I discussed how the patient repeatedly turned down appropriate therapy for her hypertension, saying she didn’t need the help. Now I’m writing an update.
Due to the patient’s refusal to accept treatment for her hypertension, despite counseling on the part of her cardiologist and primary care …
A patient turns down hypertension treatment. What happens next is tragic.
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