“The memory of these patients, and their families’ utter anguish, stays with me. There was nothing I could have done to save them, nothing I did wrong. I’ve lost sleep, questioned my career choice, and sought mental health counseling to manage the stress of their loss. But the pain of their unexpected …
How the pain of unexpected and tragic deaths lingers with physicians [PODCAST]
“Julie” began the telehealth encounter in her car, greeting me with a cheerful smile. The sun glimmered through the driver-side window, illuminating the water spots to sparkle like diamonds.
“How are you doing with your suboxone dose? Do you feel that you need to go up, or are you happy with your current dose?” I asked.
“Everything is going great,” she said. “I feel no cravings – only some constipation. Otherwise, everything …
Jealousy and missed opportunities in medicine
Loss is incurable, but grief is metamorphic. The end of another human life is a fluid experience for those left behind. For most of us, grief legitimizes the range of human emotion and, at least temporarily, erases the idea of being too sensitive.
There are many ways in which this paradigm is unequal, particularly for individuals who frequently confront death. It seems that when a challenge moves into the …
Health workers in Canada experience endemic levels of burnout directly related to understaffing and work overload. Leaves of absence from work for mental health and stress-related issues are 1.5 times higher among health workers than the rest of the population. Increasingly, health workers are significantly reducing their hours worked to cope or leaving their jobs altogether.
That was before the pandemic. With COVID-19, we are witnessing levels of stress, overload, and burnout …
The pandemic exposes critical gaps in Canada’s health workforce planning
“We are all interrelated.
This is the foundational basis of osteopathic medicine. Whether considering internal relationships of the systems of the body or the external relationships of a person with the world around them, connection is a key principle at the core of osteopathy.
Developed at a time when the baseline medical practice …
Expanding the osteopathic concept for the health of all things [PODCAST]
Changing direction once established is not easy, but it can be rewarding. I recently read the essay on KevinMD (“How this physician escaped the system“) from a physician who shifted gears to her own business after some discouraging experiences in “the system.” During her residency, her attending physician asked her what her purpose was in becoming a physician. To her credit, she said that her goals …
It’s never too late for physicians to change directions and land new jobs
“Checkmate,” she whispered. A silent wave swept across the tournament area. Players turned their heads in our direction, eager to see who had lost 30 seconds into the round. It was me—I had fallen victim to the infamous four-move checkmate.
My opponent, a five-year-old girl who could barely reach the other side of the chessboard, extended her hand to shake. My seven-year-old self was mortified. In the chess world, nothing is …
How chess can make you a better physician
“COVID-19 has propelled the nation into widespread telehealth services to provide consumer-based care, especially for those who access this technology. Equity issues arise when using digital communication because many underserved populations lack access to digital and/or mobile services. Inevitably, this brings up the greater concern of an unintentional exacerbation of disparities because low-income …
Telehealth in underserved populations needs telecommunication expansion [PODCAST]
An excerpt from 50 Years in the OR: True Stories of Life, Loss, and Laughter While Giving Anesthesia.
We were notified one cold winter’s afternoon in February that a farm accident victim with a bad leg injury was coming in from a small town twenty-five miles west …
A story of a gruesome farm accident
One of my most impactful experiences during my third year of medical school was spending time with my patients and getting to know them. I went into medicine because I believed in the special relationship between doctor and patient. As I was shadowing in college, I was amazed by how within minutes, a stranger would reveal physical and psychological details about their life they might not even share with their …
The opportunity to connect with another person on the most human of levels
“At that point, I realized Thanksgiving came early this year, and I missed it. It was a reminder of why many of us go into medicine. I didn’t go into medicine for glory or fame. Nor did I go into medicine for financial reward. Still, I often told the resident physicians I …
A dermatologist reflects on his career [PODCAST]
Before getting dressed for work this morning, I stood in my kitchen, marveling at the ice crystals, or “tree diamonds,” as my mother calls them, from the window above the sink. As I waited for the coffee to brew, I scrolled through the text messages sent to my phone overnight until I saw my friend’s forwarded news link: “Doctors suspect COVID delayed immune response in young surgeon’s death.” I clicked …
COVID tragically took a young orthopedic surgeon
When I think about boundaries, I am struck by how individual, varied, and unique each of our own personal definitions of boundaries can be. For one person, it is the physical boundary between the external world and our property. For another, the emotional and relational boundary between physician and patient. For many, the physical, emotional, and energy boundary between work and home. And often the most difficult, the boundary between …
Boundaries as a woman physician
“The first thing my husband said when I told him about MBA school was, ‘the NBA has a school?’ It didn’t help that we first had our conversation about MBA school during the NBA playoffs but really – NBA school? I quickly overcame this moronic start to the conversation by saying ‘M’ …
To MBA or not to MBA as an MD [PODCAST]
“I am a veterinarian. More specifically, I am a veterinary specialist, board-certified in emergency and critical care. I don’t play with puppies and kittens. I treat the worst of the worst in a specialty hospital setting with a state-of-the-art ER and ICU. Despite years of education, including veterinary school, internship, fellowship, …
Suicide in veterinary medicine is a huge problem right now [PODCAST]
As doctors, we are taught the art of assessing our patients through the doctor-patient relationship. We learn a series of open-ended questions to gain insight into our patients’ values and thoughts regarding their personal health. We learn how to evaluate lab values and make diagnoses. Through all of this, we strive to make optimal decisions for our patients to avoid the legal ramifications of medical errors and because physicians thrive …
Managing stress with coping strategies for the perfectionist-driven physician
“I am a medical doctor—a hospitalist working in an environment with many talented professionals. We share our knowledge and our approach to medicine with one another in ways that profoundly affect our patients and other personnel in the hospital.
At our best, we are a community whose foundation is a willingness and …
Infertility and the physician journey [PODCAST]
A moment in medical school that left a huge impression on me was when we had chairman’s rounds with the department of medicine’s chair. He was a renowned breast oncologist and researcher and described a bit of his process when interacting with a patient. The process he had developed over his years of experience was so fine-tuned that there was not a single movement, action, word, or breath that was …
I’m the best anesthesiologist there is
“Oh, Canada! Every presidential election cycle, my colleagues joke that if the election result is not to their liking, they will move to Canada. On election night 2016, ‘move to Canada’ trended on Google, and the Canadian immigration website crashed. This election cycle America is having an existential crisis. What does …
Train in the United States. Practice medicine abroad. [PODCAST]
The recent controversy and backlash surrounding Kamala Harris’s Vogue cover shows that it is still fashionable to diminish powerful women. It also is the latest example of the sad fact that no matter how far we have come, women are still held to a different standard—by both men and women.
As a female vascular surgeon, I have spent my career pushing back on ideas about what …
Women in medicine need to have each others’ backs. Too often, they don’t.
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