It’s almost 7 p.m., and I’m handed the chart of a man in his sixties. “Can you see this one first,” the nurse says, “he needs an ultrasound.” I skim the triage note, which is often like reading the blurb at the back of the DVD. If it says “pain all over for eight months,” it’s not likely to be a hot new rental.
Frank Martin (name changed) has been sent from a walk-in …
Thirteen years ago, I received a call from the mother of a college freshman who was concerned because her son had been diagnosed with mononucleosis during finals week. She felt something was not quite right and asked me for advice.
“Trust your instinct, go get him, and bring him home.”
She brought him to my clinic the following day. He looked mildly ill. His vitals were stable; he was fatigued, slightly dehydrated, …
Every medical couple knows that the lifestyle and career choice brings with it adjustments and sacrifices. Physician spouses and partners often take on more housework and childcare to accommodate long working hours. Physicians may work unusual hours that lead to late-night arrivals, missed bedtime tuck-ins, and less face-to-face time. This can lead many couples to blame medicine for their struggling relationship.
Take the example of a resident who has been working …
It was 1 a.m. on a Sunday night on call, and we were waiting patiently for admissions in the resident workroom. We were four near-perfect strangers, yet we had one thing in common: our challenges we faced in maintaining relationships. Was it truly because of our shared profession of medicine or because of our similar personalities that led us into the field? We realized we struggled preserving our current relationships …
Dear future colleague,
What a tremendous thing it is to know you are becoming a physician! You are devoting your life and talents to the betterment of the health of your future patients, your local community, and our entire society. You have responded to the call to serve in a profession that is hundreds of years old, steeped in tradition but vehemently progressive, always changing, and vowing to remain abreast of …
One of the most common questions that I receive from patients diagnosed with celiac disease is if they should take a probiotic. The only available treatment for celiac disease, an autoimmune disease characterized by destruction of the absorptive surface of the small intestine which develops in genetically compatible individuals, is a gluten free diet. However, patients and providers often question whether supplementation with probiotics may hasten the healing process.
Probiotics are …
The day I got into medical school, my uncle said to me, “You are going to be a doctor! We finally have a doctor in the family. You are going to take care of your uncle in his old age.” Other family members echoed the same sentiment. First doctor in the family. Now, we will all have free medical advice.
As I progressed through medical school, then internship and residency, then …
If you Google “misophonia” you might be shocked to find numerous articles discussing the tragic suicide of 52-year-old Russian-born scholar, Dr. Michelle Lamarche Marrese. Journalist Joyce Cohen was the first to report Marrese’s suicide in the New York Post piece “She could hear everything and it cost her her life.” Cohen explains that she and Marrese had been corresponding about Marrese’s struggles with misophonia for over 14 months, and that …
In the year it has taken for me to finish my medical residency as a junior doctor, two of my colleagues have killed themselves. I’ve read articles that refer to suicide amongst doctors as the profession’s “grubby little secret,” but I’d rather call it exactly how it is: the profession’s shameful and disgusting open secret.
Medical training has long had its culture rooted in ideals of suffering. Not so much for …
Last week I was in a session with one of my coaching clients, a successful black female physician who is the owner of her own practice. As we were concluding she made a statement to me “I feel like medicine has just sucked the feminine right out of me.” Immediately I related.
As women in the professional world, we are always in competition with men whether we are aware of it, …
“Afternoon,” the doctor says. “What brings you here today?”
A cough? A cold? A belly ache? Some feelings of dismay?
Well, tell me just what ails you, and I’ll try to do my best,
To sort through all your problems and put your fears to rest.
But give me just a moment — my computer must get started.
Without attention to its needs, your visit goes uncharted.
You say your chest is hurting? And you’re really …
Coughing is one of the most common reasons parents bring their children to see me. And I can understand why. Coughing is noisy and uncomfortable and gets kids dirty looks in schools and subways. Even worse, coughing keeps kids and their parents awake. We’ve all been there, and no one likes to cough.
But coughing is there, usually, for a reason. Almost all coughs are from upper respiratory infections (that’s fancy …
From the first year of medical school, we are trained in probing into the most personal aspects of patients’ lives; but when it comes to spirituality, we shy away. In a survey of the U.S. general public, the 2008 Gallup Report demonstrated that 78 percent of people believed in God and an additional 15 percent believed in a higher power. Other studies have shown that religious beliefs and …
ADVERTISEMENT
“What do you want to be when you grow up?”
It’s a common question we ask our youth, and I remember as young child sharing my aspirations with family members. When I answered “I want to be a doctor when I grow up”, I received positive feedback and praise. As an innocent little girl, I had no idea that there were people in the world who wouldn’t be as supportive of a woman in medicine.
Later …
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 24-year-old woman undergoes routine evaluation. She is pregnant at 12 weeks’ gestation. Medical history is notable for homozygous sickle cell anemia (Hb SS). She has had multiple uncomplicated painful crises treated at home with hydration, nonopioid analgesia, and incentive spirometry. She requires hospital management for these episodes approximately twice per year. She has declined …
Slave, I am not
Servant, I may be
Arrogant, I am not
Ignorant, I may be
Un-engaged, I am not
However, Quiet, I may be.
Your coat is long, mine short
Your knowledge mile deep, mine mile wide
You have seen 100 patients this week, I have seen 10
You trained for 10 years, this is my first
If I look scared, it’s because I am
If I seem intimidated, I indeed am
If I appear confused, I in fact am
If I …
ADVERTISEMENT
In high school and college, I waitressed in a Dunkin’ Donuts shop that sat between Boston Common and the Combat Zone’s porn shops, strip clubs, and bars. The wages paid for school, clothes, rent, and food. At the time, I didn’t realize this job would provide useful skills for my later medical career, an early pre-med training of sorts.
Look the part. I donned the bubblegum pink polyester uniform that clearly identified …
Let’s start with the most important part first. Your primary goal while in residency/fellowship is to become a great doctor. The kicker is that you also have to devote some time to your finances and not completely neglect them. We will outline the few financial items you should worry about while in residency.
Student loans
If you don’t have student loans, go ahead and skip to the next item; however, the unfortunate …
An article released in the JAMA sites evidence that the suicide rate in America has risen by 24 percent in the last 15 years associated with a significant reduction in the numbers of psychiatric beds available. The U.S. has had a lower capacity for psychiatric patients than comparable countries in Europe for years, but between 1998 and 2013 that number dropped even further.
Waiting in the ER for days
This …
ADVERTISEMENT
I still don’t know how I did it. I don’t know how I got through life as a lower-level neurosurgery resident. I vividly remember the horrific call nights and weekends. There are certain sensations you get when you have gone weeks without more than two or three hours of sleep at a time. It wasn’t the foggy thoughts that bothered me most, or continually feeling cold, or even when I …
Get free updates delivered free to your inbox.
