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Deploring racism isn’t enough: Addressing white privilege in medical school

Education

May 10, 2020

If you ask a group of medical students to raise their hands if they are, in fact, racist, I’d venture to guess that not a single hand would shoot up. And I don’t think they would be lying. I am sure that no student believes that he, she, or they are a bigot.

Many of us have committed our lives to care for patients regardless of race, gender, or socioeconomic status. …

Incorporate art therapy into healing spaces

Sonali Mantoo, MD

Physician

May 10, 2020

Art is a way to find yourself and lose yourself at the same time. When troubled, we experience the monkey mind, thinking of worst outcomes, or replaying past events. A creative pursuit helps stall that process by helping us actively practice mindfulness. There is no wrong brush stroke in art; you simply incorporate that into the painting and create something beautiful out of it. A good philosophy for life too, …

A medical student asks: Are we just cartoon heroes?

Jake Eggett

Physician

May 9, 2020

The one thing about the coronavirus I keep coming back to is how much SketchyMicro let me down.

Out of all the mnemonic cartoons SketchyMicro has produced, their entry for coronavirus is among the most simple: a kingly figure is blowing his nose into tissue paper beneath a blazing sun, his towering castle perched atop a hill in the distance. His regalia include a golden crown (to remind us of corona) …

People remember stories in your speech. The rest fades away.

Donald J. Palmisano, MD, JD

Physician

May 8, 2020

An excerpt from A Leader’s Guide to Giving a Memorable Speech: How to Deliver a Message and Captivate an Audience.

“The most powerful words in English are ‘tell me a story.'”
—Pat Conroy, author of The Prince of Tides and The Great Santini

“Over the years I have become convinced that we …

Nurses do not get paid extra for being pharmacists

Anthony Langley, RN

Conditions

May 7, 2020

An excerpt from Nurses are Nuts.

The pharmacy department plays a vital role in hospitals. They prepare and dispense medications. Sometimes the pharmacist will receive an order from the doctor on a med whose written dosage he is not sure of. In some cases, the pharmacist will …

Not visiting your loved one in the hospital is an act of love

John F. McGeehan, MD

Physician

May 6, 2020

I spent many weeks as a patient in the hospital a few years ago and was encephalopathic during the entire stay. This means that I could speak and interact and, at times, especially to those who did not know me, appeared normal. I was told that I would give coherent lectures to the medical students who came to see me on rounds, only to not remember doing so an hour …

A story of a family physician looking for work during the pandemic

Anonymous

Physician

May 6, 2020

I never expected to find myself in this position. Ironically, I, a family medicine physician, in a world grappling with a pandemic, became underemployed for the first time since high school. A unique set of circumstances led me to this situation, but it turned out to be far more challenging for me emotionally than I expected.

At the end of 2019, I made a decision to leave my regular job as …

Vulnerability is challenging but necessary for health care professionals

Tracey O'Connell, MD

Physician

May 5, 2020

As someone trained in Brené Brown’s curriculum for helping professionals, vulnerability is my jam.

As a physician? Not so much.

The COVID-19 pandemic has thrown already burned-out health care providers into the arena with more than just a shortage of equipment. We are now expected to risk our own lives caring for others, which was not part of the original job description. Medical providers are not Marines, nor do we work for …

I’m a new doctor, and I’m scared about the other threat to my colleagues’ lives

Mimi Smith

Conditions

May 2, 2020

In late March, on what is known as Match Day, graduating medical students like myself found out where we would continue training as residents. This has always been an exciting but stressful time. This year it is more than that. On top of the countless challenges of starting residency, we are becoming doctors on the front lines of a pandemic.

How …

Doctors, how are you holding up? You could answer in one of 5 ways.

Varun Verma, MD

Physician

May 1, 2020

Multiple times a week, I get messages asking some variation of, “How are you holding up?” I am neither an anesthesiologist, critical care, or ER physician, so I’m not three inches away from exposure while intubating patients with coronavirus. I am also not a nurse or respiratory therapist in a room dozen of times a day administering life-saving medications, performing vital assessments, or carefully managing the oxygen lifeline. I’m certainly …

After the pandemic, would I choose medicine again?

Sarah Becker

Education

May 1, 2020

Several weeks ago, after hearing that I plan to begin medical school this August, someone asked me if I still would have chosen to become a physician had I known about COVID-19.

When I submitted my AMCAS application one year ago, I never imagined that I would be waiting in quarantine, wondering whether I will have a white coat ceremony. It never crossed my mind that I would be reading articles, …

The patient who no-shows

Erin Hoffman, DO

Physician

May 1, 2020

“Your patient just had their 6th no-show, this exceeds our policy limit, please call to investigate barriers to care, also we recommend formal dismissal from the clinic.”

The message regarding one of my obstetric patients was waiting when I opened my inbox this morning. In our primary care office, we have a policy regarding “no-shows”: Patients who miss a scheduled appointment without calling ahead to cancel or reschedule. Three strikes and …

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The patient who no-shows

The parallels between basketball and pandemic medicine

Ton La, Jr., MD, JD

Conditions

May 1, 2020

Michael Jordan. Kobe Bryant. Yao Ming. These are the biggest names in the basketball world, and all three were my superheroes growing up. Even though I’d never had the chance to meet them, to see how they carried themselves on and off the court-inspired me to push myself, to find out what my limits were physically and mentally, and to constantly create new goals for myself after accomplishing what I …

8 reasons why people ignore and defy COVID-19 safeguards

Karen R. Koenig, MEd, LCSW

Conditions

May 1, 2020

If you’re amazed that people are still shaking hands, waltzing around mask-free in public, and rushing off to hair salons and beaches in some states, learn to think like a therapist. Understanding the underlying motivations of people who ignore and defy COVID-19 precautions will help you relate more effectively to those in your own life.

Recently, I was pushing my shopping cart down the supermarket aisle in the direction that the …

The unsettling result of a negative coronavirus test

Jenny Berz, PhD

Conditions

April 30, 2020

As a psychologist, I have long been aware of some of the emotional impacts that illnesses like COVID-19 can have on individuals and families. I never imagined that I would experience some of these impacts directly. Furthermore, I never could have guessed what it would feel like to be told I tested negative for COVID-19 when I was feverish and fighting for air at the height of the pandemic.

I started …

My rose-colored glasses are my secret instrument for survival

A. Rauda Tellawi, MD

Physician

April 30, 2020

A dear midwife teacher of mine, during my intern year as an OB/GYN, told me, “You need to stop wearing those rose-colored glasses.” She told me I had to take them off to be able to understand the depth and breadth of what my patients were telling me, so I could read between the lines and become a well-trained clinician. In the years that have passed since my first year …

A physician’s personal experience with sepsis and ventilator support

William Lynes, MD

Conditions

April 29, 2020

The coronavirus pandemic has turned the world, and all of its citizens, around, never to be the same again. As an ICU and ventilator survivor, I focus on the drama of the patient’s room, and the reality of what is truly a tragic experience. Nineteen-ninety-eight seems like yesterday, and while it was 22 years ago, it is fresh in my mind.

The vacation abroad that fall was a sunny respite from …

Strategies to foster meaningful connection during telemedicine visits

Megha Shankar, MD, Meredith Fischer, MA, Cati Brown-Johnson, PhD, Nadia Safaeinili, MPH, Marie Haverfield, PhD, Jonathan Shaw, MD, Sonoo Israni, MBA, Abraham Verghese, MD, and Donna Zulman, MD

Physician

April 28, 2020

The COVID-19 pandemic has upended health care, with telemedicine emerging as a strategy to reduce risk exposures for patients and clinicians. Originating from the Greek root tēle-, tēl-, tēle meaning “far off, afar, at or to a distance,” telemedicine encompasses virtual clinical services. Video visits, in particular, can be effective for many types of clinical care and offer convenience and savings for patients. As care …

Combining emotion and reason in decision making

Robert Frolichstein, MD

Physician

April 28, 2020

We are living in unprecedented times. Times filled with emotion and very little hard science. We are faced with the rapid spread of a new disease that has devastating consequences. The rapid spread is overwhelming our system that is designed for a steady state. Periodically, we are faced with events that overwhelm our system; mass shootings are a prime example. The duration of those events is measured in hours. We …

The power of poetry during a pandemic

Anna Delamerced

Education

April 27, 2020

I come into the peace of wild things
who do not tax their lives with forethought
of grief. I come into the presence of still water.
And I feel above me the day-blind stars
waiting with their light. For a time
I rest in the grace of the world, and am free.

These verses flashed on my computer screen, the glare lighting my face as I sat in my bedroom. I paused my usual work and …

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The power of poetry during a pandemic