Before coming to medical school, I made a promise to myself: I will not become a robot doctor. Time and again, I visited what I call robot doctors: those physicians unable to empathize with me and seemingly unable to compute moments when I said something unscripted. For example, I once made an appointment with a doctor to discuss what might have been irritable bowel syndrome (IBS). While describing my symptoms …
A vow to never become a robot doctor
We have a new electronic medical health record system at our hospital. It was introduced with what I believe is a short and ineffective training program for physicians followed by a far too short on-location use of experts to help the doctors and nurses learn the new system. It is frankly a pain in the neck to access the computer from outside the hospital due to the multiple layers of …
In a nutshell: technology and progress in health IT
People like to think the worst about doctors: We don’t listen, we don’t care, we only want your money. But, the truth is we do care, and that is why most of us answered the calling to become doctors. That is why the burnout rate for doctors is so high.
Patients hate to wait in the waiting room for too long. But, truth is, I sometimes need to take a break …
The doctor inside never truly rests
Today I had a followup appointment with a young adult male with severe intellectual disabilities. He is barely verbal. Several weeks ago his caregiver told me that this young man often pointed to his chest and would say “hurt” or “heart,” they weren’t sure which. He also seemed to have gotten pickier about his food, and would literally pick at the food on his plate as if examining it. His …
When patients can’t tell you their symptoms
Necessity is the mother of invention. If you need something badly enough, you are more likely to find a way to obtain it. This proverb clearly rings true in all aspects of life. The key is really knowing how badly we need it. I knew someone who wanted to become a dermatologist. After several additional years of research after medical school and applying to residency, she eventually achieved her goal. …
The majority of physicians will never experience the vast upper echelons of wealth
I don’t miss making the phone calls in the middle of the night.
“Hi, this is Dr. Yang calling from the psychiatric emergency service. May I speak to Mr. or Mrs. Doe?”
“Yeah, this is Mr. Doe,” he’d reply, his voice thick and slow with sleep.
“I’m sorry to call so late. Your son is here at the hospital.” Take a breath and slow down for the next part. “He’s alive and doing OK at …
The phone calls physicians make in the middle of the night
I am a huge fan of Britain’s National Health Service (NHS), but probably not for the reasons many people might assume. It’s not because it’s “socialist” (a horribly inaccurate description), or that it’s nationalized, or anything like that. I’m a huge fan because somehow the people of Britain have developed the courage to talk about health care using very adult language. In the U.S., we can rarely progress beyond the …
The British are unafraid to talk about rationing. That’s something to admire.
There’s a lot of financial information out there. Some of it is helpful, and some of it is unhelpful.
I’m sure many of you take notice when the Dow Jones falls 1,000 points in two days.
And even if you don’t usually follow the stock market on a daily basis, when the stock market is dropping, the financial news media will let you know about it.
Because when the stock market is crashing, …
Don’t watch too much financial news
The discharge process has now been recognized as one of the most crucial points at which the actions of doctors and hospitals can have a huge impact on immediate health outcomes for our patients. At a time when 30-day readmission rates are still touching almost 20 percent for Medicare patients (higher for certain patients, with up to a third of these occurring in the first 7 days), there is an …
We can do a better job with hospital discharge paperwork
Fifty years ago, in a golden moment of television comedy shows, Rowan & Martin’s Laugh-In program regularly featured “The Flying Fickle Finger of Fate” award. Wikipedia says it “recognized actual dubious achievements by public individuals or institutions.” Do a Google search. You’ll quickly see how popular this award became.
Yes, I’m dating myself by going back 50 years. But mine is the generation that often becomes obsessed with being given “the …
Prostate cancer screening campaigns are giving men the finger
I was sitting across from a new acquaintance at the CampFI Midwest and he was telling me about his next budding venture. He had a brilliant business plan. An idea which no one had capitalized on before. He was in the middle of gathering investors and beginning the long process of due diligence. I probed further. I am always wary of what I call the financial independence …
The financial independence wild goose chase
Seven years ago, I officially became a doctor. After years of hard work, sacrifice and insecurity, I finished my residency and passed my board certification exam in internal medicine. I was a fourth generation internist in my family and was so eager to begin my career in a new city with my fiancé. My first job out of residency seemed perfect. I had a set outpatient schedule, administrative support, and …
A new physician experiences the opioid crisis
It’s 8:00 p.m., and it’s hour 14 in my 28-hour call shift at the large suburban hospital where I’m an intern.
You demand to speak with a doctor now, right now. You cannot wait. Your mother is sick, and you want to know exactly what is going on.
It doesn’t matter that we already spoke at length by phone earlier this afternoon. It doesn’t matter that it’s 8:00 p.m. It doesn’t matter …
I’m not your nurse. I’m your doctor.
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Failure is a guarantee. “Success” assumes that certain metrics have been set and that the words used to describe those metrics are understood in the exact same way by all parties involved. One patient with parotid cancer and given facial paralysis after surgery was thrilled to be alive. Another is furious about a widened scar.
The brain, primed to act on behalf of the organism, works at times without our input …
Why physicians should embrace failure
This article is sponsored by Careers by KevinMD.com.
Whether you’re looking for a new position or just wanting to connect with colleagues, LinkedIn is a great resource to advance your career. As a healthcare professional, having an online presence can understandably make you uneasy, especially when it comes to concerns about privacy or potential HIPAA violations. However, in today’s technological …
6 ways physicians can improve their LinkedIn profile
Depression is commonly linked to career disappointments, financial setbacks, and disruption of normal routines — especially sleep pattern — as well as social pressures and conflict in personal relationships. It is this last factor that has captured my attention in relation to depression. Personal relationships, in particular, the most personal, love partnerships, have a profound impact on our mood. In fact, researchers report that unhappy marital relationships are associated with …
Personal intimacy as an overlooked antidepressant
An excerpt from How to Be Sick: A Buddhist-Inspired Guide for the Chronically Ill and Their Caregivers (Second Edition). Copyright 2018 by Toni Bernhard. Excerpted with permission from Wisdom Publications.
The fifth way I cultivate compassion for myself is to consciously work on opening my heart to the intense emotions — and emotional swings — that accompany chronic illness. This practice began quite unexpectedly after my daughter’s family had …
Open your heart to your suffering
As a radiologist, I interpret thousands of imaging studies every year. Of the millions of medical images that have crossed my screen, they all have one thing in common. They were all acquired by a technologist in the radiology department.
Imaging technologists perform a vital role in medicine. All have specialized training that is unique and critical to patient care. Truth be told, many of them have a greater knowledge base …
Technologists drive quality in medical imaging
Teleneurology is the new and vastly expanding practice of neurology involving the use of technology and/or video chat to improve access to services. With an ever-increasing aging population there is and will continue to be a shortage of neurologists in the United States. Teleneurology has increased patient access to neurologists especially in rural areas but also in urban and suburban areas.
Practicing as a teleneurologist for the last two years I …
Teleneurology works. Here’s why.
Influenza is the leading cause of vaccine-preventable deaths in the United States. Influenza also tops the list of the burden of disease and disability-adjusted life years (DALYs) according to a Eurosurveillance article.
The flu is more likely to cause severe illness and harm pregnant women as compared to women who are not pregnant. Changes in the immune system, heart, and lungs during pregnancy make pregnant women (including …
Flu vaccination in pregnant women reduces risk of hospitalization
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