I was busy running around the ER on a particularly busy shift when my phone buzzed, and a text message from Jane’s ex-boyfriend David popped up on the screen. I was surprised since I had not talked to him in over three years; therefore, I ignored it until I had a moment to myself an hour later and finally opened the message.
The first line of his message got straight to …
My first physician colleague who died by suicide
As a child, when I first read The Little Prince and saw the picture of the boa constrictor swallowing an elephant, I would often ponder what it felt like to be the elephant. Later in seventh-grade science class, when I learned of amoebae and how they surround and digest neighboring life forms for their sustenance, the same wonder followed. Enlightenment to what it feels like to be subsumed came to …
When physician leaders get acquired and squeezed
About three months ago, something awful happened. The oncology nurse practitioner (NP) whom I trained for the past two years in my subspecialty decided to seek employment elsewhere in order to have a more flexible work schedule.
My team and I lamented we had a going-away dinner to say thank you for her work. And for the next three months, I trudged through my days in a busy oncology clinic, seeing …
Should nurse practitioners complete medical residencies?
I feel like I’m in prison. Vacation was a small taste of freedom. A fresh breeze on my face at 9:00 a.m.—the feeling of my mom’s breakfast casserole in my stomach—the small things that remind me I’m still human. I don’t know what I stand for anymore. I just yelled at the intern for not feeling comfortable consenting our kidney transplant patient.
“Aren’t you a physician?!” I asked.
How did I get …
When he knew his career as a surgeon was behind him
Physicians across all levels of training are familiar with the widely recognized truth that our medical system is broken. This damage is evidenced by a paradox; perhaps it will become the great paradox of our time – physicians who were driven to a profession by a desire to help others are now the same doctors who secretly hope they don’t have to help you.
It is 9 p.m. on a fairly …
The physician’s paradox of healing
The first day I sought counseling, I felt like I was committing a crime.
Our afternoon anatomy lecture had just ended, and the entirety of our first-year medical class—clad in hunter green scrubs and reciting the intrinsic muscles of the back—paraded in what looked like a single-file line to our cafeteria.
“Act natural,” I thought. “Don’t let anyone find out what you’re up to.”
My friends veered right to enter the cafeteria as …
Start with the students: Addressing the future of physician suicide
In my very first job as a doctor — working in a London hospital in the 1980s. I always took a ridiculously detailed past medical history for every patient I saw. I started to notice how many elderly women had had septicemia, a life-threatening infection in which enormous amounts of bacteria enter the bloodstream.
The neighborhood surrounding the hospital had once been the worst slum in London. And it didn’t take …
What happens when abortion services aren’t available
Navy SEALs are America’s elite fighting force.
They are America’s most qualified soldiers who elect to undertake the most difficult selection process and training in existence. They are preselected by a number of traits, including intelligence, physical strength, incredible perseverance, and prior military service. Those who attain the title come from a variety of backgrounds, but without fail, they are exceptional. These most remarkable individuals are then …
Navy SEALs are more than warfare providers
“Aren’t you happy for me?” asks the patient smiling from the exam chair in my office. I say yes, but that’s not entirely true.
Happiness isn’t the right word. Conflicted might be it. How do I reconcile my feelings when this patient, who I am not sure is deserving, reports that he was awarded Social Security disability?
Sure, he has severe arthritis, wildly uncontrolled diabetes, and a massive skin breakdown of his …
As I was finishing up with my doctor’s appointment for the required immunizations I needed for medical school, my doctor asked if he could give me some advice for my upcoming journey. Being the clueless pre-medical student I was at the time, I said, “Please do.” He said something along the lines of “They’re going to try to rewire your way of thinking, but stay true to who you are.” …
It’s important for physicians and medical students to stop and realize how far they’ve come
“I should explain to you, Socrates, that our friend Cratylus has been arguing about names; he says they are natural and not conventional; […] that there is a truth or correctness in them.”
– Plato
I once heard that the sound of one’s name is the most beautiful thing in the universe, which is probably an overstatement. But one’s name is one of the first words one hears from birth, as parents …
The sun sets a cascade of pink and yellow in the window of an ICU room. The slow hum of ventilation dampens the buzzes and beeps from machines. I stand in a room inundated by equipment. A machine to monitor vital signs with purple, green, blue, and red on a black background displays peaking and rolling waveforms. Two IV poles with twelve pumps click and murmur sounds of fluid migration …
A nurse won’t let this patient die
I had been diagnosed three days prior, given lithium to stabilize and a benzodiazepine to sleep. I went home. Things did not get better.
I had been admitted just that morning after a long, confusing night in the ED. I did not yet understand the severity of what had happened — or even what had happened. The mania was still mostly euphoric and speckled with bursts of joy, but between these …
Give your psychiatric patients a reason to trust
I think I’m finally burned out. And it’s been a long time coming.
It likely started when my private physician-owned emergency group got bought out by one of the big corporate groups. The changes were small at first. Turning us into hourly paid employees instead of an RVU-based salary. Shiny new VPs and directors sending us emails. Things seemed fine for a while. Then came the many, many emails about better …
Burnout is death by a thousand cuts
A physician health program, PHP, is a state agency that is responsible for advocating, treatment referral and physician monitoring, residents and medical students who have substance abuse disorders, psychiatric disorders and/ or boundary issues. There are two ways of becoming a part of these programs, self-referral or be reported. Currently, 47 states have a PHP, and the issue is that there is no set guideline and several variables in the …
A physician got a DUI. The physician health program didn’t help.
After third-year medicine, I was required to withdraw for handing in an assignment late. It was a paragraph of self-reflection; I couldn’t believe I was being kicked out for something so seemingly inconsequential.
My dealings with the faculty became increasingly hostile and negative. I realized that my fellow students had to band together. Otherwise, there will be no change. I have to say that at my medical school, they have been …
When a medical student is victim-blamed
I did not want a baby. As a 26-year-old third-year medical student who had quite recently ended a far from ideal relationship — of this, I was certain.
On vacation, in New York City, walking in Soho carelessly, I laughed with my friend Noelle over the fragility of condoms. “Trust me,” I said. “They break.”
How many months in my sexually active life did I apprehensively count and recount the number of …
“I did not want a baby”: A medical student faces her hardest choice
I woke up to him, pacing the bedroom.
Within an hour, I was pacing the ER at his bedside.
Our experience at one of the country’s best-ranked hospitals lasted only three days before we were discharged home. What led us there will last a lifetime in our minds. When faced with your own mortality (or that of your husband’s), you are forever changed. We are grateful for his continued recovery from myopericarditis. …
It’s hard to describe the feelings I had when I received my first letter of intent to sue. I think I went through the Kubler-Ross stages of grief — denial at first, of course. This denial didn’t last long since the letter was clearly addressed to me — first, middle, and last name.
Anger was almost immediate … I was immediately upset at the deceased patient’s family who were bringing the …
The stages of grief when a physician is sued
During our family trip to Walt Disney World this past year, we got the Disney Dining Plan. It turned out to be a lot of food. On the last day of the trip, we each still had two sit-down meals and about five snacks apiece to go through. Needless to say, we ended up leaving with a bunch of soda and cheap candy and still felt sick from all the …
How non-physician practitioners are pawns of large health care organizations
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