These articles are written by anonymous clinicians. They have been selected and edited by Kevin Pho, MD.
I write this from the Midwestern United States. My home. A generally underserved region.
I’m a young doctor near the end of my training. My generation, I think it’s safe to say, has in large part bought into the general process of medical education, the natural progression through training, and the accompanying stressors and debts that are a typical part of the experience. Burn out, they say, is at an all-time …
Every week, I see a teen with depression and/or anxiety. Sometimes that teen is mine.
And while I can certainly opine over the lack of mental health resources for our children and teens — you have to be a certain age, you have to have certain insurances, if you’re uninsured or underinsured, you can see a community health professional but only for eight sessions — what I really get frustrated with …
My whole life has been leaping from one goal to the next. As far back as I can remember, I always had goals. Later in life, after practicing for a while, academic and career goals shifted to financial goals. But goals nonetheless. I never gave myself a chance to not have any goals, to just chill. I regret it. Good things come to those who wait, right? Always planning for …
When I read The Broke Diaries, it was like reading my financial autobiography in medical school. I remember negotiating with the dry-cleaner to split my bill so that I could only pay for one dress and pick the rest up later. Looking forward to making some furniture craft for my apartment on Spring break while the rest of my classmates were going to some exotic Island …
The emergency department is fast-paced. Full of chaos. Incredible suffering. Frustration. Disappointment. Screams, tears, smiles. Reassurance. Good news. Bad news. Diagnoses. Failure to find a diagnosis. Getting a last-minute cardiac arrest coming in at 650 a.m., ten minutes before the end of your 12-hour, overnight shift – you have the energy and wherewithal to do the task, but to process the life that was lost? To truly realize the dead …
“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 …
You might be next.
I began my career as a family physician in Buffalo, MN in 2002. I have been an extremely productive doctor for 20 years. For context, I can assure the reader that my ratings and reviews are excellent, and I speak to the common primary care experience. I was a very green attending when I showed up in Buffalo for my first attending job. …
Years and years ago, everyone always walked up a mountain of snow and ice barefoot while dragging a carriage behind them to get to school, and their stethoscopes were made of bamboo. They were hard, hard times, and it was a time-honored tradition to hear the talk from our attendings about how hard training used to be and always elicited an internal groan. The follow up refrain frequently heard in …
Like many surgical specialties, the one I was aspiring to is a male-dominated field. As such, all my colleagues were male, and I often felt as though I was trying to be a part of a boy’s club. I shed my intrinsic femininity and instead equipped myself with diplomacy, banter, a light-hearted attitude, and contagious enthusiasm.
I knew nothing about the footy, and I hated beer, but I was witty, I …
It was a cold winter morning in January 2021. Another day in the ICU, another day caring for critically ill patients with complex medical conditions, another day caring for patients on their death beds, another day interacting with patients’ families and their emotions, another day of putting on a strong face for my patients, their loved ones, my ICU family and my trainees, another day of giving bad news to …
I began pursuing a career in medicine with the fervent desire to become a neurosurgeon one day. When someone asked me what I wanted to be when I grew up, I answered neurosurgeon without missing a beat. I chose neurosurgery in high school after falling in love with the nervous system and watching Gifted Hands. I wanted to be like Dr. Ben Carson before his political debut. At that point, …
As a young and optimistic business school graduate, I recall when the consulting firm I worked for was retained to evaluate “USA Hospital and Medical Clinics” (pseudonym). “USA” had grown quickly and was struggling to manage the recent expansion.
We interviewed doctors, nurses, and medical assistants, and they told us about the problems they faced every day: They were pressured to get patients in and out quickly to keep average visit …
I go to medical school with a girl who is universally disliked, perhaps more than anyone I’ve met before. It began innocuously enough: She was too active in the group chat, too pushy about ordering class jackets, this and that.
In lecture, she barked out obscure answers like “Saturday Night Palsy” with physical force; her petite body careening forward in her chair, her class-jacketed hand spearing into the sky. But did …
ADVERTISEMENT
The student is last on the list. But he is not fixed in that position such that he can consider some space to be his own. He must be ready to be last in any formation that the list may hold. And if, for some reason, there is no room for him on the list, at last, he becomes first! First to be removed.
The student is a guest in the …
I’m of Irish heritage and we love to tell stories. This story feels like it needs to be shouted from the rooftops.
I grew up in Texas, where football is king.
Here’s my story so parents can make a more fully “informed consent” when deciding if their children should play football.
My dad played offensive line in college. We were proud of our “gentle giant“ dad. The first and only college graduate in …
I was a fellow physician, and my contract was recently not renewed for my three-year fellowship at the end of the first year. My experience highlights the examples that, at times, physicians are treated in a disposable manner. COVID-19 is certainly taking a toll on health care workers. So, too, are oppressive practices and unfair treatment of trainees.
The reasons my contract was not renewed concern mentorship and PPE, and I …
ADVERTISEMENT
To say that I grieved in the months following the unexpected death of my husband is an understatement. I couldn’t sleep. I couldn’t eat. Thirty pounds evaporated from my 5’ 4”, 130-pound frame. Incessant crying left me dehydrated with cracked, bloody lips.
Too soon, financial and professional pressure forced a return to my anesthesia practice. To the outside observer, I appeared functional; I was, in reality, suicidal.
Between cases, I’d cry in …
I am a nurse who has worked at a rural hospital. My husband is a board-certified family medicine doctor. In the fall of 2020, I was raped by my massage therapist. I know that everyone has an opinion of what they would do in that situation, and I was probably one of those people. However, to my complete shock (quite literally), I didn’t behave in any manner that …
I saw a tweet recently from a medical resident training at another hospital that really hit home for me: “In response to a rumor that health care workers who treat COVID patients will be prioritized for vaccination in our health system, one of my co-residents asked unironically, ‘Does that include us?’”
“Resident” is a word coined in the twentieth century when physicians in training often physically lived (“resided”) at the hospital. …
ADVERTISEMENT
It was Black Friday, and as I held her hand, I knew that she would be dead within the hour.
My breath was stale inside my N95. The yellow isolation gown was moist and clingy, and the fogged-up goggles gave me that feeling that I was on an extended deep-sea expedition. Mrs. Carson was still occupying her bed, but really she was already gone. I had watched the respiratory rate creep …
Get free updates delivered free to your inbox.
