Post Author: Earl Stewart, Jr., MD
Earl Stewart, Jr. is an internal medicine physician in Atlanta, Georgia, a 2023 Doximity Digital Health Fellow, and a 2023 Climate and Health Equity Fellow (CHEF) with the Medical Society Consortium on Climate and Health. He can be reached on E.S.J., M.D., LinkedIn, Twitter @EarlStewartJr, and Doximity.
In addition to his articles on KevinMD, he is also the author of “The Act That Could Improve Access to Care for All” and “Upending the Notion of What It Looks Like to Be Suicidal.”
I walk into the patient’s hospital room during evening rounds. He looks pale and tired, having recently completed a round of chemotherapy for his stage IV pancreatic cancer. His wife is at the bedside, scared and concerned about her husband’s rapid decline. I sit down to discuss goals of care when the patient immediately says, “I can’t do this anymore.” His wife responds immediately to the patient: “Of course you …
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Each day, as an internal medicine specialist who practices primary care, I care for patients who are experiencing the brunt of climate change. These patients have various medical conditions due to different causes. However, it is evident that greenhouse gas emissions, air pollution, extreme weather, and heat-related illnesses are major contributors to the development and worsening of chronic medical conditions in the adult population. Electronic health record (EHR) systems are …
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I am not your provider.
There are days I loudly scream silently within the profundity of my soul, “Lord, please do not let them call me ‘provider’ one more time.”
I do not merely present to you to give you something you can use for your own personal subsistence.
Provider comes from the Latin verb “providere,” which means “to foresee.” Our beloved and storied profession’s effective and evidence-based practice does not merely imply …
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Hatred doesn’t have to have a motive. Hatred does because hatred can.
Hatred can disguise itself as a man dressed as a woman. Hatred does because hatred can.
Hatred can get guns and weapons and kill innocent people celebrating their freedom on July 4, twenty-five miles outside of Chicago. Hatred does because hatred can.
Hatred can be arrested without incident. Hatred does because hatred can.
Hatred has the privilege of being denied bail and …
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Greetings. I write briefly to inform you I am aware of your Google Review placed nearly a week ago. I’m not upset, but I must say that I am rather surprised by some of the statements. It is germane to the situation when a patient expresses displeasure about his or her experience with our office that we all collectively learn from the experience to improve patient experience in the future. …
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I think it is remarkably irresponsible to have a balm and refuse to use it.
I think it is remarkably irresponsible to have a salve and refuse to apply it.
I think it is remarkably irresponsible to have a cure and refuse to accept it.
And you’d think that at some point, reasonably intelligent people would get it. You’ve been somewhere in the sanctuary all your life. You grew up in the church. …
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There are some things I wanted to say to you as you officially commence your training that I wish I had been told. Take your training with you. Take the love and support of your family with you. Take the ancestors—their prayers, their struggles, their hopes—with you.
Confidence goes a long way. Humility goes so much farther. Do not confuse confidence and pomposity. I assure you they are not the same.
Apprehension …
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I urge the president to use executive action to cancel student debt. As president, he can take immediate action on student debt which would be a lifeline for students, parents, and their families.
The COVID-19 pandemic is a health crisis like we have never seen before. Adding the heavy burden of student debt is a recipe for disaster for millions of families. Student debt cancellation would provide much-needed relief during the …
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She was rather calm during her visit. It was the first time we’d met, and she was establishing primary care with our office and me. We were both delighted to learn she was from a small Georgia town not too far from where I previously practiced, and we quickly reminisced about the slow pace, lack of certain resources, and genuinely good, devout people that often stem from and still reside …
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We are accustomed in the profession of medicine to be in the position to care for and serve people from a variety of disparate occupational backgrounds and from all facets of society. We serve the poor. We care for the privileged. We are destined, at some point in our training, to care for the least of these. Such is germane to the general altruism that is the profession of medicine, …
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The trees are briskly bare. The weather is changing. The days of sunshine are a thing of the past.
A virus is raging in vehement form and remarkable fashion throughout the land, and we are so moved. We are moved to anger. We are moved to change. We are moved to transition in time and to a new season of promise. The clouds are taking a new shape. The sky is …
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The ability to exam patients nowadays is supremely limited due to virtual conferencing platforms being used more and more to see patients in our office. My office is now different. We hear so much about death on social media sites, the news, and in readable periodicals that we forget that some of our patients who contracted the novel coronavirus live. Not only do they live, but they also survive. And …
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We are still in the office. I go daily, either dressed in scrubs or shirt and tie, in an effort to maintain some sense of normalcy. I can feel the anguish of staff who themselves are deemed “essential.” Their apprehension about the possibilities of themselves being infected adds a starchy thickener to the office atmosphere as they answer phone calls, receive medical records via fax, and schedule appointments while postponing …
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He came to the office in search of help as many patients do, but the circumstances that compelled him to seek medical attention were all too similar to me. I’ve seen it time and again. He said that he couldn’t sleep at one visit. At another, his blood pressure was high.
At a visit after that, he’d share more information, and his wife would attend with him. He wasn’t making enough …
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They are intangible, as intangible as the space that the death of a loved one leaves behind. There is emptiness where there was once-occupied space. The past tense supersedes the present and definitely any aspect of the future tense and verse. Where they are supposed to be — in our homes, in our cars, at our kitchen tables, out to dinner with us, in our arms — there are only …
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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 …
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I received the sign-out from a colleague that he was to be transferred out of the medical intensive care unit to our service, as we were the team on call that evening. My intern and I prepared to see him in the unit before he was moved to our floor, which involved reviewing his chart and having preliminary discussions about continuing his care.
Soon after, we arrived to the unit, checked …
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He stood still. He was virtually stymied at the request she made. I, as a visiting medical student rotating on the cardiology consultation service over which this brilliant, accomplished attending cardiologist with advanced interventional training presided, myself stood befuddled when he, in essence, appeared like a deer caught in the headlights after his patient asked him one simple question: “Doctor, could you please pray with me?”
The truth is he, like …
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I walked silently into the pristinely decorated room of the hospice facility and was greeted by her family. She lay there, not particularly responsive to her surroundings under the pressure and influences of metastatic stomach cancer. The warmness and smiles on the faces of her family told me that at some point and somehow, in the midst of actively witnessing the transition of their mother, aunt, sister, and grandmother, they …
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