Franklin Warsh, MD, MPH
Franklin Warsh is an investigating coroner.
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Physician voices
I'm now walking the second mile in another man's moccasins, and it's no more enjoyable than my first mile. Many doctors cringe when they see a chronic pain patient on their day's schedule or at least certain chronic pain patients.…
I’m now walking the second mile in another man’s moccasins, and it’s no more enjoyable than my first mile.
Many doctors cringe when they see a chronic pain patient on their day’s schedule or at least certain chronic pain patients. Some of that dread isn’t directly caused by the patient but rather the deluge of third-party administrative demands: workman’s compensation updates, disability applications, insurance forms, lawyers’ letters, etc.
Still, even when the …
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7 reasons why being in pain is a pain
Physician voices
An excerpt from The Flame Broiled Doctor: From Boyhood to Burnout in Medicine. "So what did my bloodwork show, Doctor?" asked Liz. Liz was friendly and polite, but a textbook example of the Worried Well … healthy but neurotic patients…
An excerpt from The Flame Broiled Doctor: From Boyhood to Burnout in Medicine.
“So what did my bloodwork show, Doctor?” asked Liz. Liz was friendly and polite, but a textbook example of the Worried Well … healthy but neurotic patients I didn’t need to see as often as I did.
“Nothing, my dear,” I said. “Thyroid is fine; blood count is fine. Even the X-ray we took of your …
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A story from a physician’s journey to burnout
Physician voices
Since the study of science is the most common route taken to a career in medicine, there's a tendency among doctors to neglect, if not outright scoff at the arts and humanities. That's a shame, and not only because an…
Since the study of science is the most common route taken to a career in medicine, there’s a tendency among doctors to neglect, if not outright scoff at the arts and humanities. That’s a shame, and not only because an appreciation of history or philosophy might make you a better doctor. I’m in complete agreement with that notion, but as an opinion, it can’t be definitively proven.
Instead, I think it’s …
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Take a second look at what a good medical story has to offer
Physician voices
In a previous piece, I described the killer B's of burnout in medicine, namely, bleakness, boredom, and bureaucracy. Both times I went through burnout, the cycle started with boredom. I found medicine so full of the mundane most days, after…
In a previous piece, I described the killer B’s of burnout in medicine, namely, bleakness, boredom, and bureaucracy. Both times I went through burnout, the cycle started with boredom. I found medicine so full of the mundane most days, after about five years in practice, I grew restless. There’s only so much time after your office is done, the kitchen is clean, and the kids are in …
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Burnout left its mark on this physician
Physician voices
Is it possible to break down a complex phenomenon like professional burnout into a simple triad? We do it for exotic diseases all the time, so why not? I still remember my salad days in med school vividly. Bouncing between…
Is it possible to break down a complex phenomenon like professional burnout into a simple triad? We do it for exotic diseases all the time, so why not?
I still remember my salad days in med school vividly. Bouncing between the cockiness of amassing an entirely new body of knowledge and the awkwardness of having nary a clue how to use it, it was excitement I hadn’t felt before or since. …
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The 3 killer B’s of physician burnout
Physician voices
I'm new to the job of coroner. Though I'm sure it won't surprise anyone to hear that it's nothing like C.S.I.; you measure the wait for test results in months, not minutes. It's not like Quincy, M.E. either, where the…
I’m new to the job of coroner. Though I’m sure it won’t surprise anyone to hear that it’s nothing like C.S.I.; you measure the wait for test results in months, not minutes. It’s not like Quincy, M.E. either, where the same person responsible for the autopsy hops about cracking a case that somehow befuddles police. Most deaths are natural, with a good number of accidents and suicides, despite the media’s …
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How can patients get better if they live in homes tailor-made for disease?
Physician voices
To close out my first week of medical school, the class was treated to a talk by a stuffy but soft-spoken lecturer on the relationship between poverty, education, and poor population health. "Social determinants of health," he labeled them, a…
To close out my first week of medical school, the class was treated to a talk by a stuffy but soft-spoken lecturer on the relationship between poverty, education, and poor population health. “Social determinants of health,” he labeled them, a clunky and unwieldy term if ever I’d heard one. In those days, audiovisual aids consisted of an overhead projector for black-and-white transparencies. And boy did that talk have transparencies. Chart …
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Social determinants matter most to a person’s health. Here’s one story.
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