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Irene Tien, MD

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Irene Tien is an emergency physician and can be reached at My Doctor Friend.

When a doctor struggles with empathy

Irene Tien, MD
Physician
July 29, 2019

The radio crackled to life: “7-month-old boy found unresponsive. We started CPR, and he has an IO and ET tube. We’re 5 minutes out.”

It was 8 a.m., and the emergency department team descended on the resuscitation room to prepare. I scurried around trying to finish some quick tasks to get my existing patients’ medical plans moving forward during the time I would surely be fully engrossed taking care of this …

Read more…

When a doctor struggles with empathy

Here’s what I wish I knew as a resident

Irene Tien, MD
Physician
July 17, 2019

When I decided to become a doctor, little did I know that medical school and residency would be like a hazing for future physicians. We are broken down mentally and physically and then remade in the image of the “strong” doctor and to admit to being sick is equivalent to being weak. We are publicly shamed for admitting we don’t know the answer to daily pimping on morning rounds. We …

Read more…

Here’s what I wish I knew as a resident

Sorry doctors, you’re nothing special

Irene Tien, MD
Physician
April 25, 2019

When I was a child, I knew I would become a doctor. I liked science and taking care of people. We diagnose medical problems and prescribe treatment plans. Some of us perform surgeries and some focus on keeping you well. Despite this, I’m nothing special, and neither are you, my physician colleagues. Let me explain why by first taking a brief step back into the history of American health care.

Since …

Read more…

Sorry doctors, you’re nothing special

The unsung heroes of sick kids

Irene Tien, MD
Physician
February 4, 2019

Chances are that if you have kids, you’ve had at least one unplanned visit to the hospital. Taking care of children in the emergency department (ED) is a special challenge for many reasons including the fact that the child’s parents don’t choose to see me specifically, they are usually meeting me for the first time, and they’re meeting me under very stressful circumstances.

When I started practicing medicine 20 years ago, …

Read more…

The unsung heroes of sick kids

How do I keep my kids out of the ER this Halloween? 

Irene Tien, MD
Physician
October 28, 2018

I have worked most of the last 20 Halloweens in the pediatric emergency department (ED), so I’ve seen how a split second can ruin your child’s holiday.  Here are some things you can do to plan ahead and avoid the ED.

1. Avoid trip hazards

It’s a recipe for mishap. Your child is in a costume that may have long hems or unusual shoes or a mask limiting their normal vision. A …

Read more…

How do I keep my kids out of the ER this Halloween? 

Medical testing is fraught with pitfalls

Irene Tien, MD
Conditions and Diseases
September 7, 2018

I am frequently asked by patients to “run some tests to make sure nothing is wrong.” This makes a lot of sense on the surface but makes no sense as a physician. Why? Because testing without a context or a medical question is nonsensical. Let’s talk about why.

How doctors think

Studies show that doctors only let their patient speak for 11 seconds on average before we interrupt them. …

Read more…

Medical testing is fraught with pitfalls

Why can’t my doctor get it right? Here are 4 reasons.

Irene Tien, MD
Physician
April 19, 2018

When you see your doctor, you want to know what’s wrong, follow the steps to recovery and get predictable results. Sadly, this is not always possible. Medicine is an art based on science that is constantly changing and full of things we don’t know.

Here are four reasons why it seems like your doctors didn’t get it right — when we actually did:

  • Your symptoms or exam findings were not typical …

    Read more…

Why can’t my doctor get it right? Here are 4 reasons.

Truth or hype? How to tell the difference in medical news.

Irene Tien, MD
Physician
March 4, 2018

The internet is an amazing source of information and misinformation. How do you know if what you are reading is accurate?

Be a skeptic

Last summer we were inundated with alarmist headlines about “dry drowning” after the tragic death of 4-year-old Frankie Delgado, who died days after an apparently harmless dunk under water while swimming off of the coast of Texas. While this child’s death was heart-breaking, the …

Read more…

Truth or hype? How to tell the difference in medical news.

10 surprising things you need to know about the emergency department

Irene Tien, MD
Physician
December 5, 2017

Despite the fact that most people will have had the misfortune of visiting the emergency department (ED) at some point in their life, I find that many folks do not really understand what happens in the ED.

1. Emergency medicine is a specialty. Yes, we actually did residency training to learn how to work in the ED. This training lasted three to four years after medical school and is sometimes followed …

Read more…

10 surprising things you need to know about the emergency department

How to stay out of the ER this holiday season: advice from an emergency medicine doctor

Irene Tien, MD
Physician
November 29, 2017

The holiday season is stressful enough without having to try to fit a visit to the emergency department (ED) in your schedule. Getting medical care on a major holiday can be especially difficult because most, if not all, offices and urgent cares are closed. This can make the ED wait longest around the holidays. Here are some tips to keep you out of the ED this holiday season.

1. Make sure …

Read more…

How to stay out of the ER this holiday season: advice from an emergency medicine doctor

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  • Most Popular

  • Past Week

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      Manisha Kaliaperumal | Health Policy
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      Vaishali Popat, MD, MPH | Physician
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      Michael Duben, MD | Physician Finance
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