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A day in the beautiful life of this doctor

James Nichols, MD
Physician
September 1, 2018

Recently, a patient came in around 11 p.m., just as the chaos of the day had settled, and I was thinking of rest after 16 hours of work. He was an older gentleman with vague and concerning complaints that would demand a thorough workup. I suspended my thoughts of self-preservation and stepped in to evaluate him.

After an hour and a half, I had found a source of infection that explained …

Read more…

A day in the beautiful life of this doctor

Pretending the world is homogeneous is a dangerous path

James Nichols, MD
Physician
November 21, 2016

I was at work a few nights ago. We had had a patient death early in the morning before I got there, and the body was still in the room awaiting the JP’s arrival. The family was en route back with the children (he was only 57) and the body was not presentable. Blood, saliva, a gaping mouth and lividity with rigor were a bad combination for the kids to see. …

Read more…

Pretending the world is homogeneous is a dangerous path

Physician, heal thyself. But is it even possible today?

James Nichols, MD
Physician
May 29, 2015

shutterstock_50607919

Physician, heal thyself.

That’s the unwritten rule, sadly, for us. I am a physician. I am therefore invincible and inhuman and all the things my patients cannot be. To seek help is a sign of weakness, and our profession has no place for the weak of body, mind or spirit. We work through illness because our patients deserve that and disease and …

Read more…

Physician, heal thyself. But is it even possible today?

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  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Some relationships work like medicine. Others work like a diagnosis. [PODCAST]

      The Podcast by KevinMD | Podcast
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    • What clinical support staff notice that charts never show

      Maria Alemu | Medical Education
    • How to diagnose supplement toxicity in 4 clinical steps

      Alisa Sano, MPH | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
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    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

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  • Recent Posts

    • Some relationships work like medicine. Others work like a diagnosis. [PODCAST]

      The Podcast by KevinMD | Podcast
    • The insurance maze that single-payer health care would end

      Ilana Slaff-Galatan, MD | Physician
    • Digital noise in health care is fragmenting clinical focus

      Michael Palladino, PharmD, MBA | Health Technology
    • Moral agency in medicine is being squeezed by payer audits

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    • Why choose sleep medicine as an intellectual frontier

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    • After 2 failed antidepressants, raise TMS and esketamine

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