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Joan Naidorf is an emergency physician and author of Changing How We Think about Difficult Patients: A Guide for Physicians and Healthcare Professionals.

How specialists can handle difficult patients

Joan Naidorf, DO
Physician
August 5, 2026

I recently had the opportunity to speak with a group of neurogastroenterologists who practice at a major referral center. These specialty physicians treat people with complex digestive disorders such as gastroparesis, abnormal motility, and irritable bowel disease. They also treat patients with illnesses categorized as “functional gastrointestinal disorders,” where no specific physical or lab abnormality can be identified. The people who have these disorders can get very frustrated and unhappy …

Read more…

How specialists can handle difficult patients

Difficult patients in medical history

Joan Naidorf, DO
Physician
January 19, 2026

During the COVID-19 pandemic, while some people learned to bake bread and my family made the dubious choice of adopting a high-anxiety poodle who bites, superstar author Lisa See spotted an unopened book on her shelf about women’s medicine in Imperial China. In a fortuitous chain of discovery, Ms. See stumbled upon the name of Tan Yuxiang, a lady doctor during the Ming Dynasty, who published a book of her …

Read more…

Difficult patients in medical history

How the patriarchy shaped medicine and why it’s time for change

Joan Naidorf, DO
Physician
January 24, 2025

Journalist Te-Ping Chen wrote about the nature of a physician’s career in a recent featured article in The Wall Street Journal where older physicians criticize the younger generation as being less committed to their patients. The article is titled: “Young Doctors Want Work-Life Balance. Older Doctors Say That’s Not the Job.”

The major point of discussion was the definition of a career in medicine as a “calling” versus a “job,” …

Read more…

How the patriarchy shaped medicine and why it’s time for change

How biased language and stigmatizing labels affect patient care and treatment

Joan Naidorf, DO
Physician
May 23, 2023

During her treatment for acute leukemia, my friend Susan came to me for help and advice while she was in the hospital receiving chemotherapy. I also did her laundry. She went to one of the specialists at a major tertiary care center and had access to the lengthy consultation written by the oncologist. Susan had a career as a highly respected and much-loved elementary school principal in our county school …

Read more…

How biased language and stigmatizing labels affect patient care and treatment

Physicians: Are we still the good guys?

Joan Naidorf, DO
Physician
December 20, 2022

In the very realistic fictional world of The White Coat Diaries by Dr. Madi Sinha, a first-year internal medicine resident goes through a harsh initiation into the realities of medical training. Protagonist Norah Kapadia encounters a complication of a penile implant in an elderly patient with end-stage liver disease and dementia. Her senior resident talks her through the problem of causing hematuria as she placed a catheter through an …

Read more…

Physicians: Are we still the good guys?

Changing how we think about difficult patients

Joan Naidorf, DO
Physician
February 21, 2022

An excerpt from Changing How We Think About Difficult Patients: A Guide for Physicians and Healthcare Professionals.

After I finished my residency in EM and started working as an attending physician, I realized I had a problem. I believe a lot of you have the same problem. Some of our patients are so angry, oppositional, and non-compliant that we get angry …

Read more…

Changing how we think about difficult patients

The unvaccinated are not difficult patients

Joan Naidorf, DO
Physician
September 18, 2021

We’re getting into trouble. With headlines like “Why I am angry” and “Burnout rates at an all-time high,” physicians need to take a moment and breath. Unvaccinated people are presenting as very difficult patients that physicians dread.

In his landmark article, “Taking Care of the Hateful Patient,” Dr. James Groves highlighted four distinct patient types that doctors shrink from.  Hateful patients are noted to cause negative feelings in …

Read more…

The unvaccinated are not difficult patients

Influenza: a deadly risk in schools before COVID

Joan Naidorf, DO
Conditions and Diseases
March 11, 2021

The Washington Post published an interesting article in its weekly health section on March 2. 2021. The article had an impactful graphic using data from the Centers for Disease Control that showed the number of pediatric deaths due to influenza over the last four years.

Of course, this was a flu season and year unlike any other. In 2020, around mid-March, Americans became aware of a newly …

Read more…

Influenza: a deadly risk in schools before COVID

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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
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Hospital IT approval has no path for clinician-built tools

      Sanjay Khicha, MD and Gautam Nayak, MD | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | 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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      The Podcast by KevinMD | Podcast
    • 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.

      Susan Newman, MD | Physician
  • Recent Posts

    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

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      Martha Rosenberg | Medications
    • AI data centers and public health demand regulation

      Jacob Player, MD, MPH | Health Technology

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