I would not recognize her if she crossed before me on the street. I could not pick her out in a staff photo of her and her colleagues. I do not know the color of her hair or skin; I could not even guess if she is short or tall. But her voice—I know her voice. I could recognize that voice anywhere.
I first met Julie sometime before the COVID pandemic, …
The reward for good work is always more work. The employer becomes dependent on the quality of work that you do because he knows that you, as a person, are a workaholic and perfectionist. You put your heart and soul into everything you do. No other employers can do the kind of work that you do. But don’t ever think that you would be appreciated for your hard work. You …
I found myself compelled into the complex world of health care advocacy under extraordinary circumstances last year when I went to my university administration to request a table to do a free speech petition because of a personal and troubling experience. My mother, a respected pediatric intensive care doctor, had been abruptly terminated from her workplace after she raised concerns about patient safety.
Throughout my studies as an undergraduate, I frequently …
Patients come into the emergency department (ED) with symptoms, not diagnoses. That’s when time is of the essence. Clinicians must quickly triage patients and establish an appropriate care pathway to obtain the best possible outcome. Most patients entering the ED are time-sensitive, requiring clear protocols for care. However, even some of the deadliest conditions still lack the necessary data, tools, and standards to quickly diagnose and effectively treat patients.
Over the …
Nearly three decades ago, David Hilfiker, a family medicine physician in rural Minnesota, authored an essay in the New England Journal of Medicine titled “Facing our mistakes.” In the piece, he chronicles three major medical mistakes he made during his long career practicing medicine. Some of the mistakes are horrifying and others simply tragic, but he is brutally honest and forthcoming—displaying a frank self-reflection that is too frequently absent …
A little anecdote
The year was 2022, and it marked the first month of my initial rotation at one of the largest tertiary care hospitals in Punjab, Pakistan. After having assisted with several procedures in the ENT operating room one morning, I found myself on call for the next 18 hours in the emergency department as the new intern.
As soon as the shift changed, a young boy landed in the ED …
“Airports have seen more sincere kisses than wedding halls and the walls of hospitals have heard more prayers than the walls of churches.” – Anonymous
It’s 1 a.m. in the night. I am on call duty, which starts at 8:30 a.m. in the morning and ends at 10 a.m. the next day. I finished entering the labs and doing my final tasks at approximately 12:30 a.m. Then I ordered some food …
An excerpt from The Medical Matrix: One Physician’s Story Maneuvering the Minefields of Medicine.
It was a routine Monday morning in the middle of May 2011. I had custody of my boys that day, so I dropped them off at school and headed to work.
As soon as I got to work I received a phone call from the vice CEO of the hospital. Maria (name changed) was a short woman …
I finished my residency training on June 30th, 2000, in a combined internal medicine and pediatrics residency program at Ohio State University and Columbus Children’s Hospital (before it was renamed Nationwide Children’s Hospital). One month later, I was slated to begin my first “adult” job as I joined a private family medicine practice in Southern Ohio – practicing traditional medicine (outpatient and inpatient care). There were no hospitalists back then …
My first post-op night after my nephrectomy was a mix of fantastical and almost devastating.
I woke up in the PACU after my surgery, extremely confused and disoriented. I felt like I was trapped inside a video game, desperately trying to escape.
Upon entering my new post-op room on a medical-surgical unit, it had that brand-new, hotel-like decor – shiny and pristine. The nurses, techs, and NPs greeted me with words of …
In a survey conducted by a University of Pennsylvania School of Nursing team led by Linda Aiken, PhD, RN, of 21,050 physicians and nurses at 60 hospitals, it was found that more than 40 percent of clinicians were not confident that hospital management would act to resolve problems that clinicians identify in patient care. Close to one-third of clinicians said their values were not aligned with those of their hospital’s …
An excerpt from The Catholic Church and Its Hospitals: A Marriage Made in Heaven?
The ability of Catholic hospitals and physicians to withhold some medically accepted care from patients based on their own religious and moral beliefs is made possible by numerous protections of religious freedoms. However, patients look to their …
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Join Bruce L. Davidson, a pulmonary and critical care physician. We delve into the transformation of health care work conditions, from 8-hour shifts to 12-hour shifts, and how this impacts both health care professionals and patient care. …
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Before delving into the heart of joy’s pursuit, it’s essential to grasp the complexities faced by medical professionals in today’s health care environment. The modern health care system, with all its advancements, presents unique challenges that can often overshadow the intrinsic joys of the profession.
The burden of bureaucracy. One of the significant hindrances to joy in medicine is the ever-increasing administrative demands. Doctors find themselves spending more time on paperwork and …
Concerns about conflicts of interest and stereotyping differ in their complexity. Resolving stereotyping-related concerns is relatively straightforward. Stereotyping should be dismantled immediately, regardless of the reasons for its creation, before it continues to perpetuate unchecked. However, merely dissolving stereotyping might not be enough if one form of stereotyping is replaced by another. Therefore, the ongoing effort to combat stereotyping must continue. When aiming to dissolve any stereotyping and ensure it …
In the complex world of health care, doctors and nurses often take center stage. But behind them is a much larger team supporting the delivery of exceptional care. Allied health professionals – like radiology and surgery technicians – play an essential role in health care, and it’s time we shine a brighter light on the importance of these roles and the tremendous opportunities they present for those seeking a career …
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“America’s health care system is neither healthy, caring, nor a system.”
– Walter Cronkite
Hospitals, revered as places of healing and recovery, hold secrets and harbor mistakes that can take a heavy toll on patients. These hidden truths, often concealed behind the walls of health care institutions, come with dire consequences. Supported by alarming statistics and credible sources, this exploration unveils some of the most unsettling aspects of the health care system.
As …
There was nothing unusual about my hotel in Anchorage, Alaska, when I checked in, but when I headed down to check out the laundry facilities and saw police swarming the lobby and parking lot, I knew it was time to move.
Thankfully, experiences like that have not been common during my time working as a locum tenens (physicians who work in temporary assignments to fill critical gaps in care) for over …
Inpatients require surgical procedures, raising the question of whether these procedures should be scheduled as elective or emergent. Traditionally, surgeries were deemed emergencies solely when there were physical, psychological, or rarely, spiritual imperatives, necessitating immediate action to avert irrevocable harm to patients’ bodies, minds, and souls. Now, the debate centers on whether surgical procedures can be considered emergencies to mitigate socioeconomic risks. These risks could lead to profound and lasting …
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In a recent article in the New England Journal of Medicine, a rheumatologist at a teaching hospital lamented about “hospital problems,” a phenomenon where patients are not allowed to stay in the hospital when they no longer have a medical necessity for hospital care, even though the physician may want to keep the patient longer to wait for test results or get prepped for a test. He proceeds to …
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