This is the scenario. You (or your mother) were admitted to the hospital with pneumonia. On the third day a cheery continuing care nurse comes in and says, “You don’t have a fever, and the doctors feel you can be discharged to finish your course of antibiotics, but your nurse tells me you are still too weak to go home, so we are going to send you to rehab. Here …
How to choose the right rehab option after a hospital stay
Senator Walsh … thank you.
Because of your flagrant words against some of the hardest-working members of our medical community, we have united to stand against you and rally for our “card-playing” nurses.
Like most of my medical family, I was astounded and frustrated at the belittling ignorance of Senator Walsh’s recent comments about the amazing nurses throughout our great country. Senator Walsh’s comments were felt not only by our hard-working nurses, …
Senator Walsh: Thank you for uniting us
There is a species of jellyfish that exists only in one lake on this entire planet. Every morning, before the sun rises, these jellyfish travel to the surface of the lake so that algae that live within them can photosynthesize and produce glucose for the jellyfish to survive. Every day, these jellyfish travel from east to west along the surface of the lake, chasing the rays of the sun, chasing …
Our work goes beyond the hospital
During this hospital stay, how often did doctors treat you with courtesy and respect? Seriously? Why is this question even necessary? Obviously, because it doesn’t always happen. Well, that’s interesting. Maybe interesting isn’t the word. Maybe the word is, “shocking.” I can’t fathom treating any patient with anything less than courtesy and respect. I just don’t get it.
I’m not accusing anyone of being rude to patients.
Remember, HCAHPS are not necessarily …
How often did doctors treat you with courtesy and respect?
Trust me: The time you spend thinking about your personal statement before you start writing will make the actual writing process much, much easier.
Before you even start writing a word, spend some time reading personal statement examples. Read good ones, read bad ones, read strange ones. The reason for this is to give you an intrinsic idea of what you personally liked and didn’t like. Moreover, you will begin to …
Pause before writing your personal statement
Health care is increasingly complex. Objective peer review, constructive feedback, and robust debate are essential to continually improve the quality of patient care.
But doctors don’t always disagree well. One of the contributing factors to bullying in medicine is the complex interplay of different personality types in very stressful situations. Some doctors have personality traits that predispose them to have interpersonal conflict and being unable to see the view from the …
Medical workplace bullying: We just want it to stop
Here’s what they should have told you: “We found cancer in your lymph nodes, your liver, your lungs, and your brain. It explains your weight loss, your difficulty breathing and your loss of appetite. This wasn’t just your depression like you thought. It started in your lungs, and now it’s everywhere. This cancer has been growing for quite some time. You cannot, even with the strongest medications and the longest …
Why didn’t your doctors tell you the truth?
He struggled to breathe, progressing from deep breaths with wet sounds reverberating in his lungs, to guppy breathing — opening the mouth like a fish, contorting the entire face. His heart rate slowly decreased, from 150 beats a minute — a pace attempting to keep up with the oxygen demands of the body — to 50 beats, to 40 beats, to that which is incompatible with life. The nurse pushed …
A patient that reminded me of the first man I ever witnessed dying
Mentorship is a common topic in medicine. We, as a profession, spend significant time discussing, attending workshops about, and researching the role of mentorship. Mentorship is key to personal development, career choice, and improved academic productivity.
Yet, it wasn’t until recently that my understanding of mentorship was challenged. I have always viewed mentorship as someone more senior than myself helping me to achieve my goals. I have always been the mentee in such …
What should you consider when establishing a peer-mentoring relationship?
I want to write a book about the modern intern experience, a successor to The House of God, if you will. I’m going to call my book Seaport General. It’s about a young intern named Troy, who is starting his internal medicine training at a fictional university-affiliated community hospital in Boston’s posh Seaport district. In this book, set against the backdrop of a rapidly changing would, Troy learns what it …
Would this be what a modern-day House of God would look like?
“I would submit to you that those (small hospital nurses) probably do get breaks. They probably play cards for a considerable amount of the day.”
– Maureen Walsh
For the first ten years of my professional life, I was an inpatient nurse, first on a surgery floor and later in an ICU. After working three shifts in a row, I learned that I’d need to spend a day recuperating. I called it …
I am a nocturnist (a nocturnal hospitalist). I love my job, but many nights my work can seem unfulfilling. For one, taking care of hospitalized adult patients is primarily spent managing exacerbations of chronic diseases. Therefore, the reality is that most patients will not be cured, only managed. Additionally, there is the loneliness factor, the incessant beeping of my pager, and the fact that I am forced to disturb the …
How the death of a patient affected this nocturnist
These events happened over 18 years ago. Some content has been changed to protect the innocent and the guilty. Searching for positive changes in the health care industry. We are not a number, and the patients are not a number.
I’m not good at lying. My eyes go to the left or look downward, and I start to stutter and pause. There is no eye contact, and I fall deep into …
A nurse’s downfall was telling the truth
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Within the clinics, hospital corridors, and halls of medicine, a new phrase has emerged and taken hold of the practice of medicine. Whenever confronted with the challenging, inconvenient, undesirable, underinsured or maybe when just overwhelmed, health care personnel have begun to utter the phrase “I’m not comfortable with …”
Upon the utterance, all responsibility to the patient, institution or the honorable practice of medicine is immediately and completely discharged until the …
The powerful phrase that’s ruining medicine
Hospitals are busy, hectic, and unpredictable places. Professionals who work in health care are highly trained and competent individuals, and if you are receiving acute care in America — the standard of your treatment and access to high-quality tests and an array of specialists, is unparalleled (take it from someone who has worked in different countries). Nevertheless, the hospital experience itself, despite our best efforts, often falls short. Here are …
8 things to watch for if you, or a family member, is hospitalized
Separating fact from fiction had once been her favorite activity. Going over research with a fine-toothed comb, she caught the inaccuracies that riddled popular culture like unruly strands of hair. It came down to this simple algorithm: there were things that could be proven and things that could not. In other words, there were things that would happen consistently given the same set of conditions, while other things were random. …
Was she a doctor? Or was she a hack?
A physician, like anyone, can be a poor explainer of things for several reasons, but foremost among these is the tendency to use medical jargon. This is not a problem unique to doctors. When I take my car in for repairs, I often must ask the mechanic to explain what is wrong in a way I can understand. I have a rudimentary understanding of what the various parts of the …
When doctors are poor explainers
I am an obstetrician-gynecologist, and my favorite show is Grey’s Anatomy. I dare say I have not missed an episode since I started watching in 2006 (as a busy obstetrician, multiple shows are watched on DVR).
I fell in love with the show when, at random, I ended up watching the final episode of the second season when Izzie (a physician character from the earlier seasons) fell in love with Denny, …
How Grey’s Anatomy made this physician into a better doctor
When my colleagues and I reported for new intern orientation 19 years ago, we were given navy scrubs emblazoned with the residency program’s logo, a couple of creased and blindingly clean white coats, and, of course, a standard issue pager. I will admit that there was something thrilling about having my own tools of the trade; these accessories would identify me to the outside world as a doctor. I had …
A physician’s love-hate relationship with her pager
As an elder millennial physician, I’ve been straddling two worlds, that of the “old-school” mentality of training and this newer one of “wellness.” I’ve become disheartened with new physicians being increasingly unable to tolerate any criticism by teaching faculty, even when patient harm is at risk. However, it wasn’t until I was accused of bullying and bullying exclusionary by a group of colleagues — not trainees — that I grew …
When did people’s feelings start mattering more than patient safety?
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