As a physician, there are moments during the day when you must deliver a disheartening diagnosis to your patient: pancreatic cancer, ALS, leukemia, and unfortunately, the list goes on. The patient must face the harsh realities that are now placed before him/her. Those realities, at times, leave him with a very small window of hope for improvement. Sometimes, solutions cannot be found with the use of a scalpel, chemotherapy, or …
Rural communities have a problem. Their health care options continue to shrink, as medical facilities close or consolidate. The trend has accelerated in recent years, but Westfield Memorial Hospital in Western New York wants to expand.
The tiny facility on the shores of Lake Erie has four inpatient beds, and has plans to double its capacity to eight. The $700,000 project would not require an additional wing or any new floor …
Two scourges of 24 x 7 x 365 coverage may be lost on-the-job sleep and soured on-the-job peace for workers, especially for health care workers.
Traditionally, attending physicians have had the privilege of call rooms while providing coverage for overnight health care services. The Accreditation Council for Graduate Medical Education expanded that privilege to resident physicians and fellow physicians. Now, it may be time to extend that privilege to advanced practitioners …
The hospital is like a river. Patients float downstream into our care, stay in sight for a moment, and leave after we have done everything we can to help them. Regardless of why they arrive or how long they stay, every person in the hospital will always leave, whether for recovery, rehabilitation, transfer, or death. Meanwhile, the hospital staff guard the river banks, keeping watch over the steady flow of …
As I sit here contemplating the beginning of this unsent letter, I find myself questioning its intended recipient and purpose. The truth is, I don’t have the answers just yet. Perhaps, by the end of these few paragraphs, some clarity will emerge.
When I left my home country to come to the United States, I envisioned hospitals here as being on par with what we would consider “first-world country” institutions. I …
An excerpt from Our Hospital.
Kush Kare Hospital in Columbia, New York, was the flagship of Kush Kare Private Equity Inc., a for-profit chain of hospitals across America. A for-profit that was listed on a lot of lucrative trading routes. Clearly its workings were murky—maybe not equity at all. A clever …
Tom, a doctor friend, recently told me he was reprimanded by Michael, his hospital’s medical chief of staff, after two patients lodged complaints against him.
One instance involved a man whom Tom informed of a cancer recurrence. When the man cried, Tom put his hand on the man’s knee, attempting to comfort him. However, the man didn’t find it comforting. He said nothing to Tom but complained to administration, stating that …
Late last year, I decided I needed to get my health checked up on. I went through the motions, trying to make an appointment with the doctor that was assigned to me. Nothing was available for months. I called every other day, asking about cancellations that would fit into my schedule for days I already had off. It was a pain and difficult as well to switch a single workday …
I recently returned to the hospital where I had first worked as an attending. Everything felt different. It seemed darker and smaller, reminiscent of the feeling when you revisit your elementary school, and the water fountains appear almost touching the ground, making you feel like a giant.
I walked through the same door I had used countless times over ten years, yet it now seemed more like a portal. The floor, …
Mr. Sampson, a 70-year-old man with a history of diabetes, was referred to us by his primary care physician for nerve conduction studies. He had been experiencing increasing numbness in his right hand for the past year and had recently started having trouble playing his beloved guitar. As a Vietnam War veteran, he had a fascinating story to tell.
As I approached him in the waiting room, he greeted me with …
During my first week as an intern, a question weighed heavily on my mind: “How am I going to survive my night shift rotation?” Soon after, another question arose: “How can I make the most of my night shifts and continue to learn and grow?” I reached out to senior residents and faculty members to learn from their experiences and seek their advice.
I understand that you may have similar questions …
The American Board of Internal Medicine (ABIM) has long been responsible for setting standards and ensuring the competence of internal medicine practitioners. However, the practice of mandatory recertification has faced increasing scrutiny and debate within the medical community. This article explores some of the key reasons why eliminating recertification requirements imposed by the ABIM could have significant benefits for physicians and patient care.
Lack of evidence for improved patient outcomes
One of …
In the demanding health care industry, physicians are frequently susceptible to burnout. The constant pressures, long hours, and emotional toll can be detrimental to one’s health. To support physicians on their path to wellness, we have compiled a collection of motivational quotes that can change their perspective and help them achieve their goals. In addition to these powerful quotes, we’ve included suggestions for cultivating growth and overcoming burnout. Discover the …
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I didn’t go through that to go through this.
“She doesn’t know how to work within a system,” said Snakeskin Shoes.
Narcissists grow and thrive in children’s hospitals. Their strategy is to inflict moral injury upon physicians by gaslighting and silencing those who speak up for patient safety or for themselves, while also controlling a false narrative about them.
Snakeskin Shoes, the former VP of marketing and communications, is a poster boy narcissist. …
I remember it like it was yesterday. Orientation had concluded, and it was showtime. Officially July 1st. It felt like all the cramming from the last few weeks was sitting astutely in my upper chest. My breathing was fairly shallow, and my brain was in an emotional fog, resembling a salad. Internal neon flash signs were going off every few seconds.
Many of these thoughts went like, “This is where they …
On some of my night rotations during intern year, I found myself watching WWII documentaries and movies. The patients at the VA medical center had stuck with me with their stories and their attitudes. My experiences at the VA motivated me to learn more about my patients’ lives, who had served our country. As I watched some of these movies, I noticed parallels between my life and those of the …
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As I stood there, my mentor, Dr. S, spoke in his gentle, wise voice, “Congratulations! You have been selected as the hospital’s new nocturnist.” The news hit me like a wave of disbelief, and a surge of emotions rushed through me. The competition for this position had been intense, leaving me uncertain about my chances. But now, at this moment, all those doubts were swept away. A whirlwind of feelings …
When I was first paged about Mr. P, I braced myself for the worst. He had already had three “code greys” called—the hospital code for aggressive behavior. When we met him on his hospital bed, he was bound by restraints on his wrists and ankles to protect the staff. He was admitted to the intensive care unit (ICU) for alcohol withdrawal, though the medications used to treat his condition had …
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As a medical student with a limited knowledge base and limited exposure to taking care of a high volume of patients, my idea of being the physician I hoped to be involved in spending time at the bedside and really getting to know my patients as people and hearing their stories. As I was learning my way around how the medical world worked as clerkship student, this was perhaps the …
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