You sigh as you see the name on the next chart. “Good grief, this poor woman,” you think as you place your hand on the doorknob.
“Doctor, I really tried. I really tried this time!” she sobs.
“Cheryl, I know you did. But you’ve got a disease, and you need treatment.”
“Doc, I can’t go back there again. I can’t. I can’t. I can’t. I’m going to lose my job. I can barely …
I finally found time after retirement to clean out my nurse’s book bag. It contained items such as a stethoscope, extra playing cards for patients, highlighters, various pens, a penlight, a notebook with important phone numbers throughout the health care system, tourniquets for IVs, and a plastic whistle.
This health care system, which has a revenue of $5 billion per year and spans throughout America, is quite complex. Let me explain.
The …
Like interest rates and food prices, burnout among health care providers continues to rise.
From my perch—as a hospitalist in a large tertiary hospital—the sheer terror of the early days of the COVID pandemic has been replaced by a grinding fatigue fueled by staffing shortages across the entire health care system.
Patients and their families are burned out too, frustrated by delays and shortcomings in care that inevitably arise in an overworked …
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In this episode, we welcome Jennifer Shaer, a pediatrician, to discuss the issue of physician suicide rates and how the holidays can impact mental health. Despite being one of the happiest countries in the world, Scandinavian countries …
As physicians, we all know what “badness” is in medicine. “Badness” is a word many physicians use to convey a painful, complicated, tragic, or adverse clinical experience. Badness is usually some bad, particularly emotional “bad.” Due to medical training most physicians struggle to describe their emotions or even allow themselves to acknowledge emotions, especially around distressing patient cases. The word “badness” frequently conveys to others how awful the event was, …
As nurses in behavioral health, we were not well-versed in the field. After 33 years in ICU nursing, I left the unit expecting behavioral health to be an easier transition. However, the comparison between the two was like comparing apples to oranges. There was no real comparison between the two.
One day, we admitted a 33-year-old female patient who was constantly angry and had outbursts, hitting patients and staff members without …
My personal doctor and two of my cherished mentors died within the past several years, each “after a long illness,” according to their obituaries. Rock legend David Crosby (The Byrds and Crosby, Stills, Nash & Young) recently died “after a long illness,” as stated by his wife, Jan Dance.
David Crosby’s co-musicians were perplexed that his widow would attribute his death to a long illness. Crosby certainly …
What would you expect to see if you threw a pebble in a pond? You would likely see a ripple in the water, extending wider than the diameter of the pebble. Seeing a pebble drop into a pond and create ripples is always mesmerizing. It’s amazing to observe the concentric circles slowly expanding outwards from the point of impact. It’s a fascinating example of how energy can travel through water, …
At her first visit, still lightly jaundiced, Jennie wanted to talk about a liver transplant.
I told her that she had to be sober for six months before they would consider putting her on the list. She told me proudly that she had been sober for three weeks.
“How are you doing without alcohol?”
“Going without alcohol would be very hard for me,” she said, “I have just one glass of wine each …
An excerpt from If I Betray These Words: Moral Injury in Medicine and Why It’s So Hard for Clinicians to Put Patients First.
In late March 2021, during a lull between the third and fourth waves of the coronavirus pandemic, I drove to the small town three hours west of the …
Several years ago, a good friend and colleague – the chairman of a psychiatry department – notified people about his retirement in a department newsletter. He wrote, “I sent out a letter to the alumni and adjunct faculty that I will retire on June 30 [2021]. I had decided five years ago that when I reached a certain age, I was going to retire. Such decisions have multiple determinants and …
Virtue and self-sacrifice were supposed to be my protection. As a first-generation immigrant, the necessity of hard work had long been ingrained like a birthmark. I never questioned the belief if I overworked and overprepared, I would fulfill my responsibilities, be accepted, and become worthy of happiness. By the time I finished medical training, I had checked off the first two boxes, but worthiness? Fulfillment?
I never considered asking those questions …
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Until recently, mainstream science has not recognized the field of spiritual science because the consensus has been that science and spirit (soul) are like oil and vinegar — they do not mix. Science is all about facts and evidence relative to the hypothesis, theory, and actual proof. At the same time, it is said that the spirit and the soul cannot be proven and are solely based on faith.
However, thanks …
A strange mental health issue affects millions of people every year. Yet, almost no one in the medical community is aware of it. Many suffer in silence without having the right guidance and support. In this article, I’d like to help you understand what depersonalization-derealization disorder is and how you can overcome it.
Depersonalization-derealization disorder, often referred to as DP/DR, can be a debilitating and scary mental health disorder for the …
My patient, a retired teacher, looked embarrassed as he said it.
“I don’t have a smartphone. I don’t have a computer.”
I had to check the readings — somehow, despite this lack of technology in his life, his heart rate was perfectly normal. His oxygen reading was also in the normal range. Skin color looked perfectly healthy. He even wore a smile on his face.
Quickly, trying to keep him from noticing, my …
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Stress is ubiquitous, and Americans are struggling to deal with it effectively. The tag #mentalhealth on TikTok has amassed 65.5 billion views and counting.
Still not sure about that?
Answer this question quickly: What do you do when you’re hungry? Many would respond that they eat; it’s a straightforward answer to a common experience.
But what if you tweak the question with one word: What do you do when you’re stressed? This, …
Valentine’s Day marks the most romantic day of the year. For this Hallmark holiday, this country displays our love for each other by spending approximately $25 billion on cards, roses, chocolates, and dinners. Why so much? WTF!
Like one’s dating status on Facebook, the origin of Valentine’s Day is “complicated.” Formal messages or valentines appeared as printed cards in the late 1700s. Today, Hallmark sells about 145 million cards at an …
We are over 25 years apart in our careers. One of us began her medical career in a time before the internet and email. The other is a digital native. Remarkably, though, our experiences have been very similar in one respect. We have spoken with colleagues who decided to avoid seeking care for their mental health concerns. Why? Due to fears that this type of medical care might adversely impact …
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“Raise your hand if you said you wanted to become a doctor to help people during your medical school interview. I see practically every hand in the room raised. Keep them raised if you told your interviewer you also wanted to become a doctor to overcome personal trauma.”
Everyone lowered their hands.
“I’m dismayed there are no honest people here,” I joked to attendees at an annual meeting of the American Psychiatric …
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