It is a simple idea, but we don’t think about it. Everyone will leave their job, including us. This thought occurred to me as our office was undergoing a painful turnover. I started my private practice in 2020, expecting it to be a small, close-knit office. I had the vision of practicing medicine as I thought it should be practiced, with attentive and caring staff who truly cared about the …
September 1974. I was a third-year medical student at NYU. My husband and I, newlyweds, lived in a single room in the med student dorm. Fortunately, third-year students took night calls, so on those nights, my husband had the single pull-out bed all to himself.
If family medicine and emergency medicine existed as defined specialties at that time, our med school didn’t acknowledge them. Seven years later, as a chief resident, …
After destroying a light fixture in the OR and being written up for another episode of disorderly conduct, John was at the end of his wits.
His marriage, profession, and self-respect were all on the line, and in the eyes of everyone around him, he was another surgical monster.
But little did he know – none of this was his fault. (We’ll get there in a moment.)
The outburst came in a fit …
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
Join Kim Downey, a physical therapist, and Anthony Avellino, a pediatric neurosurgeon and author of Finding Purpose: A Neurosurgeon’s Journey of Hope and Healing, as they explore the critical topic of physician well-being. …
“Each licensee shall furnish the board his current address.” “When a practitioner is closing, selling, or relocating his practice, he shall meet the requirements.” “The practitioner shall retain in his records.” When it came time to renew my Virginia state medical license, I noticed something troubling – a complete lack of gender equality in physician licensure application language.
However, …
A patient presents to the emergency room of a major local hospital with ulcers on the heels of both feet. The patient is more than 40 years old, smokes, and has hypertension but is not a diabetic.
It is determined that the patient has peripheral artery disease. The patient is admitted to Dr. X’s service. Dr. X is a vascular surgeon with a special interest in endovascular devices for peripheral artery …
Medicine, with its somewhat tarred history in the matter, has woken to the cause of inclusivity. Not too long ago, in the early twentieth century, the American Medical Association (AMA) orchestrated reforms requiring immigrant European doctors to pass rigorous qualification exams, which most American doctors themselves were highly unlikely to clear. Rather than concern about standards, it was largely cynical turf protection to squeeze out better-trained doctors the patients were …
The McLaughlin 360 Evaluation: preparation (part one)
Have you ever heard the expression, “The truth will set you free”? Well, it might. But before it sets you free, it’s probably going to piss you off.
If you are seriously interested in self-improvement, you have to ask hard questions. And then listen!
About a year ago, I embarked on a personal exercise to learn how to be a better leader and person. I began …
When you are a young academic general surgeon, even the nights are sometimes good. A good on-call night unfolds something like this. You might have spent the day working in the operating room or in the clinic seeing patients. Your on-call typically begins at 5 p.m., although occasionally, a colleague may ask to sign out early. This call period will not end until 7 or 8 a.m. the next morning, …
Despite technological and pharmaceutical improvements in the advancement of medicine, many changes that have occurred in the delivery of medicine during my 15 years of private practice in plastic surgery have had detrimental consequences for both patients and physicians. I will briefly review these changes and provide my perspective on the future of medicine in the United States.
The development of electronic health records, with the ability to access, chart, and …
As an anesthesiologist, I recall countless occasions when colleagues from the other side of the drape addressed me, like, “Anesthesia, did the patient receive antibiotics?” or “Anesthesia, I need more muscle relaxation here!”
Especially in my first years as a young physician full of insecurities, it intimidated me, so I never complained and only spoke up when vital.
Nowadays, I grasp the unspoken rules of the OR and can navigate the daily …
“Medicine is a form of art.” Those are the words my grandfather told me as I embarked on my journey through medical school. Medicine resembles literature; we, physicians, enter into people’s lives, and we become part of their life tales. The way we do our work influences how these stories are told. Some tales speak of loss and sorrow, while others resonate with healing and joy. It’s akin to sculpture, …
ADVERTISEMENT
It is well known that today there is significant variability in surgical outcomes – not only in different parts of the world, but even within the hospital. And, little understanding as to why. While video is becoming a key component of surgery, up until now, it has gone largely uncaptured, making it impossible for surgeons to surface how different techniques and surgical practices impact quality and efficiency. Compounding the problem …
An excerpt from of Paint and Pancakes.
The epicenter of Jane’s cancer occupied some very expensive real estate between Broca’s area and the motor strip. Her ability to speak and form coherent words resided in Broca’s. A little further back was the Motor Strip, which controlled the movement of the right side of her body.
It all looks the same … so damned normal. Mike cleared his throat. High-price …
Of the many thousand operations I did in my surgical career, most were life-improving rather than life-saving. To me, life-saving implies immediate or imminent risk of death: gunshot wounds, stabbings, gastrointestinal bleeding or perforations, punctured lungs, and cracking a chest in the ER for a stab wound to the heart. Potentially life-saving but less dramatic is removing a malignancy that, untreated or treated later, would likely have killed the person.
Most …
ADVERTISEMENT
“Man is a dupeable animal. Quacks in medicine, quacks in religion, and quacks in politics know this, and act upon that knowledge. There is scarcely anyone who may not, like a trout, be taken by tickling…there is scarcely a disease for which a charm has not been given.”
– Thomas J. Pettigrew
As a surgeon, when I routinely went to the OR, I had a ritual. I would …
We don’t always choose to tap into the power of our emotions. Our reluctance frequently comes from our background, as the transformation required to channel our feelings is uncomfortable, forcing us to examine our biases and sit with them. Even though we are inherently born with this ability, there is a catch. Like any wild force, our emotions can be unruly and hard to contain, even dictating our actions if …
Every surgeon dreams of the day when they’ll wield the cold steel of the scalpel independently. Of the day they’ll see their name on the daily operating room (OR) schedule. Of the day they’ll be the one leading the surgery team. Of the day they will finally get to choose the music.
Surgeons are particular people, and our music choice is no exception. …
ADVERTISEMENT
An excerpt from A Surgeon’s Knot.
The phone jarred Jackson Cooper, MD’s weary, anxious brain into consciousness from the edge of sleep. He jumped up, dropping the receiver on the cold floor of the call room. “Hello,” he said, tension entering the new intern’s mind.
“Dr. Cooper,” the nurse’s voice said nervously. She almost stuttered as she spoke. “It . . . it’s . . . Mr. Simpson, he’s bleeding. I …
Get free updates delivered free to your inbox.
