How a psychologist explained Sandy Hook to his children The shootings at Sandy Hook Elementary School in Newtown, Connecticut have been traumatizing for the entire nation. While we have unfortunately become used to hearing about school shootings and other public mass shootings in the U.S., the brutal murder of 20 innocent elementary school children (all ages 6 and 7) is just too much to bear. In fact, the moment ...

Read more...

Operating on the hypercritically ill I'm certain that if I hadn't been just finishing a midnight appendectomy, Daphne would have died. Not fully balancing all the bad luck in her life, she fortuitously chose to exsanguinate when a surgeon and OR staff were immediately available. Nevertheless, vomiting all that blood, she damn near died before she got to the hospital. Niceties like passing a scope to find ...

Read more...

I will say this up front: Newtown, Connecticut will not be the last time tragedy strikes. For good or bad, in this age of social media including twitter, it is easier to track the coverage of this story and people's opinions about it. I have been thinking about this constantly today, and talking with my friends and neighbors about what happened this morning. Outlining the problems setting up this tragedy ...

Read more...

As I was driving to work this morning, I was thinking about how I wish I had time to exercise more. It's my 7th week as an intern, and I have only gone on a run once in that time (a 2.5 mile run last week in 25:30 -- pitiful considering that two months ago I was running 8-10 miles at least once a week). I got to thinking about ...

Read more...

For the families who lost children, their world as they knew it has effectively ended. Yet somehow the sun rises again and the next day is here. For the rest of us grieving along with these families, the only way to move forward is to take what President Obama called "meaningful action." I interpret this to be action that is radical and significant enough that it will somehow give meaning ...

Read more...

Locum tenens prepared me to volunteer in undeveloped countries For the majority of physicians in the U.S., taking their skills abroad and providing care via medical missions in undeveloped countries is usually not an option. For me, that was always an option.  I am an OB-GYN who works as a locum tenens, a traveling physician who temporarily fulfills the duties of another. This has provided me the flexibility to have ...

Read more...

"As flies to wanton boys, are we to the gods. They kill us for their sport." -King Lear, Act IV There are certain days that everyone will always remember.  People of my generation uniformly remember where they were and what they were doing the day that John F. Kennedy was shot.  My children’s generation will never forget 9-11.  For my parent’s generation, images of Pearl Harbor, D-Day, Hiroshima and Nagasaki were burned ...

Read more...

You may have noticed that stores everywhere, and restaurants, too, are getting mobile -- as in mobile technology.  In a store like Nordstrom, where thousands of items in many departments must be inventoried and managed, it saves a lot of time, personnel, and therefore money, at least for the store.  From last season’s belts to the spring’s platform shoes, it is in the system, on the iPod and available for ...

Read more...

It was really a rather arrogant presumption so early in my career. The secret sauce of medicine, I figured, was becoming an excellent diagnostician.  I devotedly memorized the signs and symptoms, the pathways and algorithms.  I strained to differentiate the pain in the chest due to suffocating myocardial cells from the stretching of the pleura or the lack of serotonin in the brain.  I cut my teeth on those early patient encounters.  Each experience ...

Read more...

Dont be afraid to ask your radiologist for help It used to be that radiologists mainly helped out your doctor so that they could figure out what was ailing you. Such is no longer the case. Nowadays, with the easy access to almost any doctor of any specialty, you can visit your radiologist, obtain a needed study (or procedure, in the case of an interventional radiologist), and never even see your ...

Read more...

Most Popular