In June 2014, the first patient with Ebola arrived at Liberia’s county hospital, Redemption. As tensions grew around the city of Monrovia, administrators at JFK Hospital began to devise plans for handling patients with suspected Ebola. Officials from the CDC then came and gave us lectures. They discussed prevention of spreading and what our plans would be in the event of a potential outbreak. Before that moment, there were no ...

Read more...

Many physicians are discouraged by the state of medical practice in 2014. Maintaining job satisfaction and well-being for the duration of a decades-long medical career can be as daunting as completing an uphill marathon. In addition to keeping up with the explosion of medical knowledge and maintaining certification in your specialty, what concrete practices can you adopt to insure that you will make it to the finish line in good ...

Read more...

shutterstock_30049963 I recently attended my 10-year medical school reunion class party, and I have to admit, I had a great time. From the beginning, my class was special. We had 104 amazing people who were truly inspired to make a difference. However, regardless of how talented and hard working you are, medical school is one of the most challenging things you will ever ...

Read more...

shutterstock_162128366 We all start out as idealistic medical students, downright puppy-like in our devotion to our patients, eagerly bounding to their rescue and spending hours listening to their concerns. Somewhere along the way, we start shutting down, seeing patients as demanding and feeling as if we're always fighting them off. I used to do it too; hide behind my layers of staff, complain to ...

Read more...

On July 1, 2014, I retired after 35 years in practice. Or at least so it seemed. Before and after retirement, my cardiology group asked if I might be interested in part-time work. At first I said no. Due to my retirement, a physician's poor health, and one partner's departure due to chronic complaints of being overworked and under-appreciated, the group found itself without three doctors. As my retirement approached ...

Read more...

shutterstock_144372544 Preface: I love to write about many things. People, pets, children, family, nature. But over and over I come back to a theme: my colleagues in our specialty and the forces arrayed against us. I’m not trying to be the toxic voice, the endless complainer. But if people like me don’t beat the drum, then nothing will ever change for the ...

Read more...

“They need you in room 13,″ she said when I answered the phone and I ran back to the ICU.  The patient was coding and for each minute that felt like an hour, we tried, and failed, to save her.  She wasn’t breathing, her heart wasn’t working, and despite the 30 people gathered in the room, in the end, she died. Running a code, as we call it, means that someone is ...

Read more...

You can find reviews on almost anything; we “Yelp” restaurants before we try them, we scrutinize customer feedback when we purchase products on Amazon and we check out how many stars a dry cleaner or car mechanic has. Medicine is, for better or for worse, becoming the same way. You can Google a hospital or physician and find comments or reviews, and this worries many doctors. Most physicians don’t like the ...

Read more...

How many health coordinators does it take to screw in a lightbulb? Four. But none actually do any screwing. One is your point of contact for screwing lightbulbs. One helps the bulb get screwed. One goes between those two. And one manages the other three, raises funds and writes reports. My office strives to cut all barriers between the patient and provider. The patient calls me to schedule and comes in, or ...

Read more...

As practicing pediatric gastroenterologists, my colleagues and I remove a fair number of esophageal and intestinal foreign bodies (i.e., things kids accidentally swallow). A couple of years ago, several physicians across the country began noticing serious injuries in children who swallowed high-powered magnets. The issue was raised in an email forum for pediatric gastroenterologists and the response was overwhelming. There were hundreds of cases -- throughout the world, as we later ...

Read more...

Most Popular