The frenetic pace and chaos of working in an urban trauma center are addicting -- at least for a while. Interesting, unusual, and tragic patients test the mettle of even seasoned physicians. For some, the lure is too strong to step away. For others, the attraction of a quieter life and promise of a more sane existence is too powerful to resist. My story After training in one of the busiest level 1 ...

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I swear by Epic, by eClinicalWorks, by Allscripts, by AthenaHealth, and by all the coders and accountants, making them my witnesses, that I will carry out, according to my ability and judgment, this oath and this indenture. To hold my mouse in this art equal to my own hand; to make it right-click as well as left-click; when my ACO is in need of money to share an “at-risk” portion of ...

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To be clear, this is about one person.  It warms my heart to know that people want to come and start new lives as Americans.  Some of the best doctors got their education and training overseas.  Not only have I worked with many of them, I’m related to three by marriage.  Most people have heard of Mr. Andrew Wakefield.   He used to be a British doctor before being stripped of ...

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“I attribute my success to this-I never gave or took any excuse.” -Florence Nightingale I was publically thanked today for doing my job. No, really. By two of my coworkers, actually. It sort of took me aback just a bit. Over the past Christmas holiday a couple of patients, being human as we all are, forgot to get their medications squared away before the clinic was going to close for a total of ...

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Wellness. It’s all the rage these days as we try to manage our crazy work schedules while still maintaining balance in life. We have wellness committees, wellness workshops, wellness coaches, and wellness apps for our smartphones. So, then, what does it mean to be well? To the average person, and to the dictionary, to be well is to be “in good health” or “in a good or satisfactory way.” However, to those suffering ...

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So, how do you do it all? It’s a Monday morning.  After a flurry of activities, I am walking into the office at 8:00 a.m.  I think back to the past 2  to 3 hours.  I was up at 5:30 a.m., and in my workout clothes soon after.  I managed to squeeze in a 20-minute workout, thanks to a video on YouTube.  I then reviewed my schedule and patient charts for ...

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I knew the moment when my career in pediatrics was over.  I was in the fourth year of my med-peds residency, taking overnight call in the pediatric ICU.  Nights were busy, stressful and I was alone.  A young boy came in as an unrestrained MVA after his father hit another car. Dad was OK (although severely distraught), but the five-year-old towhead boy in front of me was not, with his head immobilized in ...

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"Too many times I feel We are losing time once shared And only when you're in ecstasy You seem to really care" I recognize the song immediately — Chuckii Booker's "Turned Away." Not the regular version, but the extended one. As the words rush over me, caressing my nostalgia, a memory, a moment comes back. I was standing behind the counter at Homer's Ice Cream on a brilliant summer morning before the doors opened. We ...

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How do you describe the feeling when you are at a restaurant, and the waiter sees your coffee cup at less than half full (never half empty) and without asking they refill the cup or better yet, bring you a fresh cup of coffee?  If you are like most customers, you have a nice feeling about the restaurant and the waiter as they have anticipated your needs.  Usually, this anticipatory ...

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Recently, one of the biggest mistakes ever observed on live television occurred when Warren Beatty and Faye Dunaway, presenters of the award, announced the wrong film as winner of the Academy Award for best picture.  Not since Janet Jackson's costume malfunction has, live television caused such uproar. How could this have happened?  How could it have been prevented?  Moreover, what can this error teach us about how we care for patients? A ...

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