Nothing was helping. Everything had been tried for a week of the most intensive critical care possible. A twenty year old man, completely healthy only two weeks previously, was holding on to life by a mere thread and nothing and no one could stop his dying.
His battle had been lost against MRSA pneumonia precipitated by a brief influenza-like illness. Despite aggressive hemodynamic, ...
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Even doctors must become patients eventually, and often challenging patients at that. We know enough to be dangerous but not enough to be in charge. We want to question everything but try not to. We can tend to be catastrophic thinkers because that is how we are trained to be, but fear being alarmists. We want our care providers to actually like us, when we know they inwardly cringe knowing ...
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I have the privilege to work in the medical profession where astonishment and revelation awaits me behind each exam room door.
In a typical clinic day, I open that door 36 times, close it behind me and settle in for the ten or fifteen minutes I’m allocated per patient. I must peel through the layers of a person quickly to find the core of truth about who they are and why ...
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Be obscure clearly.
-E. B. White
As a family doctor, I work at clarifying obscurity about the human condition daily, dependent on my patients to communicate the information I need to make a sound diagnosis and treatment recommendation. To begin with, there is much that is still unknown and difficult to understand about psychology, physiology and anatomy. Then throw in a disease process ...
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“Wait until you see what is waiting for you in the next exam room …”
My clinic nurse was barely able to contain a smirk. This meant one thing to a doctor in training: the next patient must be a “train wreck,” with so many things wrong that I would never get beneath the surface during my brief visit. I was running 30 minutes behind, so I took a deep breath.
As ...
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Aspire to decency. Practice civility toward one another. Admire and emulate ethical behavior wherever you find it. Apply a rigid standard of morality to your lives; and if, periodically, you fail as you surely will, adjust your lives, not the standards.
-Ted Koppel
This week started out ordinary enough but took a quick turn when I got a message from the media director at my university that a 14 month ...
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All of us come to the study and practice of medicine through different pathways: some because of family members who were doctors or patients, some out of our own illness or woundedness, some out of intense drive to achieve and serve.
I came to medicine because of my grade school classmate Michael.
My grade school represented a grand social experiment of the early 1960’s. It was one of the first schools to ...
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Patients are increasingly demanding, and understandably so, that since they pay for their medical tests, they should receive results directly and immediately without waiting for physician review or interpretation. Recent articles in the lay press about this issue are accompanied by scores of online patient comments insisting that physician reporting and interpretation is too often unreasonably delayed, often inaccurate, or just plain unhelpful, so why bother waiting at all?
Dr. Google ...
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If you want to identify me,
ask me not where I live,
or what I like to eat,
or how I comb my hair,
but ask me what I am living for,
in detail,
ask me what I think is keeping me
from living fully
for the thing I want to live for.
- Thomas Merton
As a patient waiting to see my health care provider, I would adapt Merton’s template ...
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As a college health physician, I see my fair share of fainting patients, including syncopal episodes within the clinic itself, typically while they are using the toilet, or after venipuncture and vaccinations. Our staff is as proactive as possible to avoid these predictable occurrences, listening for problems in the restrooms, putting students in a recliner chair for their blood draws and observing them for awhile post-injection for lightheadedness. Despite taking ...
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"A comprehensive and extremely useful roadmap for doctors."
-Eric Topol, MD, author of The Creative Destruction of Medicine
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Past 6 Months
Dear lawmakers: This is what it’s like to be a doctor today
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