Medicine, what a noble profession.  As the keepers of human health and longevity, we are entrusted with a huge but solemn responsibility.  It’s an ancient artwork, passed through the generations from pre-antiquity, hand in hand from physician to physician.  The Hippocratic oath ensuring that we first “do no harm” and commit ourselves to the honorable calling.  We often hear “see one, teach one, do one” and so propagates the training ...

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I’m humbled by the honor to practice medicine.  We have the opportunity to be frontline participants in an ever evolving cascade of events in the lives of others.  Our decisions, directions, and split second actions have the ability to unite families, sustain breath or literally a beating heart.  Although biased, I can’t think of many professions more fulfilling and honorable.  There are issues and concerns, but they pale in comparison ...

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Sometimes the minuscule moment is the most relevant; the least anticipated becomes the most profound.  Endless searches for wisdom and insight fade with each passing day, only to be shadowed by an unintentional conversation or event.  Wisdom is profound in the simple, while often hidden, complicated or forgotten in the complex or intentional.  This ironic phenomenon is as old as time, obvious in God's creations and man’s discoveries.   I’ve reached ...

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I’ve noticed, as I get older life seems to travel full circle no matter your path or destination.  I find myself trying to teach my son Grant things that my father attempted to teach me not so long ago. “Don’t do that, you’ll fall and hurt yourself, or try it this way, and the process will be much easier.” There is that brief moment of acknowledgment often followed by scraped knees or ...

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I’m a physician, part of the enormous all-consuming machine called modern health care.  This machine is driven by value-based best practice and end results. Literal life and death decisions are required daily, so naturally I become impatient when my son can’t decide between chocolate and vanilla or which movie to watch. My cultivated Achilles' heel of impatience has a tendency to interfere with daily interactions or decisions because of the dreaded ...

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We walk down the halls, time and time again, each encounter a new discovery, mystery, or typical presentation.  As ED providers, we see new faces, entwined with “frequent flyers” that have become in a weird way part of the family.  Our job is often loosely entangled with our identity and existence.  It becomes hard to have dinner conversations without discussing therapies, changes in health care, Obamacare, or “unusual cases.”  We ...

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I walk out of a room filled with emotion and despair.  A battle lost but the war rages on.  I’ve seen miracles, often only a daily basis.  Life is precious but peculiarly fragile while resilient and strong. Every emergency provider understands the feeling after a patient has passed.  It’s the unexplainable reverence and daunting silence as I put on the white coat.  It’s the echoing footsteps that never go away ...

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As a goal-oriented individual, I pack my days with appointments, deadlines, and to-do lists. Unfortunately, the time I spend getting from one task to the next gets lost in my focus on end results -- a common blindness of Westerners who measure success or achievement by results and not by how one “plays the game.” As parents, we teach our children it’s not whether you win or lose, but how ...

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Over the past year, I’ve read countless publications concerning the relationship of customer service and patient care. Many have alluded to the fact that customer service in health care is not only unfeasible, but also detrimental to patient care. As a huge proponent of customer service, it was quite natural to take a defensive stand, posturing against these “absurd accusations.” Over the years I’ve learned, quite often the hard way, ...

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I’ve noticed as I get older, life seems to travel full circle no matter your path or destination.  I find myself trying to teach my son Grant things that my father attempted to teach me not so long ago.  “Don’t do that, you’ll fall and hurt yourself."  Or, "Try it this way and the process will be much easier.”  There is that brief moment of acknowledgment often followed by scraped ...

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