Yesterday was the perfect storm. The combination of articles printed over the weeks seem to give me a morose outlook on the medical profession. Article 1: A specialist had reasoned the medical world was in shambles because "specialist" try to rule the world with unnecessary obscurity. His example was acid reflux and how addressing it was a failure in delivering simple remedies. My throat was bitter with betrayal. Article 2: An insurance company ...

Read more...

2016 closed around a continued effort to "salvage" the medical profession's reputation, but the notion that it's broken continues to be counterproductive. The brightest students, for example, question the long journey and delayed gratification being a physician entails. They do the math and continue to engage in other professions that are medical but not specifically Medical Doctorate degrees or Doctor of Osteopathic degrees. These same students conclude there is no longer ...

Read more...

The day after the 2016 election I went to work, and from medicine, I better understood the outcome of the election and the next goal of America. Driving into the hospital, I called the ICU of an acute rehabilitation hospital to check on a patient. He had sepsis from a very complex urinary tract infection which exacerbated his chronic hypotension. He already had renal failure on dialysis and was on chronic ...

Read more...

We were a team of women. A strong, intelligent female attending, a fellow, me as the resident, and the eager intern. Gunners in the ICU. Throwing in lines and throwing out numbers and grilling newly published papers for truth. Then I got a call from the head of the department. I was asked about another fellow in the program. A male fellow. His behavior was in question. I was asked if ...

Read more...

I walked into a patient's room and noticed the hospital has supplied a fold up stool hung on the wall labeled "For Physicians." I shrug. I take it down the stool and open it up and seat it next to the patient's bed. I greet the patient, and we discuss how he feels and what all is transpiring and planned for the day. He feels cold, nervous, pain in his back, ...

Read more...

I walked into my bathroom feeling the wet floor. I traced the source back to a toilet overflowing with a neon green T-shirt lodged in it. The T-shirt failed to evacuate into the nexus of sewage. My 7-year-old son hates the T-shirt. Having watched for years foul things disappear when flushed down the toilet, he attempted to rid himself of something he disliked. It failed and the toilet overflowed. I called ...

Read more...

A recent movie series called Divergent depicted a dystopia that created five factions: Abnegation (selflessness), Dauntless (bravery), Erudite (intellectual), Amity (peaceful or charitable), and Candor (honest or just) or Divergent (a unique combination of traits that thinks for the whole more seamlessly). This movie’s premise made me wonder: What faction would a modern day doctor belong to? I recently wrote a piece, "Physicians will take back the beside." One ...

Read more...

Physician wellness begins in realizing our identity in medicine and society. Shamans, priest, and healers have existed in ancient times and in small and large indigenous tribes since man began to gather together in social packs. The unique role of tribal and community leaders who guarded health and wellness was understood as important for the whole of society. All doctors have degrees of empathy. We as an order select for this ...

Read more...

Cleveland Clinic published an article that cited the work of Cynthia Kubu, PhD, a neuropsychologist in Cleveland Clinic’s department of psychiatry and psychology. She examined the potential of focusing on relationship center care to help provide good care and long-term care giving for physicians. Cleveland Clinic uses the REDESM (relationship, establishment, development, and engagement) which focuses on the provider-patient relationship as the premise for care. The idea is a physician ...

Read more...

I saw a new residency graduate post about how balanced she will choose to be and how not taking work home would keep her idealism alive. Like a woman who has been pregnant and gone through delivery and postpartum, I wanted to tell her the truth about how emotions get changed in practice and how the emotions become physical ailments at times. I wanted to tell her birthing and raising ...

Read more...

2 Pages

Most Popular

Get KevinMD's 5 most popular stories.