These articles are written by anonymous clinicians. They have been selected and edited by Kevin Pho, MD.
I imagine you’re excited to receive this letter, but please listen to me for a moment. I’ll need you to suspend your disbelief here. I am writing to you from the future, and you are me from the past. I needed to reach out to you about the choice you’ve made.
I realize — again, because I am you — that you are super excited about the hare-brained idea to go …
Recently I have been more quiet than usual. Less writing. Less fire and brimstone. Quiet, at least for me. But anyone who is paying attention knows that when the most passionate and the most invested get quiet, something is truly amiss. Whether it be a looming threat or a very real and present crisis is unknown, but the fact remains that in that silence lives the very real possibility of …
Once again, at 1 a.m., I was knee-deep in patient charts and the cacophony of messages that our “user-friendly” EHR employs to allow various staff members to reach us. One of these was about a simple, inexpensive radiologic test I had ordered which the insurance company denied for my patient. Not surprisingly, I was exhausted, and I lost it.
With some minor edits, I wrote the following in response to this …
Go to the store, support small businesses … But my children are not vaccinated.
Go out to eat; buy local … But my children are not vaccinated.
Go back to work; go travel… But my children are not vaccinated.
Come celebrate, please enjoy … But my children are not vaccinated.
Kids need people; they need play … But my children are not vaccinated.
Kids need sports and activities … But my children are not vaccinated.
Kids …
The journey to becoming a physician is generally a linear path. Sure — there are exceptions, but for the most part, you can accurately predict what you will be doing in the future. For example, when you are in high school, the next step is college, then medical school, residency, possibly a fellowship, and finally your first job. (That’s approximately 16-18 years of your life!)
But what happens when things don’t …
My Tuesday out of clinic started off like any other Tuesday. I got up (sluggish, still chronically sleep-deprived), scrubbed my face and brushed my teeth, slipped into workout clothes then set to getting my two girls ready for school. After packing lunches, brushing hair, and waiving to the bus, I sat down to do what most of us do on our days out of clinic: check the dreaded inbox. Who …
You don’t know who I am yet, but you will in the future.
I haven’t decided yet if I will run for the House, Senate, or the U.S. Congress. If you are a health care professional, whether it be a doctor able to change medicine, nurses, respiratory technicians, dieticians, phlebotomists, patient care technicians, janitors, and food service employees, you will want to hear this.
We can donate as much money as we …
Guess what, everyone, I am a health care hero. I have been applauded by strangers. The Blue Angels flew over the hospital once in the pitch of COVID to salute us. I once sifted through a giant box of free chapsticks delivered to the hospital basement and grabbed one for my colleagues.
First of all, let me clarify: There is no such thing as a “hero.” It’s a social construct laypeople …
I was in my fourth year of medical college in psychiatry electives. I remember my professor discussing a young boy, an A-grade engineering student diagnosed with depression one year back and now was admitted in the psychiatry ward with severe depression with psychotic symptoms. I saw the boy, a tall, dark, handsome face — just like my brother. A different kind of fear hit me that day. I saw my …
The past year has been sad. Sad for the lives lost, sad for the isolation, sad for the hostility that has somehow occurred over measures to protect public health. To those who continue to spin a story that vaccines and masking take away your freedom: I’m sorry. Sorry you feel this way and sorry for all the other things you feel we do to restrict your personal freedom to protect …
“Congratulations on losing that much weight! Whatever you’re doing, keep it up,” my attending says as she bobs her head vigorously in approval, then turning back to the EMR computer to type up some notes.
And all I could see was the patient slightly shifting on the exam table, their face smiling — but their whole body seemingly screaming discomfort and dismay.
Before my attending sailed into the room, the patient told …
As a parent who also happens to be a hospital-based pediatrician, lots of people have asked me my opinion on back to school and/or daycare.
I am sharing my thoughts. I’m only one person. These are just my thoughts. Feel free to take what is helpful to you and trash the rest. It won’t hurt my feelings.
I think it’s important to frame this conversation by stating loudly and clearly that there …
Before I walk into clinic, I already know their response if I submitted my resignation letter today.
I hear it monthly from multiple patients who have no reason to believe I’m leaving: “You aren’t going to leave too, are you?” “It took us years to get here after the last doctor left.” “Please promise me if you move on, you will let me know where you go.”
They have baseline trauma from …
What a year of change.
A pandemic. Cancer. Death. Loss. Fighting. Abandonment. Pain.
Becoming an orphan. Becoming a caregiver.
My family was hit with a sledgehammer and crushed into pieces. My joyful plans and decades of hard work wiped away with the insidious evil of a 5 x 7 mm tumor that spread like the pandemic, ravaged my mom — stealing her in months.
My hopes and dreams and decades of hard work to …
If they had asked me to make a wish before I met him, it might have very possibly been for eternal happiness. I’d wish for happiness that floods the air with endless melodies and makes the soul sing, just like how a Disney princess. But I had met him first, and he redefined some of the heart’s most beloved concepts.
His eyes were flickering the way golden rays. His giggle sounded …
I was first diagnosed with major depressive disorder as a preteen after my teenage sister died. I attempted suicide three years later. This would be the first of several attempts and the first of countless times I felt my life was not worth living. But I am not unique.
According to the Centers for Disease Control (CDC), 1 person dies by suicide every 11 minutes.
My depression is like …
Introduction
The USMLE Step 2 Clinical Skills (CS) exam was implemented to assess medical students/graduates based on 12 standardized clinical encounters. The exam was graded as pass/fail based on three components: integrative clinical encounter (ICE), communication and interpersonal skills (CIS), and spoken English proficiency (SEP). To receive an overall passing grade, an examinee was required to pass all three components.
Over the years, there have been increasing demands to …
For over a year, I have watched and witnessed the multitude of ways that COVID has ignited crisis after crisis in our country and across the world. At first, the crisis of the unknown and the ill-prepared – we as health care professionals did not know what we were dealing with, nor did we even have the resources to battle it as we watched other areas of the world helpless …
I am a psychiatrist who volunteers his time on the clinical faculty of the local medical school. This is a role I have valued over the years that has allowed me to give back and mentor young residents as my senior colleagues did for me during my training.
Recently, I had a chilling experience that has caused concern and pause. I was supervising a first-year resident who was presenting a patient …
I’ve been searching for a way to describe my experience as a third-year medical student until recently, when I stumbled upon two new terms: moral injury and emotional labor. Moral injury is a phrase coined to describe an insult to a person’s moral conscience or values. It happens as a result of actions that transgress his or her “deeply held moral beliefs and expectations.” It was originally used to describe …
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