“Having a physician partner who knows us well, who we can trust, and whose judgment we value exponentially increases the odds of accurately making the distinction between self-limited illness versus a significant disease process. This will also assist us in navigating the health care system such that we receive only that …
“We’re encouraged to mentally rehearse life-saving procedures for conditions that occur so rarely we might go our entire career without performing them. And the reality is that I could spend every minute of my free time this way and still have an unexpected situation arise during my next shift. So, is …
“One initiative that more administrators should support is global medical outreach. The ability to practice pure medicine, like the neighborhood doctor from long ago, renews a love for the vocation that physicians sought when they first entered medical school. Humanitarian outreach will help reinvigorate physician workforces immediately, allowing physicians to have …
I hope this finds you well. Today, I took some time shopping for a new outfit to wear to the upcoming festivities marking the end of your emergency medicine residency. We have celebrated many educational milestones over the years, haven’t we?
It seems like only yesterday that you started the third year of medical school. I remember the anticipation and pressure associated with moving out of the sim[ulation] lab and beginning …
“It feels different down here,” she said. I had just approached a young woman in our ED waiting room to apologize for the seven-hour wait to be seen. She looked at me with bloodshot, dark brown eyes and continued, “It feels like … the lower decks … Do you know what I mean?” I placed my hand on her shoulder, acknowledging her analogy with a shudder of complete understanding.
She was …
“The COVID-19 pandemic has been raging in the United States for over two years. Health care workers across the country have been chronically pushed to their limits as we navigate difficult situations on a daily basis. The advent of the COVID-19 vaccine, although a powerful tool in our crusade …
As an off-cycle medical student with an extended break between the completion of my M4 rotations and the conferment of my MD, I took a job as a medical scribe to keep myself active in the clinical setting (and, it must be said, provide myself with much-needed income).
I was atypical among most medical scribes, who are generally college students/graduates looking to obtain experience before applying to postgraduate medical programs, so …
In the wake of a harrowing year, I’m left wondering, is a career in emergency medicine worth it? Like so many of my colleagues, I suffered personal tragedies during the pandemic that exacerbated the incredible stress at work.
My brother died in March of 2021, three weeks after receiving a diagnosis of metastatic colon cancer, and tragically, just six months later, my mother also died unexpectedly.
I have no doubt that emergency …
“Our patients go through some very predictable fears and responses to illness and injury. In turn, medical students and residents also think and respond with some thought distortions and misunderstandings about their patients and themselves. Armed with awareness and familiarity with the typical patterns, we learn more about what …
Have you ever really appreciated the silence? The true silence that transports you to the root of it all. Our lives are a perpetual hamster wheel, chasing aspirations with underlying motivations that I often don’t completely understand. Good intentions and acts of kindness, seemingly altruistic, have hidden motivations of affirmation or appreciation. Why do you do what you do? It seems so obvious on the surface, but like an onion …
A recent conversation with a colleague took an unfortunate turn when he asked me to teach him how to say my name. I happily obliged. “It’s O-HA-BUN-WA” I said phonetically with a smile on my face. Like many with ethnically distinct names, I get so happy when people attempt to say my name correctly. His response, however, was quite shocking.
“I will never be able to pronounce that,” he said emphatically. …
U.S. health care is going to hell in a handbasket, but only as patients can we alter this. Centers for Medicare & Medicaid Services (CMS), hospital administrators and we patients are all guilty of worshiping at the altar of “patient satisfaction.”
It’s not that patient satisfaction is necessarily a bad thing. As a patient myself, I certainly seek out convenience and satisfaction. A UC Davis study in 2012, …
Tapping into the mindset of one of the most villainous cinematic computers, the HAL 9000 of 2001 A Space Odyssey, may provide introspection to save us from the same paranoid meltdown that led HAL (spoiler alert) to embark on a murderous rampage. Homicidal activity should not be a lurking risk in any of us, but burnout is.
Briefly, in case you are unfamiliar with Stanly Kubrick and Arthur C. Clarke’s sci-fi …
An excerpt from Changing How We Think About Difficult Patients: A Guide for Physicians and Healthcare Professionals.
After I finished my residency in EM and started working as an attending physician, I realized I had a problem. I believe a lot of you have the same problem. Some of our patients are so angry, oppositional, and non-compliant that we get angry …
“The U.S. health care industry has large challenges that can be overcome if we remember why our systems and services exist. We are here to help patients, and we must obtain the needed staffing capacity to drive throughput so patients can receive the care they need. Our system will cease …
Before I worked as a medical scribe, I didn’t realize how many mildly ill people visited the emergency department (ED). In my first few weeks, though, I learned that patients with minor complaints, such as sprains, cavities, rashes, and common cold symptoms, actually present to the ED quite often – often enough that the hospital where I worked had to dedicate an entire 12-bed wing to them. In most EDs, …
My patient was trying to kill himself by refusing to treat a bladder infection. I looked down at him. His aura was black, indicating the premeditated murder of a human. Guess they hadn’t caught him for that one. His gang tats were Latin American, and his eyes were black. He didn’t like me much.
I wasn’t phased. He couldn’t do much about it, paralyzed from the neck down.
“It’s not going to …
Each time I am in the emergency department (ED) as a medical student, I meet new members of the health care team that make superior patient care possible. I have quickly developed a greater appreciation for the fact that no medical professional works in an isolated bubble. The strengths that each other bring to the table are paramount to the flow of patient progress. Before my time as a medical …
Microaffirmations are the antidote to microaggressions. Microaggressions are the little insidious comments or acts of barely perceptible injustice and bias that bite and nip and slowly erode our confidence in our belonging, worth, and power. As I continued the medical training journey, I continually searched for the antidote. Mere protection against the daily barbs and arrows was not enough. I needed more than protection- I needed an offensive strategy as …
I am a physician at a critical access hospital. I manage both the ER and inpatient service and am the only physician in the hospital. This is the reality for many rural hospitals across the country. With no urgent care in town, and with primary care offices few and far between, these hospitals see everything.
We see patients with ailments from a minor finger laceration to those with septic shock from …
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