Posts Tagged ‘communication’

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February 24th, 2017

Z71.1: Worried Well

I took my dog to the vet today. You’d think this would be a straightforward sort of thing for a medical professional. You’d be wrong. When I woke my dog up at 5:15am (my new daily start time, as it’s apparently the only way I can find time to do board questions, and is also the […]


December 22nd, 2016

“Pimping”: Malignant or Not?

One of the most respected and skilled clinician-educators (and, of course, he is an Infectious Diseases specialist) at our institute came into my office, sat down, and immediately starting eating pretzels. “Let me know what you think about this,” he said between bites. He went on to recapitulate a recent interaction he had with the members […]


October 7th, 2016

Work Mimics Life: A Failed Attempt at Separation

As physicians, we generally attempt to separate our personal lives from our work. Some of this comes from modeling behavior of others during training, some comes with further experiences in coping with the patients we encounter. I recently had the pleasure of caring for an elderly gentleman who was brought into the hospital by his loving wife […]


August 15th, 2016

Patient Education

We had known Ms. B. for weeks. She was a “bounce-back” to the unit. Every day, an intern would enter the ICU room and ask, “How do you feel?” “OK.” Do you have any pain?” “No.” “Any trouble breathing?” “No.” “Tightness in your chest?” “No.” “No? OK.” I was the senior resident following the case, 1 […]


April 27th, 2016

The Dark Side of Medicine

The following is paraphrased documentation, authored by a physician I know, regarding an intoxicated patient in the ER: 1AM: Patient is telling nurse, “Before I leave, I need everyone’s name for my lawsuit. Tell the phlebotomist that if he’s good, he’ll  get a cut.” 1:40AM: Patient is making inappropriate sexual comments and is verbally aggressive with medical staff. He […]


January 22nd, 2016

Today’s Medical Care — A Trap for the Sick and Elderly ?

One of the great things about serving as chief resident this year is the opportunity to attend wards.  Below is a short story about a patient that was admitted to my team for less than 1 hour, but whose impact on me will last the rest of my career: In November, I had the privilege to […]


September 16th, 2015

Tips for Intern Survival

With the start of the residency year comes a new batch of excited residents who will have many of the same successes and failures as those who tread the path before them. They will quickly fall into cliché niches within the residency class: the gunner, the humanitarian, the slacker, the superstar, the researcher. Their medically immature […]


August 14th, 2015

The Answer

“Please answer my call.”   That was the text I received over the weekend from a friend after having missed his call. I called back and he was panicked: “what is alpha… al… alteplase?”  There was a pause as I waited for context… “My mother-in-law… she went into cardiac arrest. They got her heartbeat back, but […]


August 7th, 2015

Cat Herding

“The day you earned your MD, you became a leader… A leader to your future patients, a leader in your community, and a leader within the healthcare system.”It’s May 7th, 2015 – day 1 of the annual Chief Resident Leadership Development Program in Kansas City, Missouri.  It’s an event meant to welcome the  newly selected chiefs […]


July 17th, 2015

Good Luck! You Will Be Great!

July 1st, the date of new beginnings in medical training. This is the day where we first get to use the title “Doctor,” start our first senior-level call, become subspecialty fellows, or finally reach the end of residency and formal clinical training. For me, July 1st marked the first day in my role as Chief Medical […]


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