Posts Tagged ‘end-of-life care’


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 22nd, 2016

First Week On Service

“Medicine Purple is now rounding at Room 202.” The announcement rang throughout the hallways on the lower pavilion. It was an announcement I had heard many times before, but this time it was quite different. As I glanced in the upper right hand corner of the electronic medical record of my first patient, the following glared […]

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 […]

May 6th, 2016

Declaration of Death

“Is he dead?” I stepped up closer. He was yellow. Bright yellow. Steve had been admitted to the hospital for altered mental status when his last PET Scan revealed that the pancreatic cancer had spread from the tail of his pancreas into his liver where it now blocked the ducts that carried the bile out of […]

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 11th, 2015

Overnight Admission

BEEEP BEEEP BEEEP BEEEP – I pressed a button to silence my pager and rose groggily from the bed in the on-call room.  I hadn’t truly been asleep, just catching a quick rest between pages.  It was 2am.  I was 19 hours into my shift and, from the looks of the page, there was a […]

August 28th, 2015

How Do You Teach Art?

When I first applied for medical school, I beamed about exploring not just the science of medicine, but also the art.  But what is that art?  Some would say it’s clinical experience, combined with being cultured and compassionate and communicating with clarity/conviction.  But how would one teach that art? Journal Watch’s Dr. Allan Brett recently reviewed a multicenter […]

April 2nd, 2012

What Would You Do?

While combing through my social media outlets recently, I came across an article that struck me. The article entitled “Why Doctors Die Differently” addresses a subject many professionals in the medical field know but don’t really talk about — that physicians die too. The article explains how we, as physicians, understand the limits of medical therapy and procedures […]

Resident Bloggers

2016-2017 Chief Resident Panel

Amanda Breviu, MD
Joseph Cooper, MD
April Edwards, MD
Jamie Riches, DO
Kashif Shaikh, MD

Resident chiefs in hospital, internal, and family medicine

Learn more about Insights on Residency Training.