Posts Tagged ‘patient care’

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December 26th, 2018

Trapped – Chronic Pain and Opioids

“I feel like a caged animal” — My patient offered me this lens through which to view his life seeped in chronic pain. For him, pain dictated his entire sense of being — it was something that simply could not be distilled down to a single value on a 10-point scale. The cage represented the […]


December 11th, 2018

No, I Am Not Patient Transport

“Oh, you’re here to take me to my test.”  I have heard this too many times to count, and I have come to perfect my response. “No, I am not patient transport, your social worker, or your nurse. I am your doctor.” After a moment of confusion, I usually see a facial expression signaling that the patient […]


September 25th, 2018

Medicine-Induced Metabolic Syndrome

I run a clinic a couple of times a week as part of my nephrology training here at Barwon Health. I love my clinic. In addition to enjoying the longitudinal follow-up of patients and the relationships you build with them (one of the quintessential things that drew me toward physician training, and nephrology in particular), […]


September 12th, 2018

Good Things Take Time

My Patient The day I met you was early in my second year of Internal Medicine residency. After much of my internship had been spent on arduous inpatient rotations, I was finally ready to lead my own team of young doctors and students on a high-acuity wards service. Yet, in my continuity clinic, I was […]


November 21st, 2017

Thoughts on Stigma

“What are we legally able to do? I don’t want to say the ‘quarantine’ word, but I guess I just said it. […] What would you advise, or are there any methods, legally, that we could do that would curtail the spread?” These sentences were spoken by Betty Price, an American politician with a seat in […]


September 18th, 2017

Beast Mode Is Back! When Actions Speak Louder

Cal Football I bleed blue and gold. No, I am not talking about Michigan, West Virginia, or Notre Dame. I am definitely not talking about UCLA Bruins (by the way, UCLA fans, a bruin is a brown bear). That’s right — I am a die-hard Cal Bears fan. Thanks to Cal football, and particularly to legendary Marshawn […]


August 29th, 2017

Procedures in Residency

Hi. My name is Karmen, and I’m a fainter. It’s true. I am one of those people who occasionally falls victim (pun intended) to vasovagal syncope at its finest. It tends to happen at inopportune times and places. For example, the first time I passed out, I landed in a Christmas tree. I was in high […]


August 23rd, 2017

Is Transferring a Patient to the ICU a Failure?

As I sit with one hand wrapped around a greasy diner cheeseburger, eating my feelings — I mean, my dinner — it sure feels like failure. It’s 7:22 pm, and the first patient with my name listed as the attending is being packed up to roll into his new room in the intensive care unit. Did I […]


December 28th, 2016

A Reflection on The Hippocratic Oath

Questions for young physicians: Do you remember and recall the series of events that inspired you to become a healthcare provider? Are you satisfied with the field of medicine? Have you ever thought about your perceptions of healthcare before and after becoming a physician? Have you ever been a patient yourself? What attributes in our healthcare system […]


November 4th, 2016

From the Prescription Pad to Reality

A harsh reality I am coming to terms with, as a newly minted “pre-tending,” is that we don’t know the cost of the care we provide. There are recommendations for things like High Value Care, from organizations like the ACP. But how much do things actually cost? Certain apps and websites, like the Healthcare Bluebook, give […]


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