From the beginning of medical school, you are taught the rules of patient assessment; you are taught the “ABCs” – airway, breathing, and circulation. You don’t move on to B until you have established A. You don’t move on to C un…
Interior hospital: (Patient screaming and crying out as they are wheeled in through the ambulance bay and brought into a room …) Doctor: What brings you in today? Patient: You gotta help me, Doc … My chest hurts. I think I’m having a …
Fifteen years later and I can still see it. I wasn’t able to go to the scene that night, but several of my colleagues did. As morning broke, a new shift of my colleagues went to the scene. And on the next morning, I did. We were there to provide …
It was the final hour of my shift, and I was cleaning up for my colleague who would be taking over. Glancing at the clock, I decided I could see one of the “easy” fast-track patients just to help offload the board a bit. I figured he wasn&#…
As an emergency physician, I’m a strong proponent of living wills, POLST forms, and discussing uncomfortable topics with your loved ones. Even making decisions about your child being an organ donor, if, Heaven forbid, something happened. You neve…
I think that from time to time, everyone has had the feeling that they weren’t doing their best. Maybe something we did wasn’t the right thing at the time. Perhaps we should have thought about it longer or acted sooner. We often second-gues…
Doctors come from different backgrounds, and we all start medical school with various life experiences. Few people know that I actually started off life as a journalism major. I wanted to write about other people and their life stories. I wanted to tra…
Emergency departments have their share of regulars. The patients come back time and time again. Some you don’t mind. Some of you inwardly cringe and say, “Oh, God, them again.” Seriously, George, this is the second time this shift. Th…
Last night, one of my work colleagues asked me how I do it. I looked over at them, a little confused. They looked back at me earnestly. How do I continue to come to work every shift and not burn out? How do I keep finding meaning in what I am doing? Ho…
Suicide isn’t beautiful. It’s not glamorous. It’s not Virginia Woolf, with pockets full of stones walking calmly into the water surrounded by trees and dappled sunlight with string music playing in the background as you slowly sink un…