“Physician burnout” and “physician wellness” are now ubiquitous terms in the health care profession. For example, the ACGME’s common program requirements for residency now have an entire section dedicated to “well-being.” In addition to the numerous av…
Like most situations that physicians encounter in their work, end-of-life conversations are not easy and require preparation and training. Yet these patient discussions are among the most satisfying I’ve experienced in my career because they’ve made me…
I received so many messages from my last post, and I figured it would be useful to perhaps answer some of them for all to see. Is it safe to see family over Thanksgiving? Yes. If you live with them. That’s it. The only potentially safe alternative is r…
“As you know, his condition has been worsening dramatically over the past week. He is unable to breathe without the non-rebreather since last night. Today may be a good time for a goodbye visit.” I told the family of my COVID-19 positive patient who wa…
February 24, 1991, and I wait. I wait on the edge of my cot under the pitched canopy of my far-away canvas home; its sides pulsating from the ever-present wind; sand somehow traversing the walls, everything inside airbrushed a pastel tan; outside the s…
As cases of COVID-19 sore around the nation, the days of New York as the epicenter of the pandemic have become a distant memory for this emergency room doctor. Did the government really once send us refrigerated trucks for our dead and a naval ship for…
On November 9th, the governor of North Dakota, Doug Burgum, decided to allow hospital workers with COVID-19 to continue to come to work. He required that they be asymptomatic and that they only work on COVID-19 wards with COVID-19 patients. Given at-ca…
“Those who cannot remember the past are condemned to repeat it” is a quote by George Santayana. It rings true in so many facets of life and medicine. In my career in psychiatry, I have held fast to this treatise. Psychiatry, as a practice, has changed …
I rarely post more than pictures on Facebook. In fact, I rarely use Facebook for much of anything anymore. But I need you all to just listen for a second. I’m scared. For you and for me. I need you all to take a minute and think of the last time …
As the mother of a child born with hypoplastic left heart syndrome, besides going through four open-heart surgeries and coding, my son has also had eight abdominal surgeries, including a Ladd’s procedure and resection of his colon. William also functi…
