Category Archive: Hospital-Based Medicine

Only when you are a patient do you experience the frailty of being one

We as physicians need a dose of our own medicine as a booster ever so often. I went in for a simple procedure. A lumbar epidural steroid injection for pain which has recently become more than tolerable at times — nothing disabling. Nothing that stops m…

For residents unsure about their choice of specialty

About halfway through the internal medicine residency, there comes a time when a resident must decide on what he or she plans to do after three years of training. We may come across a second-year resident saying: What should I do next? Should I become …

10 tips for non-traditional medical school applicants

I would like to offer some words of encouragement to what many call the “non-traditional” students pursuing medicine. The term encompasses people in different aspects in their lives. It may be someone in a different line of work looking at medicine as …

What happens when your go-to hospital is overcrowded

My local hospital in an affluent suburb of New York City displays its Outstanding Patient Experience Award 2018 and Magnet Recognized status on its website. My experiences tell a different story. This hospital is located approximately five to seven min…

10 surprising things you need to know about the hospital

1. Very little revolves around the patient. For a place dedicated to healing, the hospital does a poor job accommodating patients. Labs are drawn in the middle of the night, so the doctor has them early in the morning. There is no standard rounding tim…

The discrimination against nurse practitioners must stop

I have been a neonatologist for 30-plus years. Throughout my career, nurses and neonatal nurse practitioners (NNPs) have guided me, assisted me and comforted me through difficult patient care issues that arose. Even more importantly, they allowed me to…

The discrimination against nurse practitioners must stop

I have been a neonatologist for 30-plus years. Throughout my career, nurses and neonatal nurse practitioners (NNPs) have guided me, assisted me and comforted me through difficult patient care issues that arose. Even more importantly, they allowed me to…

Your first 24-hour shift

How can you work for 24 hours in a row? My friends outside of medicine ask me that often. What is it like? I wondered the same thing the night before my first 24-hour shift or “24.” I lay awake worrying, ironically, that I should have gone to bed earli…

Residency training, and training in residency

Exhausted. Aching. Hungry. Slightly delirious. Mile twenty-four of a marathon? Or hour twenty-four of a twenty-eight-hour shift? I am a resident. I am a runner. I am also a rather tired human since, as I type these words, I’m both post-call and p…

Residency training, and training in residency

Exhausted. Aching. Hungry. Slightly delirious. Mile twenty-four of a marathon? Or hour twenty-four of a twenty-eight-hour shift? I am a resident. I am a runner. I am also a rather tired human since, as I type these words, I’m both post-call and p…

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