Category: Hospital-Based Medicine

A room once full of vitality lies empty

More than two months after he died, his name still adorned the whiteboard of the hospital room he inhabited. As I stood there and gazed, recalling the memories he left me with, the nurse who tended to him entered the room and started to cry. Her love f…

The art of medicine is born in the unforeseen

It was 2:21 a.m., and the pager exploded in my ear like I had forgotten to turn the volume down before plugging in my headphones. The nurses told me your heart rate was getting faster, and your oxygen was dipping lower. When I made it to your room, you…

No wonder doctors feel like hamsters running on an exercise wheel to nowhere

Burnout. We define, measure, and talk about it endlessly but do little to fix it. Unchecked, it can lead to medical mistakes, career dissatisfaction, early retirement, provider suicide, and excess costs. With the recent pandemic, the public has become …

Keep us safe: Stop the violence against health care workers

Violence against health care workers has escalated to unprecedented levels in the last decade. The pandemic seems to have accelerated outbursts against health care providers online, in print, and in person. A man from Tulsa, Oklahoma, recently angry ov…

Controlling physician behavior

Some years ago, I had the privilege of serving as chief of staff of my community hospital. One of my responsibilities was to review complaints directed at doctors. Ten to twenty “occurrence reports” came across my desk every week. Most were…

Does patient-centered care really meet human-centered care?

This episode was during my elective time in India in the late winter of 2017. It was a patient-centered learning opportunity for students around the world who has an interest in medicine. I was excited about this because of my earliest clinical exposur…

An experience of shame in training

Early one morning in 1996, after a sleepless night on call, I stood with my team in the VA hospital, outside room 102. I was a 28-year-old intern in the general medicine service. We were making rounds on twelve patients that my intern partner, myself, …

An experience of shame in training

Early one morning in 1996, after a sleepless night on call, I stood with my team in the VA hospital, outside room 102. I was a 28-year-old intern in the general medicine service. We were making rounds on twelve patients that my intern partner, myself, …

How privileged a physician’s knowledge is

I was warned about it before we walked into the room. So when I did walk in, I made sure my eyes stayed focused on his eyes, my gaze high and attentive. I smiled, possibly more than normal, to make sure he felt comfortable. Like a puppeteer holding up …

Academic medicine on life support: a letter to a newly appointed CEO of a leading academic medical institution

Congratulations on our leading academic medical institution (LAMI) yet again making it to the top ten list of the U.S. News & World Report! You have taken the reins in perilous times (globally and domestically), and what you do and what you stand f…