After being a coach for a couple of years now, there is an immediate danger I see right now. Many of you are doing too much. Unsustainable, dangerous amounts of work. Dangerous to yourself and dangerous to others, which makes it dangerous for you, too….
A patient undergoing chemotherapy for breast cancer was diagnosed on April 20th with profound secondary adrenal insufficiency (hypophysitis: ACTH undetectable, cortisol 0.2) caused by immunotherapy (pembrolizumab). She was started on corticosteroids an…
Doctors don’t get sick. Right? We’re certainly not supposed to. Throughout our training, the consequences of illness are dire—if you have to miss a day, someone else, someone you know well and care about, will have to fill in. They will pro…
Doctors don’t get sick. Right? We’re certainly not supposed to. Throughout our training, the consequences of illness are dire—if you have to miss a day, someone else, someone you know well and care about, will have to fill in. They will pro…
“We can talk about the system-based approaches we have instituted to avoid burnout and the negative emotional consequences that arise from medical errors, miscommunication, or negative outcomes that occur outside our sphere of control: Just cultu…
“More studies are needed to fully understand the impact of in-home hospital care programs on quality and cost. Extending the waivers will give physicians, health systems, health services researchers, and policymakers the opportunity to further an…
Just over seven years ago, on April 22nd, my father heralded his 88th birthday with a thoracentesis to drain the fluid from his lungs. On May 3rd, less than two weeks later, he died, due to a blockage in his abdomen leading to sepsis, most likely from …
“Yeah, I mean, whatever, it’s a master’s! Have your own damn party.” My jaw dropped in disgusted shock. The wall was thin, very thin. Come to think of it, it wasn’t even a wall. It was a partition: the separation of space between different office space…
At the start of my medical school’s clinical rotations, I was prepared with new scrubs, minute facts about diabetes and kidney disease, and a stethoscope that I struggled to hear murmurs with. What I was less prepared for was the emotional toll that se…
“If I make a mistake, my patient could go home in a body bag.” I don’t recall whom I first heard this from, but it stuck in my mind as terrifying thoughts do. And we wonder why burnout in medicine is a thing. Mistakes in medicine can cause …
