A colleague announces he is retiring. Unknown at the time is the fact that there were a series of fires and suicides committed by patients at the psychiatric facility where he was chief medical officer during the year prior to his departure. State inve…
It’s no secret that rural hospitals have been struggling. According to online data from the University of North Carolina, 137 rural hospitals have closed in the U.S. since 2010. In Appalachia, the rural hospital where I work, which is staffed by …
Along came COVID, and no one was prepared. We had minimal PPE. We were told to put our N95 mask in a paper bag, use it on every patient, and use it for one full week. Normally the N95 mask would be disposed of after each patient room exit. Health care …
There is value in reflecting on the most difficult experiences, as it affords an opportunity to examine how we act, react and change in response to the forces around us. The most difficult experiences in medicine are often not discussed, as there is ty…
One of my favorite passages from sacred writings is the story of Moses, still tending his father-in-law’s sheep, an ordinary day in an ordinary place, suddenly encountering God, the ground he stood on now consecrated into holy ground, admonished …
Nurse: “I need help with the computer; patient transfer needs to be completed.” Me: “Ma’am, the patient’s medications are on ‘MAR HOLD,’ which means Medication Administration Record Hold. Therefore, we cannot a…
“The medical profession hasn’t changed. Our credibility hasn’t changed. Our commitment to care for you – to adore you, to grieve your diagnosis and what it means for you and your family – hasn’t changed. Our advice hasn’t changed. I’m grateful fo…
Most physicians receive a budget for CME expenses, and many of those expire on December 31. It’s important to take action now – if you have funds left, there’s a good chance they will be disappear when 2021 ends, and you will then be spending your 2022…
Let’s take a pediatrics patient as an example. She has a rare genetic disorder, heart problems, is G-tube dependent, and home-bound. The child is also on countless medications and requires 24-hour nursing. The family is rich and pays 100 percent …
One patient down. Nine more to go. My attending politely closed the door behind him and walked back to his computer to chart his patient. His pen crossed off a line from the list that he pulled from his pocket. His schedule was listed in 15-minute inte…
