“Scarcity has, in many ways, defined the COVID-19 experience in the U.S., from shortages in personal protective equipment to ICU ventilators and hospital capacity, to COVID test kits, to drugs like Remdesivir in hard-hit states. These shortages h…
Category: Hospital-Based Medicine
Trapped in a cauldron of suffering, medical staff are weary
Sometimes I really look forward to something new. An alien race arriving on earth would be a nice start. I think we could all use a change in the news cycle. Because I am very tired of thinking about, talking about, and especially treating COVID-19. In…
I’m grateful for your trust in me. I wish it didn’t require a cancer diagnosis to win it.
You are my favorite patient. You’re charming and funny. You proudly tell me you’ve just retired – having built multiple successful businesses from scratch. You were admitted to my service with rapidly progressive respiratory failure. Your C…
3 ways health care leadership can get nurses back at the bedside
The COVID-19 pandemic continues to push everyone, especially frontline health care workers, well beyond the brink. Nurses have been exposed to the most trying and difficult predicaments related to the coronavirus, and the stress has taken its toll. Dur…
You can’t fix what is already broken
It’s one of the last weeks in December. If it was any other year, I would have realized that Christmas is around the corner, the air would be filled with a different, radiant, joyful kind of energy, and most of us would be focused on all the less…
The degradation and devaluation of nurses
Where do I begin? Maybe at the beginning. Let’s start with the degradation and devaluation of nurses across this country. For decades, I lived the devaluing of nurses. Daily huddles from our nurse managers, ER nurses, ICU nurses, and behavioral health …
Dying after leaving against medical advice [PODCAST]
“This is where we are: Hospitalizations rising, new variants that are more infectious, and many people believing that this is all a hoax, or that millions of people have conspired together to make injections that harm people rather than helping t…
Words of advice from a chief resident [PODCAST]
“Chiefs, remember, one of those interns is going to fill your shoes in a few years. They may model you in that role, so you want to raise them well! As a former chief resident, I have lots of pearls for those entering residency. However, what I w…
Unsolicited advice from unmatched residency applicants: Hope for the best, plan for the worst
When you enter medical school, you put your trust into an unspoken promise: Work hard, pass all your classes, and you’ll come out as a doctor after four years. While mostly true, this perception doesn’t take into account the residency application proce…
Doctors with borders
During my internal medicine internship in 1980 a professor chided our team because housestaff no longer prepared and interpreted peripheral blood smears. He scoffed that they don’t make doctors like they used to. I have heard similar lamentations thr…
