Category: Hospital-Based Medicine

It’s not every day the head nurse on a medical floor accompanies a physician on a consultation

An excerpt from Act of Negligence. Copyright © 2021 by John Bishop. All rights reserved. Published by Mantid Press. Beatrice Adams Monday, May 15, 2000 “Morning, Mrs. Adams. I’m Dr. Brady.” There was no response from the patient in Room 823 of Universi…

The weight of the pager

I have heard from more than one retired anesthesiologist about becoming aware of the weight of the pager after it is relinquished. I imagine other physicians engaged in critical care, trauma (physical and emotional), other emergencies, and obstetrical …

The world should be more like a children’s hospital

For 15 days, we lived at Children’s National Medical Center when our daughter Evelyn was diagnosed with leukemia. As a physician, I had felt like I had lived at the hospital before, but this was different. The first few days were a blur – long days fol…

How photography made me a better doctor

In my first year as an attending hospitalist, I personally discovered what Hippocrates realized millennia before, “Life is short and the art long.” Clinical reasoning is an intellectual labyrinth that can only be mastered with deliberate practice, intr…

Patient satisfaction through a hospitalist lens [PODCAST]

“In addition to leaking private information to an unauthorized individual who just happened to ask for Ms. Mann by name, Larry commanded Nigel to worsen this HIPAA violation. Given the tone of his command, Larry must have felt right proud of his …

Here’s the secret to establishing a great physician reputation

Summer marks a flood of young new attendings hitting hospitals all over the country. There will also be many doctors whose first contract is coming to an end, and they are moving to a new position. Both of these scenarios create an opportunity to make …

A police shooting in a hospital forces a family to rethink American justice

The beer bottle that cracked over Christian Pean’s head unleashed rivulets of blood that ran down his face and seeped into the soil in which Harold and Paloma Pean were growing their three boys. At the time, Christian was a confident high school studen…

This didn’t happen every day in a small town ER

An excerpt from The Hospital: Life, Death, and Dollars in a Small American Town. Marc Tingle and his daughter, Summer, stood in a bathroom they were tearing apart over in Fayette in Fulton County. They had a problem: taking a cast-iron bathtub out of a…

Responding to the COVID pandemic: a lesson in coalescence [PODCAST]

“When faced with an existential crisis, any organization, as large as a nation or as small as a marriage, will go one of two ways. Either it will bond together, coalesced in a common purpose, or it will collapse in a spasm of blame and shame. Whi…

Metric shock: the unintentional consequence of measuring

Health care in U.S. hospitals is suffering from three under-recognized conditions that I will refer to as “Metris,” “Severe Metris” and “Metric Shock.” Metris occurs when a health system begins to focus more on achieving certain metrics than on improvi…