Category: Hospital-Based Medicine

End the draconian hospital visitation policies during COVID-19 [PODCAST]

“At the start of the pandemic when hospitals were overrun, testing and PPE were scarce, and unknowns about COVID-19 transmission abound, such restrictions were reasonable, perhaps even essential. But we have made progress since then; most hospita…

When your future steals your present

My whole life has been leaping from one goal to the next.  As far back as I can remember, I always had goals.  Later in life, after practicing for a while, academic and career goals shifted to financial goals. But goals nonetheless.  I never gave mysel…

Congratulations, you matched! Now what?

One of the best feelings medical students must have is the day they match into a residency training program. This day will end an era and starts another. During those few months before July 1st, all medical students go through this phase of mental tran…

Did Time’s Up Healthcare gave false hope to female health care workers?

I do not usually write on this subject. I avoid talking about it also. Not because I do not have what to say but rather because of numerous disturbing memories and experiences since childhood that I intentionally avoid remembering. Events of the last w…

Can science tell doctors what to wear?

In 2002, two Stanford dermatologists published a study in which they sent a questionnaire to a week’s worth of patients, asking them their preferences for how medical providers dress. The study covered relatively new ground. Two of the four references …

Patients are deserving of our best effort and most compassionate care. Every time.

She began telling me the same “sob story,” but this time, I looked at her and coldly said, “Mrs. _____, you are going home. I don’t care what you have to say; you are leaving today. I need the bed for someone else.” She began crying. I walked out witho…

Samuel Shem, MD on how can we put the connection back into medicine [PODCAST]

“There is a frenzy of trying to use technology to re-establish the healing human connection in the doctor-patient interaction. These efforts range from advanced transcription of voice-to-record, scribes who do the data recording during a patient …

How residents can create a positive clinical learning environment [PODCAST]

“For me, the team room became a safe space filled with light, stories, laughter, and food. There, my residents helped me read CT scans, interpret CBCs, come up with the differential for bradycardia, and organize my oral presentations. My resident…

Have stethoscope, will travel

Although it was midwinter, the air coming in through the front windows of the Nissan Versa was balmy.  The radio was tuned to a local station.  It was playing Air Supply’s “Out of Nothing at All.”  This is one of those songs you turn the volume up and …

The times we need to be reminded why we went into this profession

Years ago, I watched an interview on TV with nurses who cared for a man dying of Ebola. Their words and actions continue to ring as true today during the ongoing coronavirus pandemic as they did then. Their compassion deeply moved me for this man dying…