A second opinion can be a powerful tool. It can help lower your risk of experiencing a medical error or misdiagnosis, allow you to explore all treatment options and their benefits and risks, connect you with physicians who have experience and success t…
“In the best of times (and these are certainly not), all patients need advocates all the time; now more than ever, vulnerable patients need them more but don’t have access to them. Vulnerable populations have more at stake when visitors are limit…
I sat outside my patient’s ICU room, my eyes glancing from his chart to him and his wife. The picture was grim. My patient, Tom, was a 56-year-old man, severely ill from decompensated cirrhosis, was admitted for the third time in a month with hypothe…
One of the most annoying things for any professional, is to be face-to-face with the person you are serving—whether it be your customer, client, or patient—in the limited time available to you, and feel that your attention is being diverted from the ma…
“Sir, please calm down,” she says nervously, glancing around to see if anyone had noticed their interaction. “No, I will not calm down. Where is your boss? You don’t know what you are doing!” He gets up and starts walking …
Residency and fellowships are tough. While most trainees come in and expect medicine to be the most challenging thing they have to deal with, what makes a training program challenging to navigate seems to be entirely something else. Having trained in p…
It’s the first day of residency. This morning, the intern was exuberant: the white coat was starched with pride, and the stethoscope brought a new sense of prestige. In last night’s lengthy sign-out, the intern proudly asked relevant questi…
My small community ED has a fairly high acuity. As such, I was recently trying to transfer a couple of patients, one of whom was an NSTEMI, pain-free but with a rising troponin. In the process of trying to arrange things, I learned that our main region…
“My experience with recent knee surgery that left me significantly disabled for over a month brought this to my attention yet again. I was completely dependent on others for basic self-care since I was unable to get in and out of the tub/shower w…
Thinking, Fast and Slow is a well-known masterpiece of psychology by the formidable Daniel Kahneman. He diligently illuminates two different pathways of thought, which he arbitrarily titles System 1 and System 2. System 1 describes our quick thinking, …
