The first time I had ever been present when a patient was in cardiac arrest, I was a medical student, spending a night in the emergency department of a small local hospital. An old woman was rushed in from home after she had fallen over at the dinner t…
My friend, the hospitalist, was livid as he came from meeting the administration. “They said doctors cost too much!” he sputtered. “We’re an expense. An expense the hospital can no longer support. We are an expense!” He turned purple. Nice color. Like …
“It’s not my fault that you chose to have children.” Years after leaving my job, I still hear my boss’s words in my head. He did not want to get married and or have children. He made that clear during my interview. He was also …
oIs it possible to have it all? Can you have a job that you love, helping people and using your brain and hands all at the same time; plus, a family, with a spouse and children, that you are always there for? Is it possible to have a balance between …
“Time is generally the best doctor,” according to the Roman poet Ovid. But these days, in the middle of the pandemic, what doctor has time? Health care professionals already have 29-hour days. In many places, hospitals are at or near capacity because o…
As hospitals everywhere have been using every health care provider available to them in response to COVID-19, the specialty of hospital medicine has shown itself to be uniquely suited for coordinating the effort, to be the front of the frontline respon…
“I can’t take this, doc. It’s gonna kill me. I can’t. I just can’t,” exclaims my patient with persistent refusal of his medication. My frustration is met with my patient care team’s hesitation to give him the m…
It was a Thursday. It was supposed to be one of those “regular” evening shifts. Then, at 6:15 p.m., my first page went off: Bed 11, Mrs. R., Dr. H. needs to talk to you. The page came from the COVID section of the emergency department. I immediately ca…
An excerpt from Doctors’ Orders: The Making of Status Hierarchies in an Elite Profession. Copyright (c) 2020 Tania M. Jenkins. Used by arrangement with the publisher. All rights reserved. I met Trevor on his very first day of residency, at the st…
One aspect of medicine that anyone who reads my work knows I’m most passionate about is keeping excellent communication at the core of health care. It’s a vastly under-taught skill, and although medical schools are certainly getting a lot better at tea…
