Category: Hospital-Based Medicine

Medicine is for the birds, or it should be

Medicine is for the birds, or it should be.  Hear me out. A day before I wrote this, I was on the trail in northwest Ohio, binoculars in hand, trying to tell one warbler from another.  This was the final weekend of the biggest week of birding in Magee …

Who are the doctors who end their own lives?

Recently, a fellow physician mom ended her life. While outwardly, a very vibrant, lively, and happy woman, she fought her own internal demons for some time. From what we know, she struggled with depression but was still committed to being a good mom, p…

Would a Hippocratic Oath for health care executives make a difference?

Would a Hippocratic Oath for health care executives make a difference? Probably not. Nonetheless, there is ample evidence that the organizational cultures of too many hospitals are not conducive to physician well-being. In a provocative blog posted on …

The intern who knows everything

What seems like a tidal wave of pages washes over you. Drowning in a torrential sea of order clarification, bowel regimens, and vital sign deviations — you struggle to stay afloat. Medical school did not prepare you for this. Patients and nurses are ca…

Getting a terminal diagnosis for my baby

I knew things weren’t right when a nurse called me on my cell phone just a few minutes after she sent me to pump milk in a private room and said that the medical team wants to meet with my husband and me immediately in a conference room. My suspi…

Physicians are suffering, and they need help

Burnout is a big and burgeoning problem in the United States. According to a recent Mayo Clinic report, it affects 28% of the general working population. Among physicians, however, the rate is markedly higher, ranging from 44% to 54% in most studies. M…

Physicians are suffering, and they need help

Burnout is a big and burgeoning problem in the United States. According to a recent Mayo Clinic report, it affects 28% of the general working population. Among physicians, however, the rate is markedly higher, ranging from 44% to 54% in most studies. M…

The difference between shallow and deep work in medicine

“Let me order some labs, and then we’ll discuss where we go from there once I have the results.” I walk out of the patient’s room and right into one of my nurses. “Zoe, can we start that lady on pressors like we talked abo…

Treat the whole patient and do the right thing

Sometimes what makes truly great catchphrases, mission statements, and movie titles so powerful is that they are true, always necessary, and sometimes sufficient.  I was reminded of this a few months back when a patient called into our telephonic urgen…

When a medical facility isn’t equipped to handle profound mental health issues

A person rolls into an outpatient clinic. A pleasant bleach smell emanates from freshly scrubbed chairs. Happy chatter about people’s lives, and this week’s health issues are dimmed by the local radio station playing in the background. The …