Category: Hospital-Based Medicine

What is patient autonomy?

I yelled for the nurse as I wrapped my arms around Mr. John. He was suffering from a violent acute dystonic reaction from a dose of Haldol the night before. Severe muscle spasms overtook his entire body. I saw the whites of his eyes as his gaze shot to…

Do physicians feel guilt and embarrassment more often than they admit?

I was an intern, doing a rotation in the coronary care unit (CCU) of a large urban hospital. It was very challenging: The patients had complex medical issues, and my fellow residents and I were given lots of responsibility for their care. Still, I felt…

The story of a hospital collapse and how small towns were devastated

The money was so good in the beginning, and it seemed it might gush forever, right through tiny country hospitals in Missouri, Oklahoma, Tennessee and into the coffers of companies controlled by Jorge A. Perez, his family, and business partners. It was…

How closing rural hospitals cost patient lives

For more than 30 minutes, Robert Findley lay unconscious in the back of an ambulance next to Mercy Hospital Fort Scott on a frigid February morning with paramedics hand-pumping oxygen into his lungs. A helipad sat just across the icy parking lot from t…

A patient’s family bridges two worlds

Toward the end of my clinical rotations, I met Salma, a 34-year-old woman who came from Egypt with her family to the U.S. two years ago. Wearing a latte-colored hijab, she was here at the hospital to care for her father, who had a case of congestive he…

Who are the real superheroes of medicine?

Imagine yourself spending two years of your life indoors with books. Sometimes the only person you speak to for a few days is yourself, as you memorize intricate details of bugs and drugs that you never imagined yourself knowing. And then after these t…

Who are the real superheroes of medicine?

Imagine yourself spending two years of your life indoors with books. Sometimes the only person you speak to for a few days is yourself, as you memorize intricate details of bugs and drugs that you never imagined yourself knowing. And then after these t…

Don’t make me choose between motherhood and my career

A debate highlighting gender discrimination in medicine currently rages within the pediatric hospitalist medicine community. The debate centers on the board certification process for “grandfathering” for the new pediatric hospitalist subspe…

Who should advocate for older patients in the hospital?

It’s often said that pediatricians and veterinarians have the hardest jobs in medicine because their patients can’t tell them where it hurts. But the same is often true for the health care professionals treating older patients who can&#8217…

Anonymous acts of kindness: How this physician connects with every patient

The only times I stood in Emily’s room without fear was the day I met her, and the day she died. These days were two long years apart, years of unhealthy snacking and spending most weekends away from my husband and son. When Emily’s name first appeared…