Category: Hospital-Based Medicine

A medical student’s first patient presentation

In medical school, you’re not taught how to give stellar patient presentations. Yes, you’re shown the traditional order of things: “Give an effective one-liner first, then tell the HPI [history of present illness] but only give pertinent info, etc.” Ju…

An experiment in removing the heart from medicine

I delight in learning my patients’ stories and giving them exactly what they need when I take care of them in the hospital. Who they are and what is the best approach to their problem is the primary mystery to be solved, my Sherlock Holmes moment…

How a Minnesota Supreme Court decision could affect curbside consults

“In a case that could have wide-reaching implications for medical practice in Minnesota, the Minnesota Supreme Court issued a ruling on April 17 in the case of Warren v. Dinter holding that the existence of a physician-patient relationship is not…

Sexually discriminatory language used against our trainees: There is no grey area

“Thanks baby, I mean doctor … Doctor baby …” he finished uncertainly. I washed my hands, gave him a quick nod, and walked out of the emergency department exam room with my smirking attending following behind me. Speaking to a group of my female c…

Treating a VIP benefactor of a hospital

My local hospital has been petitioning the local city zoning board for permission to build an on-site parking garage for years now.  The city zoning board is very strict about the height of buildings and has turned the requests down repeatedly. This pa…

Physicians: Don’t let administration intimidate you

One of the things I am most grateful for, as a doctor who has worked in at least a dozen different hospitals over the last decade, is the broad range of experiences I’ve had and the variety of physicians I’ve met and gotten to know. I enjoy hearing exp…

The brutal emotional challenge of medical training

I can vividly remember the day the phone call came. My cousin screaming over the phone, trying to make out words but unable to speak, disbelief, horror, the fear in her voice palpable even though she was thousands of miles away. It was barely 5:30 a.m….

Time for grieving is a necessity for medical trainees

It was hour thirty, and I was still at the hospital. My shift had technically ended two hours ago, but I was emotionally invested in this patient She was dying. I didn’t want to leave because I was so worried that she would pass the moment I stepped ou…

Success in medicine does not equate to a successful life

I sat across the table from my physician client and listened to her story. She asks, “How can it be that after four years of medical school and three years of residency training in my chosen field I feel so disillusioned and disconnected?” Instea…

Chronicles of a resident’s life

I love working but detest taking exams. Since life only gives you more of what you try to run away from, on a Friday morning, I had to present a patient in front of my colleagues and attendings in our weekly clinical grand rounds. After that, I had to …