Here’s what they should have told you: “We found cancer in your lymph nodes, your liver, your lungs, and your brain. It explains your weight loss, your difficulty breathing and your loss of appetite. This wasn’t just your depression l…
Category: Hospital-Based Medicine
A patient that reminded me of the first man I ever witnessed dying
He struggled to breathe, progressing from deep breaths with wet sounds reverberating in his lungs, to guppy breathing — opening the mouth like a fish, contorting the entire face. His heart rate slowly decreased, from 150 beats a minute — a pace attempt…
What should you consider when establishing a peer-mentoring relationship?
Mentorship is a common topic in medicine. We, as a profession, spend significant time discussing, attending workshops about, and researching the role of mentorship. Mentorship is key to personal development, career choice, and improved academic product…
Would this be what a modern-day House of God would look like?
I want to write a book about the modern intern experience, a successor to The House of God, if you will. I’m going to call my book Seaport General. It’s about a young intern named Troy, who is starting his internal medicine training at a fictional un…
I speak for the nurses
“I would submit to you that those (small hospital nurses) probably do get breaks. They probably play cards for a considerable amount of the day.” – Maureen Walsh For the first ten years of my professional life, I was an inpatient nurse, first on …
How the death of a patient affected this nocturnist
I am a nocturnist (a nocturnal hospitalist). I love my job, but many nights my work can seem unfulfilling. For one, taking care of hospitalized adult patients is primarily spent managing exacerbations of chronic diseases. Therefore, the reality is that…
A nurse’s downfall was telling the truth
These events happened over 18 years ago. Some content has been changed to protect the innocent and the guilty. Searching for positive changes in the health care industry. We are not a number, and the patients are not a number. I’m not good at lying. My…
The powerful phrase that’s ruining medicine
Within the clinics, hospital corridors, and halls of medicine, a new phrase has emerged and taken hold of the practice of medicine. Whenever confronted with the challenging, inconvenient, undesirable, underinsured or maybe when just overwhelmed, health…
Medicine today is all about the document, the data, and the bill
“Remember that patient you saw?” What a horrible question that always was. You came to work, and a friend would come up to you quietly and take you aside. “Remember that guy yesterday with the chest pain?” “Mr. Hayes?̶…
8 things to watch for if you, or a family member, is hospitalized
Hospitals are busy, hectic, and unpredictable places. Professionals who work in health care are highly trained and competent individuals, and if you are receiving acute care in America — the standard of your treatment and access to high-quality t…
