Category: Hospital-Based Medicine

Sharing administrative pain might give us more joy in medicine

I’m still trying to figure out what happened. I don’t want to be put on suicide watch by the wellness office. It definitely began during our weekly noontime mindfulness session. I came in late, furtively signed in (gotta make that metric) and slipped i…

This residency interview season: Be the rebel

Ours is a chaotic and overburdened medical system. As a senior resident, there is every temptation to seek in our incoming classes more obedient interns and junior residents who would obey my orders as their senior without question. I challenge that we…

Every physician will kill a patient

How did I miss his hypokalemia? Two weeks into my intern year and my patient’s potassium returned at 2.9. Minutes later, he coded. And I felt responsible. As I explained to my partner how my patient had become pulseless after diuresis of his heart fail…

A research attending starts his month on the wards

An excerpt from The Perfect Dose. Walking towards the clinical rotation to take care of patients after weeks in the research labs was never easy. The long hallway between the two buildings had an almost transformative effect on Mann as he transitioned …

It’s time to view hospitalization as a procedure

I previously suggested that transitioning from the traditional inpatient care model to the hospitalist model inadvertently motivated providers to hospitalize more patients, specifically borderline sick patients.  Our example was a 74-year-old woman wit…

Turning a patient: a nurse’s act of duty and compassion

I met a fellow nurse at a wedding recently who, upon hearing that I worked at a long-term acute care hospital (LTAC), shrugged his shoulders and said, “Oh, sure. A lot of turns.” I shrugged, too. He had belittled my work, but in a way, he w…

How a medical student can help the team during clinical rotations

Based on my clinical experiences, there are ten pieces of advice I would give to any medical student starting their rotations that will maximize productivity and lead to a robust and thriving work environment (your interns will thank you). 1. Do as com…

Health care organizations have to take better care of their employees

Anybody who has even a passing interest in health and wellness knows the sobering fact that a large number of medical problems that plague society today are the result of unhealthy living habits. Conditions such as heart disease and diabetes, which are…

Health care organizations have to take better care of their employees

Anybody who has even a passing interest in health and wellness knows the sobering fact that a large number of medical problems that plague society today are the result of unhealthy living habits. Conditions such as heart disease and diabetes, which are…

Celebrate the contributions immigrants make to our health care system

Congratulations to ZDoggMD’s latest, One Sikh, an ode to all the immigrant clinicians who care for our most vulnerable patients.
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