Category: Hospital-Based Medicine

Silence in health care is a crisis

I was moved when a family entrusted me to give a eulogy for their beloved. This great privilege highlighted a hallmark of a physician’s service to humanity: “to cure sometimes, alleviate often, but comfort always.” But I was horrified to learn that his…

The thorny side of medical marijuana

Patients legally using medical marijuana (cannabis) at home may be stunned if they are admitted to a hospital because many hospitals may prohibit them from using it. In the United States, medical marijuana is legal in 31 states, and research shows that…

The evolution of the stethoscope

The stethoscope. Nothings says “I’m a doctor” more than the stethoscope in a pocket or draped around the neck. Forty-five years ago when I got my first one, a gift from my physician-father, the former was more common. Then we were more likely to wear c…

Embrace the teamwork involved in becoming a physician

It’s Sunday, and the clock is approaching 8 p.m. Every computer in our team room is still on, and the sound of typing is filling the small space. A spread of snacks, interspersed between stethoscopes and stacks of faxed records, is ignored for the time…

3 things physicians can learn from politicians

Shock. Horror. Did you just read the title correctly, or are you seeing things? Well, after you recover from the shock of reading a line you probably never thought you could possibly see in writing — let me tell you this: Physicians and politicia…

8 tips to land the residency of your dreams

After countless hours of hard work and three demanding years of medical school, it’s now time to face the spotlight! If your interview invites have started rolling in and you are feeling intimidated by the thought, follow these tips to land your first …

You can measure the pulse of a hospital by its coffee shop

I think you can tell a lot about how things are going in a hospital based on the amount of consumption of coffee by its employees. Visit the Starbucks, Au Bon Pain, Roasterie, Einstein Brothers, or whatever coffee shop inhabits square footage in your h…

Doctors are pawns of the health care system

Doctors and other caretakers are the pawns of the health care system. We provide the services that allow hospitals and medical groups to bring in big revenue.  Unless we are contracting directly with insurers, doctors will never realize the true financ…

A medical student as storyteller and story-listener

“Sondor” is a made-up internet neologism that captures the fleeting but poignant sense of “the realization that each random passerby is living a life as vivid and complex as your own — populated with their own ambitions, friends, routines, worries and …

This attending learned so much from her residents

While riding shotgun in the family minivan on the way home from a fall break water park trip, I received the following text message: I thought of you today! One of the residents here had done a great job with a complex (and really sad) labor and delive…