Category: Hospital-Based Medicine

Music is creating beauty in the most surprising of places

“Good morning, Mr. S! How are you feeling today?” I ask as I step into his hospital room. Yesterday, Mr. S was admitted for infective endocarditis and has been tolerating antibiotic treatment well. I am a medical student on my acute cardiology rotation taking care of him. “I’m feeling fine,” he says, and I proceed […]

Moving beyond National Women Physicians Day

The supervising resident’s Voalte phone dinged: “Dr. Mel: Please meet Dr. Rosemond at room 514 for Cardiology rounds.” She scrolled up a few texts and saw that her male counterpart who had rounded the previous day had been addressed as “Dr. Stearnes.” When Mel mentioned the discrepancy to Jacob Stearnes, he just shrugged and said, […]

Medical office design matters

Fresh out of residency and having just turned 29 years old, I started my first job as a general pediatrician in Sioux Falls, South Dakota. One of the first official tasks of my new position involved picking out brand new office furniture for my private windowed office which was housed along the perimeter of the […]

6 things wrong with hospital medicine

In 2002, when I began my first hospitalist job, I was a dyed-in-the-wool hospital medicine convert, convinced that the transfer of inpatient care to true specialists in hospital medicine (hospitalists) would dramatically improve the quality and efficiency of inpatient care, increase patient satisfaction and decrease costs. By 2008, I had developed serious doubts, which prompted […]

A physician’s return to the ivory tower

I started internship July 1, 2008, as a terrified 25-year-old blank slate. Most days started with a combination of nausea and dread as I pumped myself up in the resident parking lot — conveniently located a mere 1/2 mile from the entrance to the ivory tower I called home. The days were long. The nights […]

The one patient that drives physicians to burnout

We all have that one patient. That one patient who can always find a way to turn a good day bad, who just knows how to push your buttons in all the wrong ways. Who’s that patient for me? Let’s just call him Elton Reed. Oh, Mr. Reed … where to begin with him? When […]

The one patient that drives physicians to burnout

We all have that one patient. That one patient who can always find a way to turn a good day bad, who just knows how to push your buttons in all the wrong ways. Who’s that patient for me? Let’s just call him Elton Reed. Oh, Mr. Reed … where to begin with him? When […]

I want to learn how to love medicine

“Tell me something you love.” I love warm chocolate chip cookies — straight out of the oven. “Thank you. Tell me something you love.” I love to read, to write, to dance. I don’t know yet if I love medicine. We were gathered in a ballroom, a group of doctors and dancers, to explore the […]

What can physicians do to combat confirmation bias?

The day begins at 6 a.m. I am rounding on my nine patients, quickly examining them and providing a brief update about the plan. Like the other harried residents, I am speeding from one room to the next, trying to get everything done on time. And then, inevitably my beeper goes off — “Patient in […]

It’s time for hospitalists to be engaged with opioid use disorders

Alvin is a 42-year-old man who was never really given a chance. His parents both had severe alcohol use disorder. At age 12, his parents encouraged him to skip school to sell marijuana in order to fund their drinking. As his parents began using various illicit drugs, Alvin started selling larger amounts of marijuana to […]