“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 […]
Category: Hospital-Based Medicine
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 […]
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 […]