1. Our health care system is broken, and there isn’t going to be an easy way out. Costs are too high and our outcomes too poor. There’s a lot of finger-pointing in how we got to this point, but one thing is for certain — physicians must lead the way to a better system. The heart […]
I began practicing as an internist/nephrologist in the early 1960s. Having rented an office in Los Angeles, I introduced myself to the local medical community and set out to build a practice. With a growing family, a mortgage and an office to support, I was hungry for patients. Hospital emergency rooms were good referral sources, […]
I have a fantastic leader as our chief. He develops a certain softness in his voice and demeanor when he has to sit down with me and share some concerns. It’s like he is on my side. It’s like he believes in me. He thinks this was an act, but this is not who I […]
I remember the fervor of my first day of internship: expecting a daunting yet exciting time lay ahead and I was finally going to be of some use to people. (And to my parents, relatives, and neighbors: “Oh, you’re finally a doctor.”) I felt like Tom Cruise on the airstrip of Miramar racing an F-14 […]
Walking through the dark construction zone of my now demolished kitchen, I made my way to the garage and out into the still, hot, humid July night. The air felt so thick, it was hard to breathe. At 1 a.m. I was headed to the hospital for a patient that just arrived in active labor. […]
I woke up to the sound of a faint “ding” from my bedside table. It was 5:24 a.m. Shaking off my lethargy, I scrambled over to my phone because the ding meant one thing: my first residency interview invitation. Looking back on that moment, as I responded in the dim light of the morning, I […]
Recently I was saying goodnight to my oldest son, who is now 14 and about to enter high school. I was standing in his bedroom looking at his midnight blue walls, which are covered in each of the planets. He looked up at me from his Pottery Barn bunk bed and said, “Mom, I need […]
A natural part of life is emotionally growing (hopefully) with experience. If I was to look back at my own journey, when I was in medical school and just graduating, I would say that without doubt, one of the biggest things I would tell my younger self, would be to not take things too personally. This […]
I have a theory. There is a simple thing hospitalists can do that can enhance relationships with our patients, and even, I bet, improve patient satisfaction scores. The catch is it is not something you can do for yourself; you can only “pay it forward” for somebody else. We know patients who trust their physicians […]
What makes a good doctor or, for that matter, a great one? Most patients want physicians who are excellent clinicians and diagnosticians. But we also want doctors who are caring, empathetic and maybe even telepathic — doctors who seem to know intuitively what we need without any awkward discussion of sensitive issues. After all, patients […]
