With the escalating pressures on hospitals, health care facilities, and practitioners to be cost-effective, it is increasingly difficult to justify spending money on education and training. Education and training are expensive when adding together the …
“So, the next step in the history taking process is to define the pain. You start this by asking for site, with questions like, “Where are you experiencing the pain? Can you pinpoint the site or is it more general? Does the pain radiate (spread anywher…
I am a 57-year-old female physician, and I remember an incident that involved a cardiologist on the other end of the phone, roughly fifteen years ago. I had recently started work as a hospitalist, and the cardiologist and I had never met. He clearly di…
1. Take it easy. The worst part of all this is the fear. More people die from the flu, car accidents, or guns. As of Saturday, March 7th, 19 Americans had died from COVID-19, compared to 1,177 every week from the flu, 746 from car crashes, and 294 from…
An excerpt from Looking Within: Understanding Ourselves through Human Imaging. It started as a routine weekend shift, reading studies on patients in the hospital and the emergency department, when the phone rang. Jessie, the nuclear medicine technologi…
In medical school, I was taught to sit down at eye-level when speaking to a patient, ask them how they’d prefer to be addressed, make sure to ask questions in an open-ended manner to allow patients to express themselves, and interject with “…
Does anyone really want health care for all? I promise this is not a political rant. Americans, of any political persuasion, should not be misled by the implications of health care for all: It does not mean medical care for all. Providing a card statin…
A radical change is emerging from within our health care system: Rather than deny or defend medical errors, some hospitals are acknowledging them upfront. This enlightened response has been gaining ground since 2001 when the University of Michigan Hosp…
Just to give you my background, I manage a large hospitalist program for a busy downtown community hospital that is part of a large health system consisting of a total of 29 acute care hospitals in the same geographical area. One of the reasons why our…
Ed is not from Kentucky. I believe he told me he is from West Virginia and from a very low-income family. At about 15, he was hit by a car and paralyzed from the waist down. He’s now about 30. But for a guy in a wheelchair, he is nothing short of…
