Being a doctor involves hearing a person\’s narrative and working to direct it in the best direction possible. There are some people for whom I have become a significant part of their narrative, and others whose narrative I know better than anyone else. It\’s a bond that doesn\’t happen anywhere else.
Health Care – Good Things
So much bad stuff is (justifiably) said about the healthcare system, and how it is becoming distant, frustrating, impersonal, and dehumanized. That is certainly true in many settings, as we value data, documentation, diagnosis codes, and checklists over the humans for which it\’s supposedly built. My office is a sanctuary for me, my staff, and my patients from that impersonal world. But the time I spent in the ICU encouraged me greatly, as I saw that people there, in the middle of one of the most stressful settings in my profession, are still caring. They are caring about the work they do, caring about their patients, caring about the families, and caring about doing what is right. In the midst of the hectic world of the ICU, they took the time to talk to me even though I was not at all involved in the patient\’s care.
My in-laws are in town for my daughter\’s graduation. When I came home yesterday I was greeted with a big smile and vigorous handshake from my father-in-law. \”I just want to thank you,\” he said, standing up from his chair, \”for finding us a good doctor. The one you found for us is wonderful.\” My
Sit down. Really, sit down. Trust me, please. You are going to be shocked with the news I am going to give you and I don\’t want any contusions, closed head injuries, street riots, or revolutions taking place in South American countries on my conscience. Are you sitting? OK, here it goes: Medicare got something
I got dealt a hand of hearts this week. A mother brought her infant for a well-baby visit, and my heart leaped. Last I heard, she had such bad postpartum heart failure that the word \”transplant\” was being mentioned. Her heart \”ejection fraction\” (how well her heart was pumping) was reported as an impossibly low
I have a split medical personality. On one hand, I am a pediatrician; I light up around babies and love to mess around with little kids. On the other hand, I am an Internist; I love complex problems and love talking to the elderly. But the one part of internal medicine which gives me perhaps
I said I would do it and I will follow through with it: I am going to talk about good things about my job. I must confess, however, that finding 53 of them might be difficult at this moment, as I am overwhelmed with the craziness and stupidity of the system. I must also confess