Monthly Archives: April 2019

Should medical residents appear in reality TV shows?

0 Shares Share Tweet Share This notice appeared on a general surgery news website in early February. I don’t know who has been long anticipating this, but I’m pretty sure it’s not people on medical Twitter. My informal, nonscientific Twitter poll garnered 707 votes with 87 percent of those responding saying they would not allow their residents … Continue reading

How medicine rose up to the challenge of the AIDS epidemic

0 Shares Share Tweet Share A guest column by the American College of Physicians, exclusive to In the run-up to the Academy Awards this year, like many people I made a concerted effort to see most of the top-nominated pictures.  Of particular interest was Bohemian Rhapsody, the biographical film about the lead singer of … Continue reading

Regret medical school? Here are 3 things you can do.

3 Shares Share Tweet Share This article is sponsored by Careers by It’s normal to daydream about living a life very different from our own: “What would life be like if I were Beyonce?” “Would I have the same worries if I were a trapeze artist?” “Would I have been happier as a librarian?” We all do it from time to time — perhaps in moments of boredom, or maybe in times of … Continue reading

MKSAP: 52-year-old woman with shortness of breath

2 Shares Share Tweet Share Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 52-year-old woman is evaluated during a follow-up visit. She was discharged from the hospital 3 weeks ago following a small non–ST-elevation myocardial infarction treated with drug-eluting stent placement in the right coronary artery. An echocardiogram … Continue reading

Our doctors are feeling the emotional burden of the state of health care

3 Shares Share Tweet Share Death is an inevitable part of the journey of life. We all have experienced its effects: the death of a family member, the death of a friend or those special individuals who we might have barely known but who left an indelible mark upon our consciousness of living. I will … Continue reading

A patient imagines a conversation with Alexa

0 Shares Share Tweet Share When Hubby isn’t around to act as a sounding board, when I’m not feeling well, I talk to my dog.  She sometimes gets a fearful, tearful earful.  I think if I could channel her thoughts to Alexa, Amazon’s virtual assistant, our conversation might go something like this: Me: Alexa, it took seven … Continue reading

Policymakers: Put down your carrots and sticks. They will not work.

271 Shares Share Tweet Share As a family physician in the trenches, I routinely see blatantly poor medical care in the history of my new patients. Far too many people get unwarranted medications and tests, while important things go unrecognized or unaddressed. This paradox is maddening. We must do better. To this end, policymakers have … Continue reading

How to be a merry widow

3 Shares Share Tweet Share An excerpt from How To Be A Merry Widow – Life after Death for the Older Lady. You are like an animal cut off from the herd; people are social beings and need to be with others. The very word ‘”solitary” brings fear even to the most hardened criminal. Familiar … Continue reading

Being a nurse: the hardest and the best job of all

862 Shares Share Tweet Share I became a nurse at the age of 23. I was pregnant with my first son and dove into nursing headfirst, accepting a job in the pediatric ICU of the hospital where I worked. I still remember the call when I received the job offer. I hung up and jumped … Continue reading

When did people’s feelings start mattering more than patient safety?

15 Shares Share Tweet Share As an elder millennial physician, I’ve been straddling two worlds, that of the “old-school” mentality of training and this newer one of “wellness.” I’ve become disheartened with new physicians being increasingly unable to tolerate any criticism by teaching faculty, even when patient harm is at risk. However, it wasn’t until … Continue reading