At the stroke of dependence, half an hour past independence

  At the stroke of dependence, half an hour past independence (For Angela who responded with such heartfelt need of personal confirmation of self worth that I was glad I wrote this piece.) Carey came into my office every 3-4 months for 10 years. “Are you married?” I initially asked. Carey laughed and replied, “Well,…

Mind Over Matter

Mind over matter James smoked a pack a day. He was “never gonna quit”. He said “thank you ma’am” at least 5 times each visit. He always wore a blue button down and a smile. He came in one day for a routine appointment complaining of left arm pain. James looked pale but his vitals…

Doctoring requires relationships

Doctoring requires developing relationships with people   This was the most retweeted post. Amongst KevinMD readers it did not generate much interest and actually the comments expressed frustration because I mentioned that sustaining phyisican-patient relationships while operating in the current structure was part of the goal. Nobler physicians rebuked the current climate refusing to accept EMR and quality metrics or…

Burn in

Physician burnout may not happen. But “burn in” is guaranteed.   This was one of my favorite writings. It didn’t garnish a lot of shares and reads. Perhaps because burn out has been solidified as an entity or because people rebuke it or because we are in a phase of creating steps to stop burn…

Punching Bag

Physicians are the emotional punching bags of society   One of my favorite issues to tackle thus far. Interestingly, I was seeing increasingly articles on how to maintain and generate empathy and kindness towards the patients. Meanwhile, I was experiencing daily a barrage of patient lashings. Something had conjured the notion that physicians deserved the…

Taking back the Bedside

Physicians will rise to take back the bedside   This submission was to help reclaim the bedside for the physicians. Interestingly it seems to offend some already claiming the bedside as more rightfully theirs. It also seemed to ignite a flurry of frustrated comments about those things that interfer with the bedside. My intention was…

The Equinox

This story shows the humanity of medicine  

The Chasm

Eighty two year old Bernard and his wife Cheryl came in together at the request of the Cardiologist. The Heart Failure Clinic he attended noted a slow rise and fall in creatinine as he navigated the year and seasons. Every undulation of his creatinine  incurred need to increase and decrease diuretics. “You have Cardiorenal Syndrome,”…

Move Day

I once read a book about how to be happier. It was an energetic book and I enjoyed the first parts that I managed to read. I think after the first half where were so many tips I hadn’t implemented I just stopped reading. It had become a burden to never get to all the…

Homecoming

  Homecoming Rare diseases happen. They happen to people and they leave impressions on all like a wake against a once sturdy boat afloat in a widening uncertain passageway. Her name was Mildred. She had short hair and wore black rimmed glasses. She was 36 years old. Thirty six was that magical age for me…