fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

September 2025

Unraveling

A certain patient and I had always enjoyed an easy rapport at his annual exams and occasional acute care appointments.

Then one morning he presented with an itchy skin rash. The skin findings were minimal; he had tried over-the-counter creams to no avail. I prescribed a more potent topical medication, and he left satisfied. Two weeks later he called again, this time asking for an urgent visit. The rash had spread and the itch was keeping him up at night. He sent photos via the portal, but their blurriness made them difficult to decipher.

Unraveling Read More »

September More Voices: The Exam Room

Dear readers,

When I think of an exam room, I picture the spaces I worked in during my thirty-three years as a family doctor. I picture walking into a cramped room whose stark surfaces and bare walls offered little warmth or hint of comfort. I imagine the major piece of furniture, an exam table, covered with a white paper that audibly crinkles at the slightest touch.

I picture the guest of honor, my patient–who surely does not feel like a guest of honor in these surroundings. They’ve been waiting for ten, twenty or thirty minutes–and sometimes longer–for my knock and my entrance.

September More Voices: The Exam Room Read More »

Scroll to Top

Subscribe to Pulse.

It's free.