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The First Cut

Ralph B. Freidin February 8, 2013 No Comments

Ralph B. Freidin

“Just cut through,” said Dr. Trotter, my anatomy professor.

I had read the instructions in her 1947 dissecting manual. My copy, purchased used, was preserved by stale formaldehyde and smudged with the tissues of past cadavers who’d guided earlier first-year medical students from anatomical landmark to anatomical landmark within the human body.

The time: forty-six years ago. The day: my first day of medical school.

The dissecting room was on the second floor of a building that had been new in 1927. The windows, opened to capacity, vainly invited in any breeze from the still St. Louis fall afternoon. The cinnamon aroma of dry sycamore leaves floated from the sidewalk to the windowsill before being repelled by the pungent embalming chemicals permeating

The One She Calls Milk

Amy Haddad November 23, 2012 No Comments

Amy Haddad

Is for pain but has a longer name
she can’t pronounce. It’s for when he shakes.
She is not sure if the shakes
mean pain since these days
he often cannot say.

Earlier when he could say,
he would mimic the circle faces
on the pain chart the nurses held up to him.
He would try on expressions
until he found one that fit his pain.
He would set his lips into a thin straight line
or deeply furrow his brow. “That one.
That’s how it feels,” he’d say
with just a small note of pride for
getting it right.

Now getting it right is her job.

Nothing to Hide

Kevin Dorsey November 16, 2012 No Comments

About thirty years ago, after I’d completed my internal medicine residency and a rheumatology fellowship, my wife and I moved with our three-year-old son to my wife’s hometown.

There I joined a multispecialty group practice as the second rheumatologist. Over time, the plan was for me to build a rheumatology practice, but while that was happening I took on all kinds of patients, both primary-care and intensive-care. I felt very comfortable doing general internal medicine, and I also liked the intensity of ICU work.

No Red Lights

Loreen Herwaldt October 26, 2012 No Comments

Loreen Herwaldt

As far back as I can remember, I’ve deliberately spent my life on the high road. I was the seventh-grader who was told by adults that she was very serious. I was the college student who majored in chemistry because it was the strongest premed major. I became a doctor.

Before becoming a doctor, I imagined that I would be the epitome of compassion. I envisioned pausing for a moment before I saw each patient to pray for that person and to ask for wisdom. During my last two years of medical school, I enjoyed hanging out with my patients, just listening to their stories. I

Emergency Landing

Shumon Dhar October 5, 2012 No Comments

Shumon Dhar

In the summer of my first year of college, I did an internship as a nursing attendant in a rehab hospital’s stroke unit.

As a premed student, I had little idea of what it meant to be a physician. But that didn’t stop me from feeling slightly superior to others who weren’t on the same path. Although I didn’t know how to take someone’s blood pressure, I often treated friends to detailed descriptions of the biochemistry of complex metabolic diseases.

My summer job took me totally out of this academic comfort zone.

I found myself washing, dressing and caring for the most debilitated people imaginable–unable to walk

Father and Sons

Kathleen Crowley September 28, 2012 No Comments

Kathleen Crowley

It was early November–the sky a sharp, deep blue that only comes at that time of year–and my primary-care clinic in the heart of the city was booked full with bronchitis and early flu. The TV in the corner was tuned to CNN. Children bounced around in boredom, chatting away in an assortment of languages–Haitian and Portuguese creole, Spanish, English.

My last patient of the morning was Jack, a man I’d been seeing for the past few years. He was a middle-aged guy–almost the same age as I was, in fact. I found him sitting quietly in the examining room, reading glasses on and newspaper in hand, wearing a jacket with his employer’s logo on the front.

Unlike most of the people in

Mother And Son

Adnan Hussain May 11, 2012 No Comments

Adnan Hussain

I judge. Even though I’m not supposed to, even though I try my best to stop myself, I still judge. Fundamentally, I guess, I’m a creature of habit, caught up in an endless current of seemingly instinctive behaviors. As a first-year medical resident, I sometimes feel acutely aware of this in my dealings with patients.

I stand at the bedside of Sharon Weathers, an unassuming woman in her mid-thirties for whom I’ve been caring over the past few days. She was admitted with excruciating abdominal pain that has proven resistant to our attempts at pain management. Each morning, I visit her to ask, “How did you sleep? On a scale of one to ten, how would you rate your pain?” And each morning,

Stepping Into Power, Shedding Your White Coat: Donald Berwick’s Graduation Address

Donald Berwick May 4, 2012 2 Comments

Donald Berwick

Editor’s Note: Donald Berwick, recent Administrator of the Centers for Medicare and Medicaid Services in the Obama Administration, and a founder of the Institute for Healthcare Improvement, gave this speech at his daughter’s graduation from Yale Medical School on May 24, 2010.

Dean Alpern, Faculty, Families, Friends and Honored Graduates…

I don’t have words enough to express my gratitude for the chance to speak with you on your special day. It would be a pleasure and honor at any graduation ceremony. But, I have to tell you, to be up here in this role in the presence of my own daughter on the day that she becomes a doctor is a joy I wouldn’t dare have dreamed up. I hope that each of

Common Thread

Peter de Schweinitz March 9, 2012 No Comments

Peter de Schweinitz

One sunny afternoon during my fourth year of medical school, I spent a day assisting a New Yorker turned rural Southern podiatrist. As we whittled dead skin, checked pulses and scheduled minor procedures, an arrogant question formed in my mind: Why did you choose the feet instead of something more impressive, like the heart?

Maybe he read my mind. Later, seeing me off to my car, he said, “I know that you medical doctors could do my job. I’m here so that you can do more important things.”

At the time, I didn’t know whether to pity his lack of aspiration or admire his humility. But a

Soon

Stacy Nigliazzo January 27, 2012 1 Comment

“Wake up, Eli,” I whisper, tapping his collarbone. “I need to re-check your blood pressure.”

“Aw, come on, doll,” he snickers. “A man can’t snore if he’s dead. Ain’t that good enough?”

“No, sir,” I reply. “I need numbers.”

It’s two a.m. I’m seven hours into a sixteen-hour shift in the emergency department of a busy city hospital, running five rooms in the “sick but stable” section with Dr. Watts.

Healing Words

Gretchen Winter January 6, 2012 1 Comment

Gretchen Winter

As a physician-in-training, I find joy in helping to ease pain and occasionally cure illness. But I often find my greatest sense of purpose in helping patients to heal emotionally, whether by allaying a patient’s fears, addressing a lingering concern or lending a listening ear.

Having majored in communications in college, I’d assumed that the patient-physician relationship would be the easy part of medicine. I’ve learned, though, that getting it right isn’t always easy.

An encounter with a patient named Mary Collins brought this lesson home to me.

As a third-year medical student, just finishing the third week of my family medicine clerkship at a community health center, I was starting to feel competent at performing the basic history and exam.

It was

Stigmata

Kevin Koo October 14, 2011 No Comments

I started my third year of medical school as a surgery clerk.

With this eight-week clerkship came a flood of conflicting advice from older, wiser peers: “Ask a lot of questions, but speak only when spoken to.” “Offer to help, but stay out of the way.” “Be friendly and likeable, but not too friendly–or too likeable.” For the medical student, such is the mystique of the OR.

Three weeks into my general surgery rotation, I was helping my senior resident to see patients in the clinic and evaluate them for surgery. She grabbed the first chart off the day’s pile, knocked on the exam-room door and turned the handle, glancing at the chart before saying, “Hello, Mister–”

“Tran,” the patient finished.

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

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

Tag: doctor-patient communication

The First Cut

The One She Calls Milk

Nothing to Hide

No Red Lights

Emergency Landing

Father and Sons

Mother And Son

Stepping Into Power, Shedding Your White Coat: Donald Berwick’s Graduation Address

Common Thread

Soon

Healing Words

Stigmata

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

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

Tag: doctor-patient communication

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