doctor-patient relationship Archives - Page 3 of 9

Mind Boggling

Nick Safian June 25, 2021 11 Comments

“Eleven years ago, I wasn’t as old as I am now—which is a funny thing!” Virginia Mitchell tells me.

She’s dressed as if she picked her clothes using yellow Benjamin Moore paint samples: bright canary shirt, mustard pants, daffodil leather shoes. Last week’s theme was purple, topped off with a violet scarf; another time it was green, accented with a chartreuse ascot.

Hard Traveling

Ted Epperly May 4, 2021 11 Comments

I heard him coming before I saw him.

Kerflop…kerflop…kerflop….

The sound grew louder as a pale, gaunt man in a red Toyota pickup truck pulled into our clinic’s lot. He parked in front of the window where I was seated.

Last Patient of the Day

Pamela Adelstein April 30, 2021 9 Comments

Last patient of the day, and of the work week! I was finishing what felt like my Thursday Night Endurance Test, after which I could go home to my family, and eventually to bed.

As on so many Thursdays, I was running behind. My final appointment was with a new patient, Ann Miller. Before entering the exam room, I did some fact-finding.

Coming Clean

Alisa Duran April 23, 2021 16 Comments

The exam room bears an odor; it’s a musty sweetness, not unpleasant, but one that I know well–fetor hepaticus, a sign of severe liver disease.

My patient, Ms. Atkins, slouches on the exam table, brooding. She’s thirty-four years old, and an alcoholic. She is joined by her mother and her five-year-old daughter, Mari, who skips to my side, long braids bouncing off her shoulders.

Inside the Respiratory Tent

Joanne Wilkinson May 13, 2020 8 Comments

Spring comes slowly to New England. When I leave the house in the mornings at the end of April, I pull my fleece jacket tighter around me on my way to the car. My preteen daughter’s dark eyes and solemn mouth watch from the second-floor window as I pull away.

In the “don and doff” station at the respiratory tent in the hospital parking lot, I put on a gown and gloves, then take one last lungful of chilly damp air (grass, diesel fuel, coffee smells from the bodega across the street) before I plaster the N95 mask to my face, looping the elastic bands over my head like jump ropes.

Put to the Test

Roberta Turner March 24, 2020 18 Comments

I’m a primary-care doctor in Washington state. I was recently confronted with a ticklish and painful situation.

Here are the facts and the sequence of events:

On a recent Wednesday morning, I saw a forty-five-year-old woman in my office for an earache. She told me that a member of her church had been diagnosed with coronavirus, and that many schools in the area were being closed because of possible exposure. Later that day I started to receive emails and phone calls from families in my practice, giving more information about this situation.

Last Day

Daniel Becker January 31, 2020 1 Comment

It’s my job to empty a plastic bag
filled with meds both past and present
and read out loud the labels of those we stopped,

and explain why, and while we’re on why
why he needs oxygen at night, and the rescue inhaler.
Between pills it’s my job to ask in a generic way

about life outside the clinic? He takes out his phone
because his story needs a prop.
His ex called yesterday, Only one ex, one’s enough,

A Flower in Winter

Joseph Fennelly December 27, 2019 4 Comments

It’s winter of 1993. A cold, snowy day. Windy. A blizzard. The phone rings.

I’m not on call for my patients today–except for one. Daisy has been in my care since the early 1970s, and given the risk that she may suffer a serious downturn, I’ve instructed her nursing home to call me whenever necessary.

This is that call. Daisy, my dear lady, the old artist, is dying.

Throughout her nine decades of life, her passion for poetry and painting, and her ability to engage the people around her, have been her constant companions on what has been a fraught journey. Her heart, however, has grown weary and is finally giving out.

Shock Treatment

Amy Tengelics September 20, 2019 6 Comments

I sat in the cold, sterile examination room, anxiously awaiting my new orthopedic doctor–the fourth in two months. I was losing hope of ever finding a doctor who would listen to me. The first three had suggested that my pain was all in my head

I want someone to take me seriously, I brooded. I don’t want to be brushed off as the stereotypical hysterical female. My pain is real, and I’m not crazy. I need someone to believe me.

Finally, there was a soft knock on the door.

“Good afternoon, I’m Dr. Lee.”

In front of me stood a man with an impeccably groomed goatee. He glanced at my elbows, which I have a habit of bending too far backwards while relaxing. Brow furrowed,

Exit Interview

Tamra Travers June 28, 2019 5 Comments

Tamra Travers ~

“I’m graduating and leaving our clinic in June.”

Over and over again, in the months leading up to this transition, I break this news to my primary-care patients. I have developed many meaningful relationships with patients over my past three years of training as a family-medicine resident in a large, urban health center in Manhattan. But now it is time to leave and move on.

The fluorescent lights in an overly air-conditioned white clinic room illuminate face after face, all with the same look, staring back at me. Her face drops. His shoulders brace. His eyes shift. Her chronic low back pain tightens its grip. Her once improving mood slips back down. The eight-month-old bouncing and smiling on

Beginner’s Mind

Jessica C. Stuart June 7, 2019 7 Comments

Jessica Stuart ~

I paced in the hallway outside of the patient’s room, going over my mental checklist of items to do during the history and physical examination. Bringing in a paper list was discouraged; we were meant to “flow” through the exam “naturally.”

I stuffed my hands into the pockets of the white coat I’d received three weeks earlier, during the White Coat Ceremony for first-year medical students. Feeling around the deep pockets to make sure that I had everything I needed, I felt my left hand graze a cold metal reflex hammer with a sharp tip, used to test for nerve damage in the feet of diabetic patients. (Alternatively, it could be used as “a medieval torture device,” my mother had

Eye-Opener

Daniel Lee May 10, 2019 54 Comments

Daniel Lee ~

1. Bipolar disorder
2. History of postpartum psychosis
3. No custody of her children
4. In treatment for cocaine abuse
5. Regular smoker

I digest each of these facts on the computer screen in rapid succession, progressively cementing the picture of Renee Pryce, a twenty-eight-year-old woman in her final months of pregnancy.

I’m a first-year resident in a large urban county hospital. In the course of my training, I’ve learned that some people (mostly older doctors) find the electronic medical record (EMR) burdensome and inefficient.

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 relationship

Mind Boggling

Hard Traveling

Last Patient of the Day

Coming Clean

Inside the Respiratory Tent

Put to the Test

Last Day

A Flower in Winter

Shock Treatment

Exit Interview

Beginner’s Mind

Eye-Opener

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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 relationship

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