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The Resilient Heart

Paula Lyons October 30, 2009 No Comments

Paula Lyons

He was applying for a job on a refuse truck working for the City. This is a very good job for someone whose hiring prospects are otherwise limited. Excellent benefits, all state and federal holidays off, health insurance for oneself and one’s family, physical exercise in the fresh air. (All right, this was Camden, New Jersey, so exercise in some kind of air.) And one more plus: If the team is efficient and hardworking and get through their rounds by 11:30 am or noon, they can take the rest of the day off, yet get paid as if they’d worked the whole 5 am-to-1 pm shift.

I was the doctor doing his pre-placement physical exam–designed to determine if the potential employee has

Second-Guessed

Andrea Gordon October 9, 2009 No Comments

Andrea Gordon

It was a good night, but it’s been a brutal morning.

As a family doctor who does obstetrics, I generally enjoy my time with laboring patients. When I arrived on the maternity floor last night to start my call, things looked pleasantly uneventful. Several patients were in labor. Only one wasn’t progressing well: Ana, age twenty-two.

I was told that Ana had come to the floor two days earlier, leaking puddles of clear fluid but not contracting. She still wasn’t contracting, even after two days on pitocin, the drug that causes or strengthens uterine contractions.

To add to this difficulty, there was Ana’s shift nurse, Barbara.

Barbara and I had a history. Another night, caring for a very annoying patient,

Late Again

Paul Gross September 18, 2009 No Comments

Paul Gross

One thing I love deeply about being a family doctor is that I get to take care of people–body and soul. A patient comes into my exam room with a litany of physical symptoms (“My shoulder…my knee…my stomach…so tired…this nausea…”) and then, in response to a questioning look, suddenly bursts into tears.

It’s all mine to deal with. The shoulder. The stomach. The tears. I get to gather the pieces and see if we can’t put this broken person back together again.

What a privilege.

And yet the joy of primary care is also its curse. With each patient, I have to keep track of everything–the trivial and life-threatening, the physical and mental, the acute, the chronic and the preventive. And

Looking for Respect

Ashrei Bayewitz August 21, 2009 No Comments

Ashrei Bayewitz

This may sound strange, but I secretly looked forward to my colonoscopy.

I was excited to see the people in the colonoscopy suite–the receptionists, the nurses and my doctor. I knew that they would like me, because I would be brave and respectful. That’s what’s always happened since I was diagnosed with Crohn’s Disease ten years ago. During my multiple colonoscopies and countless doctor visits and other outpatient procedures, I invariably build up a rapport with someone, be it a doctor, nurse or staff member. I’ve always been a good patient, and now that I’m a second-year medical student as well, I can understand their work a little better. I expect them to sense my goodwill and to treat me in turn with

Millie

Edgar Figueroa July 10, 2009 No Comments

Edgar Figueroa

Looking at Millie in her living-room-turned-hospital-quarters, I can’t help reflecting on the four years we’ve shared as patient and doctor.

We’ve come a long way since our first visit. I was an inexperienced resident; she was a wiry woman who looked to be in her late sixties but was actually fifty-three.

She’d sat back and stared at me, sizing me up.

“You know I have kids that are older than you?” were her first words.

I wasn’t sure if she was complimenting me on my youthful looks or expressing uneasiness at having me as her doctor. I smiled, blushed, quickly refilled her prescription and asked her to follow up.

Over time, I grew quite fond of Millie; seeing her name on the schedule

Apologies

Alex Okun January 16, 2009 No Comments

Alex Okun

You were right.
That IV was no good.
Looking at his arm all swollen like that,
I thought, “That says it all.”

I’m sorry we kept bothering you.
“Please don’t wake him for vitals,”
You told us.

Sometimes we don’t see the signs.

I was hoping she would stay home longer,
That you would have had more time together.
She liked starting school every September.
She loved that backpack.

I’m sorry it always took so long
To get into the room.
I’m sorry I took so long to call you back.
I liked our long talks.

If I say “we,”
Then maybe I’m not to blame.
We don’t know why some children
Develop this complication.

We don’t know why
The brain is so

Snowscape

Jeffrey R. Steinbauer January 2, 2009 No Comments

Jeffrey R. Steinbauer

The snowstorm had started on Friday, before I’d gone on call for my group. At first I’d thought the weekend would remain quiet, that the small town where I practiced might just slumber under a fresh blanket of snow. But by early Saturday morning, things had gotten busy at the hospital. Several emergency-room visits, phone calls and admissions from the nursing home changed the stillness I’d felt amid the snowfall. In no time, there was the familiar stress of trying to bring order to a day that was rapidly becoming chaotic.

Sometime that afternoon, I looked up from a chart to see the town sheriff standing at the nursing station. Although we were acquainted through weekly Rotary Club meetings, he now was

A View From Nepal

Caroline Jones December 12, 2008 No Comments

Caroline Jones

The farmer wanted to know why his three-year-old son couldn’t walk or talk.

I sat opposite him in a dark, cold classroom converted into an examination room for a four-day medical clinic last spring in the village of Lapa, high in the Himalayas.

Wind whistled through the stone walls; rain pounded on the tin roof. The room’s single ceiling bulb kept flickering and dying; I had to use a camping headlamp to see my notes. And communications were hampered, to say the least: We conversed via two translators–from English to Nepali, from Nepali to the local Tamang language, then back again. It sounded a bit like the telephone game, and had similarly uncertain results.

Still, one look was all I needed to make

Hospice

Joanne Wilkinson November 21, 2008 No Comments

Joanne Wilkinson

My patient’s beagle is very quiet. He lies next to the brown leather living-room chair she used to sit in when I would come to see her at home. His nose is down on his paws, and his round eyes look up at me, up at the nurses, the home health aides, the family members who go back and forth between here and the back bedroom. He is very alert, but silent. He stays perfectly still.

My patient’s sons want to know things. How much longer will it be, will she be in pain, what will the end be like, will she be conscious? Should they take the rest of the week off from work, should they call the son in California and

My Patient, My Friend

Larry Zaroff November 7, 2008 1 Comment

Death is not always the same. Quantity, fixed: one per patient. Quality, variable.

Doctors see many deaths, of different kinds. This is true of any doctor, whether or not he or she is a surgeon, as I am.

It’s easier for the doctor when death is expected, following a long illness, a chronic disease. Harder when it’s unforeseen–the heart attack, the accident, the gun shot, the sudden death in a young man or woman who seemed a conqueror.

Halloween Horrors

Paul Gross October 31, 2008 No Comments

Paul Gross

One October evening last year, I went to our local pharmacy to pick up a prescription for my daughter. I made sure to bring Cara’s insurance card because my employer had switched us to a new health plan.

I wasn’t sorry about the change. Our prior plan had been operated by incompetents–although they might only have been crooks, I couldn’t be sure–who also managed our flexible spending accounts. These accounts, you may recall, collect pre-tax income from your pay and then return it to you to pay for out-of-pocket medical expenses.

With that plan, nothing ever worked as advertised. I would submit a dental bill for reimbursement and the company would review it for three months before sending me a denial notice, stating

In the Nick of Time

Barry Thompson September 26, 2008 No Comments

Barry Thompson

When the ringing woke me at 3:00 a.m., I hoped that it was my alarm clock. For a neurologist on call, middle-of-the-night phone calls mean trouble; as a rule, you don’t get awakened at that hour unless it’s something really serious.

At 6:00 p.m. the prior evening, a young man had shown up in the ER of one of our satellite hospitals with a severe headache. He’d been diagnosed with a tension headache and discharged with a prescription for acetaminophen with codeine. No imaging studies had been done.

Nine hours later, the patient presented to the ER at our main hospital. He was no longer fully alert, the ER doc told me. I told him to get an immediate CT scan of the

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 stories

The Resilient Heart

Second-Guessed

Late Again

Looking for Respect

Millie

Apologies

Snowscape

A View From Nepal

Hospice

My Patient, My Friend

Halloween Horrors

In the Nick of Time

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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 stories

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