August 2018
Western Kenya
One morning, in the women’s ward of a semirural hospital where I was working as a family-medicine resident, my team encountered a rarity: a disabled forty-year-old lady with crutches. Her case seemed to scream for attention, and I made my way to her bed.
Amy Crawford-Faucher ~
There’s one thing about being a family doctor: After a while, almost every patient you see is a familiar face. This can be a blessing or a curse, but mostly it’s a blessing.
This morning I’m in my office, reviewing today’s patients with Julia, the medical student rotating in our office.
I’m especially looking forward to my 10:30 appointment. It’s the first checkup for a newborn girl named Ella. I’ve known her parents, Emily and Dave, since before they had their first daughter, Katie, now three. I think of them as one of “my” families.
Emily and Dave, in their late twenties, have been together since college. Emily works full-time in a management position. Everything about her is
Marc Tumerman
This is a story of two deaths. That these patients’ stories intersected on the same morning, in the same building, in two adjacent rooms, has left me thinking about them now that the day is almost done.
I was surprised to see Mrs. Stevens’ name on my schedule today. She came to the office last week, and I felt sure that she’d be too weak for another visit. But I was glad she’d made it, as I’ve become quite fond of her.
She’s seventy, and dying of metastatic lung cancer. She’s a lifelong smoker, but at this point I’m not worried about cause and effect, accountability and responsibility. None of that changes what I must do now as her physician.
Hugh Silk
“Why do you want to go into family medicine?” my internal-medicine preceptor asked.
It was an innocent enough question. I’d known from day one of medical school what I wanted to do, so I answered with confidence, and perhaps a bit of a chip on my shoulder.
“I love being with people and getting to know them,” I said. “I’ve always been this way, so it makes sense that’s what I would do for my career. I’m looking forward to having the long-term relationships and seeing where they go.”
A raised eyebrow, followed by his knowing Irish brogue: “I applaud that. My own father was a GP in Ireland. But I’m afraid you won’t find much of that in
Hind Almazeedi
Arwa arrives late to the clinic. Her husband is parked outside waiting for her.
“You missed your last two appointments,” I say, checking her records. It’s been four months.
“I didn’t have a ride,” she shrugs.
Many of my patients live close to the primary-care center in Kuwait where I work as a family physician, but the desert heat makes it impossible to come here on foot. Two minutes under the sun can leave you delirious, and if you have asthma, the sudden dust storms are a constant threat. Without an air-conditioned car, you’re essentially homebound.
I know this, so I don’t argue with Arwa.
Mitch Kaminski
Mr. Dwyer isn’t my patient, but today I’m covering for my partner in our family-practice office, so he’s been slipped into my schedule.
Reading his chart, I have an ominous feeling that this visit won’t be simple.
A tall, lanky man with an air of quiet dignity, Mr. Dwyer is eighty-eight. His legs are swollen, and merely talking makes him short of breath.
He suffers from both congestive heart failure and renal failure. It’s a medical catch-22: when one condition is treated and gets better, the other condition gets worse. His past year has been an endless cycle of medication adjustments carried out by dueling specialists and punctuated by emergency-room visits and hospitalizations.
Kendra Fleagle Gorlitsky
Are you going to take that long with all the patients?
  Depends. If they’re really sick, I’ll have to.
I’m just saying…there are a lot waiting.
  Well, this one tried to kill herself last year. And today she’s really hurting.
I wanted a full physical, and I heard this is just a check-up, but I’ve been waiting over two hours!
  Could you put this gown on, please. What are you worried about?
I can’t find work that doesn’t make me lift, but I can’t lift.
  Can you swim?
Never learned.
  What was your favorite job?
Paula Lyons
July 1. My first day as a family medicine intern, assigned to Labor and Delivery, and my first night on call, 6 pm sharp. Enviously, I watched the other interns smartly packing up to go home.
“See you in the morning–maybe!” they joked.
I glanced at the status board: eight patients in labor. And now I was “in charge,” at least in name, till 7 am report tomorrow.
Several chaotic hours later, I finished helping a Guatemalan mother of five to deliver her sixth son. My hands were trembling.
Toweling the plucky little newborn dry, I admitted the truth: Despite my University Hospital’s
Dan J. Schmidt
I started medical school thinking I wanted to be a family doctor–someone who could work in a small town and deal with whatever walked through the door. But in our third year, when we received our first taste of clinical medicine, I found my surgery and ER rotations exciting. I was at our state’s major trauma center, and I loved it. Fixing things gives me a thrill–and the power to save a life is even more alluring.
Each “save” felt like a miraculous triumph. Take the nineteen-year-old visiting Australian, stabbed in a random street altercation, his blood pressure dropping as fluid accumulated around his heart. Right there in the ER, he had his chest split open and his right ventricle patched by
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