Hospital at Home
Mr. Smith was a sixty-eight year old man who came to the Veterans Affairs hospital where I was a medical student complaining of chest pain. “With chest pain, it’s all about the story,” my resident, the physician in charge of our team, said. We talked to him to find out what he was doing when … Continue reading
The State Fair
“I got run over by a golf cart at the State Fair,” my five-year-old cheerfully says to the Emergency Department technician who is checking us in. A utility cart knocked him down – he is a five-year-old running along the grass by the path, and some asshole wasn’t looking as he turned into my kid … Continue reading
Rural Americans’ Healthcare SLC Tribune Editorial links
Here’s the link to my SLC Tribune Piece Sunday, June 9, 2013 Below are the links that were embedded in the piece. …..healthcare cost..is a major factor, but for many, geography correlates far more with what kind of care they get than health insurance status. …. While on vacation near what the guide book asterisk … Continue reading
Gorilla Glue and Heartbreak
“My friend said to tell you everything when I come,” she says as she opens a little zippered bag full of flakes. “My teeth are falling out and I can’t afford a dentist, so I use Gorilla Glue to glue back the pieces,” she says. She was referred to me for severe asthma, but she … Continue reading
Continuity of Care
“I would want you as my doctor. I just wouldn’t want your life,” I said to the thoracic surgeon. It was after midnight and we were standing in the intensive care unit. I, having urgently intubated a critically ill patient; he, having finished a surgery on a patient we shared. This particular patient had had a lung … Continue reading
Anxiety
Anxiety ranks among my least favorite diagnoses. In medicine, we have a long history of blaming a variety of diseases on anxiety. Even in the recent past we attributed gastric ulcers to stress until it was proven that a bacteria that lives in the gut is responsible. Indeed, who would have thought: a bacteria living … Continue reading
53 Year-Old Black Male
“53 year-old black male,” the medical student begins his presentation of the patient’s case. “53 year-old man,” I correct him. It’s not his fault, we are taught to do this in medical school. We are taught to refer to people as “male ” or “female,” but every time I hear someone say that I think … Continue reading
mybetterdoctor 