Sources of Air Pollution in the Salt Lake valley

from Air Quality Board Other thoughts on air pollution.

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

The Stories We Tell

Stories are at the heart of who we are as people. In medicine, patients tell their doctors the story of how their symptoms started and how they have progressed. They tell the story of how they feel now. We document this story in a note from the encounter that we call the “history and physical.” … Continue reading

Brain Transplant

When I was in Boston, I had a patient with a brain tumor and two adult sons.  She had a malignant, progressive brain tumor and had been unresponsive for months.  Her prognosis was poor.  One son, I’ll call him Peter, thought she would have wanted to be DNR/DNI:  if her heart stops, if her breathing … Continue reading

Girl Driver

“Mom, doctors are men and nurses are women,” one of my four-year-olds said to me cuddling up in my lap as the pediatric nurse walked in. He wasn’t trying to be inflammatory. At this age, he had been learning social norms, and his voice betrayed the pride he felt at finally figuring out this “rule.” … Continue reading

Air Pollution is Bad for You: What I learned at the Air Quality Retreat

What I learned at the University of Utah Air Quality Retreat March 4, 2013: From Particles to People: Air Quality, Health, and Society Retreat 1.  Air Pollution is bad for you. One of the ground-breaking studies on evaluating the effects of air pollution compared the rate of hospitalizations in children living near a steel mill … Continue reading

What I Learned at the ATP Reunion Conference Feb 2012

Hi all, happy valentine’s day!  I hope you’re all doing well.  It was fun to meet up with some of our class for the reunion conference.  While this conference was not the life-altering event our class was, I still found it useful and thought I’d share some of the things I learned at the conference. … Continue reading

Five Things

“What are you looking for?” I asked my supervising attending physician. I had been the intern on the bone marrow transplant service for less than a week. “Which numbers are important?” I wanted to know. “You listen every day as I rattle off hundreds of numbers in a few minutes, with no emphasis or pause, … Continue reading

Dying

It is another night on call in the intensive care unit.  The night shift starts with what we call a sign-out where the physicians who have been taking care of these critically ill patients during the day tell me a bit about each of them as well as any issues that would be useful to … Continue reading

Thinking in Cliches

[From Bellevue Literary Review Vol. 1 Issue 1. Fall 2001.] The Diagnosis You, a 67 year-old cardiologist with a PhD in music theory and an avid interest in ancient Greek history, find yourself re-examining old lessons.  The one thing our patients ask, you cannot answer, your first medical professor had warned you.  What will happen … Continue reading