The presence of computers in the exam room has had another consequence. Both physically and psychologically it has placed a wedge in the doctor-patient relationship. More
On 9/11, doctors and nurses swarmed Bellevue Hospital, ready to help the injured from the twin towers. But we weren’t ready for happened next. More
Chloë Atkins is the type of patient that every doctor dreads—presenting with a plethora of symptoms that don’t offer any obvious medical explanation. There are multitudes of such patients in a general practitioner’s roster and most, thankfully, will not turn out to have a serious illness. But there are a few who do, and as Atkins’ book points out, this can be a harrowing experience. More
She eyed the cool, glistening water, watching her friends swim. Gushes of water lapped over the edge, dousing the riverbank’s knot of weeds and rushes. She chided herself for forgetting her bathing suit. But this outing hadn’t been planned… More
We all want “quality†medical care. But how should quality actually be measured? Quality is one of those words that used to mean something. Nowadays in hospital hallways, quality is a charged word that is more corporate-speak than actual English.
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Danielle Ofri speaks on Minnesota Public Radio about why would anyone choose to become a doctor. Hear the story now. More
The awe of discovering the human body. The honor of being trusted to give advice. The gratitude for helping someone through a difficult illness. These things never grow old. More
It was a year into our relationship when my patient finally told me the truth. No wonder he couldn’t keep his medications straight. More
Mr. S received the unwelcome news that he was H.I.V. positive, though his T-cell count was still in the normal range. His T-cell count stayed high enough to protect him from opportunistic infections. He seemed to be one of the rare, lucky “nonprogressors.†But after several years of consistently robust T-cell counts, one of the nurse practitioners had a hunch. More
There is something about a first friend that is irreplaceable. No matter how disparately your lives travel, the first friend you ever had occupies a special place in your heart. I was lucky that Michael was considerate enough to be born four months before me, waiting next door, ready to join me in elaborate childhood games of hide-and-seek, multilevel couch forts and family camping trips in the Catskills. More
I could understand why other people might prefer euphemisms for death, but why medical professionals? Weren’t we supposed to be much more comfortable with the workings of the human body? Didn’t we pride ourselves on our technical accuracy? Didn’t we say “umbilicus†instead of “belly button� More
We imagine medicine as a rational science, and we imagine our attention to our lives and our bodies pays off in reasonably predictable ways. But I have to admit that random, irrational, unplanned events can often have greater effects on overall health. More
For doctors who have waded into social media, however gingerly, many questions arise. Is posting a medical musing or details of a recent party on Twitter or Facebook the same as chatting with colleagues while walking down the hall of the hospital? Do the same rules of etiquette and liability apply to this extremely public environment? More
Was writing simply cathartic, an unloading of pent-up frustration, pain, occasional exhilaration? Or was this part of a nobler cause, something that would fall under the purview of healing, something with ultimate benefit for my patients? For if it wasn’t the latter, was I not simply exploiting my patients for their readily accessible drama? More
As report cards go, this one was pretty depressing. The Women’s Health Care Report Card for 2010 from the National Women’s Law Center showed a nation failing the majority of its population. Not a single state in our fine union received a “Satisfactory†grade. Not one! More