8:30 a.m. Doing intakes—interviews with new patients to the clinic. First one is Carola Castaña, a petite thirty-five-year-old Brazilian who immigrated to the United States three months ago. She folds her hands in her lap as I begin to take her history. She understands my questions better if I ask in Spanish rather than English, but her Portuguese replies are Greek to me, so she struggles to answer in English. More
Sometimes it feels as though my brain is juggling so many competing details, that one stray request from a patient—even one that is quite relevant—might send the delicately balanced three-ring circus tumbling down. One day, I tried to work out how many details a doctor needs to keep spinning in her head in order to do a satisfactory job, by calculating how many thoughts I have to juggle in a typical office visit. More
Voice mail is both a blessing and a curse. When we were first given voice mail in our clinic, it was a revolution–patients could actually get in contact with their doctors. But sometimes voice mail is a ball and chain. More
The only preventative medicine that actually prevents disease are vaccinations. Our world is an immeasurably better place since the advent of vaccines. Yet there is a complicated psychology that hovers like a fog around the idea of vaccination. More
The patient was a classic “worried-well” type of patient. When she unfolded a sheet of paper with a brisk snap, my heart sank as I saw 30 lines of hand-printed concerns. More
Writing has always been a prominent part of medicine. Doctors write “histories†of their patients all the time. Increasingly there has been interest in writing by patients. More
“Dr. Chan and Mrs. Geng eased out of their chairs in the waiting room using their matching wooden canes, the kind distributed by the hospital, free of charge. At 89, Dr. Chan was stooped and frail, his body paper-thin. He seemed as though he might topple over from the breeze generated by the opening and … More
Poetry is a supremely sensory art, both in the imagining and in the writing. What happens when the poet faces illness? How is the poetry affected by alterations of the body and mind. More
A monolithic message on mammogram screening for breast cancer sidesteps critical nuances. More
Danielle’s lecture on multiculturalism in medicine–“Journeys With Our Patients.” More
George Bush once famously (or infamously) commented that health care is indeed available for all: You just go to the emergency room. More
There’s a lot we can learn from animals in many facets of life—Lord knows, a nice massage behind the ears could do a lot of us some good—but I am consistently impressed by how much smoother veterinary medicine runs. More
What exactly is the mission of a medical school? Is it to train the best and smartest doctors? Is to tend to our nation’s health? Is it to further medical knowledge? More
A dispassionate discourse on the abortion wars in America? Not something that seems possible, at least in the current polarized culture in the United States. Into the fray comes the documentary “12th and Delaware,” a quiet movie that seeks to illuminate rather than bully. More
The scientific world finally produced the data to support what seems so obvious: Palliative care belongs in the beginning of cancer treatment, not just at the end. More