Even with lawsuits and co-pay caps, will Insulin ever be affordable?
The sausage-making of how insulin is priced is not for the faint of heart. I’m a physician, not an economist. But the diagnosis seems plain as day: greed. More
Serving Patients Through a Screen
Years ago, when telemedicine first edged into my clinical consciousness, I pooh-poohed it as a second-rate simulacrum, valuable perhaps for rural communities lacking access to specialists, but otherwise hardly worth the crinkly exam paper it was replacing. I’ve staked my entire career on the irreplaceable value of the connection between patient and clinician. But I’ve changed…. More
Access to Primary Care
“Doctor, it’s taken so long to get this appointment with you!” This is the opening line of so many medical visits, and I find myself constantly apologizing to my patients on behalf of our system. After the pandemic-induced lull in routine medical care, we’re right back where we started—doctors booked for months, patients struggling to get appointments. More
Memorializing Covid
COVID-19 does not seem amenable to grand memorials, at least right now. Perhaps because the millions of deaths from COVID-19 have been diffused so widely, often in isolation—and of course still ongoing—the memorials that are starting to crop up are very human in scale. More
I Feel Safest (re Covid) in My Own Hospital
When it comes to Covid, our patients seem to be moving on. We healthcare workers, however, don’t have that option, as Covid is now the third leading cause of death in the U.S. Covid may not be the only thing on our mind as it was at the outset, but it’s still part of every staff meeting, every communication, every clinical day. More
The Beauty of Medical Language
The clinical language is so dry that it sticks in my throat like the grits they used to serve in our hospital cafeteria. It handily abides by our hospital’s infection control guidelines; the writing is so sterile that nary a staphylococcus could hope to achieve mitosis in its midst. It is as though the practitioners of the scientific literature of medicine reached a covert agreement to ban even the slightest of hint of creativity, the slimmest suggestion of beauty. Of course, it was not always that way… More
Imagining Vesalius
While we typically envision the brain as a palpable whole, the spidery latticework of nerves is a more ephemeral affair. At best the nerves come across as limp linguini, flopping languidly over whatever bone, muscle or organ offers a convenient landing pad. Seeing the nervous system entirely disembodied is revelatory. More
Covid Vaccination: the Last Mile
The COVID vaccine engenders a unique obstinacy that seems to blot out conversation. We doctors and nurses are exhorted to listen to our hesitant patients and hear their concerns, but this is difficult to do when patients don’t even want to talk. More
NPR’s Morning Edition
NPR’s Neda Ulaby interviews Danielle Ofri and Celeste Ng on “Morning Edition” about BLR’s 20th Anniversary (and how a literary journal came to be founded in a storied public hospital). More
White Hot Light
Frank Huyler was different than the other doctor-writers I’d been reading. His patients weren’t named, not even with pseudonyms. They weren’t meticulously described with MFA-honed adjectives. His language seemed ordinary, his sentence structures plain. There was no thesaurus lurking just beyond the page. But it was not a literary laziness. It was a seduction. More
Florence Nightingale in the Age of Covid-19
May of 2020 marked the 200th anniversary of the birth of Florence Nightingale. That her bicentennial fell during a worldwide pandemic is both illuminating and ironic. Nightingale’s experience as a nurse during the Crimean War led her to three insights that came to define her professional life, insights as revolutionary as they were unpopular. More
The Vaccine Anthropologist
The world’s richest countries are now its most vaccine-hesitant. Can we learn to trust our shots before the next pandemic? Danielle Ofri profiles Heidi Larson, a “vaccine anthropologist,” for The New Yorker. More
Taking Stock of the Second Covid Surge
As the pandemic raged from the winter surge through to the spring slog, my Postmortem folder lit up with a dispiriting regularity. I opened it with dread as it revealed which of my patients had perished that week. More
The Doctors Blackwell
Few people today know much about what Elizabeth Blackwell actually did, and fewer are even aware of her younger sister Emily, by far the more accomplished clinician. More
Covid Duets
Given the death and destruction all around us during the Covid pandemic, it felt unseemly to complain about coming home to a strange cello every night. More
