Doctor-Writers: What Are the Ethics?
There is a veritable epidemic of doctor-writers out there. What is going on? Are doctors suddenly in the kiss-and-tell mode? What about confidentiality? Professionalism? HIPAA? As one of the aforementioned doctor-writers, I look upon this trend with both awe and trepidation. More
A True Role Model: Dr. Lisa Schwartz
Lisa was my very first resident. She taught us medical students how to aspirate ascites fluid from the abdomen of a cirrhotic patient, how to diagnose granulomatosis with polyangiitis, how to wrangle a CT scan from an obdurate radiologist, how to handle a hallucinating patient who spoke only Igbo, and where to get a cheese Danish once the coffee shop closed. More
Mothers in Medicine
We in medicine are inculcated in the culture of deferred enjoyment, of sacrificing our lives now for some distant rose-colored, board-certified future. But here’s the breaking news: No chapter with unlimited time and resources is ever going to magically open up in our lives. No fairy godmother will miraculously graft 8 hours onto your day or stock your house with groceries or impress the 16 kinds of vasculitis into your cingulate gyrus. More
Medical Humanities: The Rx for Uncertainty?
A large part of our medical maturation is facing uncertainty and then accepting it into our fold. This is far harder than memorizing all those rare diseases. The humanities can offer doctors a paradigm for living with ambiguity and even for relishing it. More
Nothing Glamorous about Opioid Addiction
Pain stands nearly alone as a medical condition that not only can’t be measured but that patients might also have an ulterior motive to lie about. I never wonder if a patient is lying when she says she is constipated or has a vaginal itch. But the reality is that there’s not much street value for Metamucil, and there aren’t any rehabs filled with recovering Monistat addicts. More
The Day I Zipped My Lips and Let My Patients Talk
“We have two ears and one mouth so we can listen twice as much as we speak,” said Epictetus. It’s clear that the Greek philosopher wasn’t a physician in 21st century America. How long, I’ve sometimes wondered, would my patients actually talk if I didn’t say anything at all? More
Globe & Mail review of “What Patients Say, What Doctors Hear”
Ofri argues in her new book “What Patients Say, What Doctors Hear” that the conversations doctors have with their patients are the most important part of a medical visit, far surpassing blood tests, X-rays or various scans. And she believes it’s time both doctors and patients give these conversations their due. More
Washington Post Review of “What Patients Say, What Doctors Hear.”
“If you’ve switched physicians in search of someone more caring, or left an exam feeling unseen and unheard, you will find much to appreciate in Danielle Ofri’s perceptive book. ” More
A Bellevue Doctor on Trump, Exam Room Conversations and Her New Book
Ofri draws on anecdotes and evidence in her new book, “What Patients Say, What Doctors Hear,” to argue that, even as technology advances, conversation between patients and doctors remains the “most potent diagnostic—and therapeutic—tool in medicine.” More
Are We Missing the Most Important Aspect of Health Care?
As the medical industry strives for a virtual world in which diagnoses are made and prescriptions rendered on a smartphone app, Ofri argues that successful conversation is the primary driver of healing. Sadly dialectics remain a longstanding elephant in the office: doctors enter with opinions, patients their own, the ticking clock on the wall in plain view of both parties. More
Book Launch!
You are cordially invited to the book launch for What Patients Say, What Doctors Hear. The launch will take place at two of my favorite bookstores: the Strand and the Upper West Side Barnes & Nobles. I hope you can join me for one of them. Strand Bookstore Broadway and 12th St, Monday, Feb 6, at … More
Poetry in Medicine
When I make rounds with medical students and interns, I’ve often tried to sneak in a poem at the end. It’s not always the most well-received bit of medical teaching, More
“Literature about medicine may be all that can save us”
“Language, that most human invention,” wrote Oliver Sacks, “can enable what, in principle, should not be possible. It can allow all of us, even the congenitally blind, to see with another person’s eyes.” In the last decade or two, a new generation of doctor writers – including Atul Gawande, Abraham Verghese, Henry Marsh,Danielle Ofri, Siddhartha Mukherjee, Paul Kalanithi and Gavin Francis – have undertaken the mission of seeing in this fashion. More
Adding Spice to the Slog: Humanities in Medical Training
As soon as we’d finish rounds on the medical wards I’d race to pass out an Anatole Broyard essay in the nanoseconds before dispersal entropy overtook our team. More
Storytelling in Medicine: the Passion and the Peril
So much of medicine is about stories—the ones we hear, the ones we tell, the ones we participate in—that it is no accident that doctors and nurses are attracted to stories. More
