patients
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
Perchance to Think
In the pressurized world of contemporary outpatient medicine, there is simply no time to think. With every patient, we doctors race to cover the bare minimum, sprinting in subsistence-level intellectual mode because that’s all that’s sustainable. More
A Tense Moment in the ER
The hospital, by definition, is a stressful place for patients and families unsettled by the vulnerabilities of the human body. Add in issues of race, class, gender, power dynamics, economics, and long wait times, and you have the ingredients for combustion just hankering for tinder. More
The Insulin Wars
Insurance companies and drug manufacturers have come upon an ingenious business plan: They could farm out their dirty work to the doctors and the patients. When there’s an E. coli outbreak that causes illness and death, we rightly expect our regulatory bodies to step in. The outbreak of insulin greed is no different. More
Doctor Visit Guide
Going to the doctor isn’t most people’s favorite activity. I often get asked by friends and family how to make the most of a medical visit. Here’s my advice, and it’s basically the same whether you are the patient, or a family member or a caregiver of the patient. More
Patients vs Paperwork
Like some virulent bacteria doubling on the agar plate, the EMR grows more gargantuan with each passing month, requiring ever more (and ever more arduous) documentation to feed the beast. It’s time to take action. More
Losing a Patient
He made his way into my exam room supported by two metal crutches that braced at the elbow, lurching his withered legs forward, step by excruciating step. He was a wisp of a man, barely clocking in at 100 lbs—wasted away, it looked like, from untreated polio and a lifetime of subsistence living. Yet somehow here he was in bustling Manhattan, having managed to navigate our bureaucratic hospital system just a few months after arriving from East Africa. More
