Home2019-01-29T17:16:48+00:00
By  | February 11, 2019 |  4
“Why are you yelling? Get the f* out of my face!” I was relieved. I was worried about her, having been brought in by ambulance seizing. My resident said she was not waking up for him, which we hoped was just post-ictal, but we were not sure yet. “Oh good! You are gonna be just […]

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By  | January 30, 2019 |  1
By: Heather Nye, MD, PhD, SFHM Why is it that we go to professional conferences? CME? Cutting-edge clinical topics? Networking? Dissemination of work? Great vacations? YES! Over one’s hospitalist career, any one of these may take a front seat as activities evolve and years go by. What always remains the same, however, is the sense […]
By  | January 28, 2019 |  4
There are so much evolution and progression with NP/PA practice. States are passing independent practice statutes for NPs; twenty-two states now allow more independent practice. Our own Institute of Medicine has acknowledged the benefit of NP/PA practice related to alleviating work shortages. And there have been rigorously controlled studies that definitively demonstrate the safety, efficacy, […]
By  | January 24, 2019 |  0
Some time ago, I wrote about job enrichment and the importance of factors like achievement, recognition, interesting work, responsibility, advancement, and personal growth in building sustainable jobs that one can do for a career. Unfortunately, making our jobs richer and more fulfilling is rarely something that others will do proactively for us. And we are […]
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By  | September 29, 2008 |  7
Last week’s New York Times front-page piece on colored wristbands highlighted an issue I’ve been fretting about for years. We can achieve consensus on a $700B bailout in 3 days (well, perhaps not), but can’t agree on what color a DNR wristband should be? Wow. My interest in this subject began with a remarkable case […]
By  | March 26, 2008 |  22
Do you get as annoyed as I do about being pressured on your “Time of Discharge?” I just received my monthly report, and we’re in The Doghouse again: our average TOD – 3:28 pm – is hours after “check-out time.” But when did we turn into the Holiday Inn? Let’s start by appreciating where this […]
By  | January 17, 2019 |  2
By: Gopi Astik, MD, Hospitalist, Medical Director, Northwestern Medical Hospital I walked into a patient room one frigidly cold Chicago morning with the warmest smile on my face. I spoke to the gentleman who was admitted with an acute exacerbation of his COPD a few days prior and had improved over the weekend. He had […]