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  | June 4, 2014 |  2
“Where do we come from?” My 5-year-old asks us that regularly, usually in the quiet time of a car ride. My wife answers by saying, “Great question.” And then, “Oh, look at the bright yellow school bus.” Crisis averted. If I’m asked, I’ll start talking about monkeys, throw out something about Tiktaalik and they will […]