August 26, 2019 |  1
The doctor opened the door after a gentle knock. He was greeted with warmth, offered a seat by Mary, and promptly sat down on the end of the hospital bed. As he sat, the family stood to greet him. They discussed the grandkids, the trips taken since they last saw each other. The room felt peaceful. Time slowed down. Walking in behind my […]
August 21, 2019 |  3
I lost my dad a couple of years ago to bladder cancer at age 86, but the truth is, he had already been quietly slipping away from us for several years into the twilight of Alzheimer’s Disease. More recently, I have watched my friend Sheri struggle with the challenges of being a full-time caregiver for […]
By Jennifer K. Chen, MD
April 15, 2019 |  1
By: Jennifer K. Chen, MD, pediatric hospital medicine fellow at Rady Children’s Hospital, UC San Diego I first heard the term “discharge before noon” (DCBN) as a third-year medical student starting my internal medicine rotation. The basic idea made sense: get patients out of the hospital early so rooms can be cleaned more quickly and […]
March 23, 2019 |  0
In many ways, the word “teamwork” brings to mind some dusty images of baseball or WWII. In some ways, this word has turned in to a clichéd trope used constantly in every arena – who is on your “team,” how to communicate with your “team,” etc. Hospital medicine as often been called a “team sport” […]
January 22, 2019 |  0
The year ended with many lists for best reads of 2018. (See  NY Times, The New Yorker, The Washington Post, GQ, Powell’s Books, Obama’s list, and Bill Gates’ list for 2018.) I’m a firm believer in literature improving empathy. Literature, fiction, stories all impact our daily work. We are in the business of storytelling and […]
January 8, 2019 |  0
Florence Nightingale, in her seminal 1859 Notes on Nursing textbook, reminded nurses about the importance of not waking hospitalized patients up. It is not surprising that years later, the American Academy of Nursing, through the Choosing Wisely™ campaign, recommended that hospitalized patients not be woken for routine medical care to protect their sleep, citing numerous […]