January 14, 2020 |  0
My daughter dove for the tennis ball and came up with a winner and a bloody shin. Slipping on the tennis court, running and falling around the house, tripping up the stairs, stubbing toes. All signs of a kid moving too fast for the world around them. She’s at the age where she doesn’t come […]
December 12, 2019 |  0
Years ago, I heard the saying, “For you [as a hospitalist], it may just be Monday or Tuesday, but for the patient it is often the worst day of their life.” This powerful medical aphorism captures the stark differences that can exist between a patient and a doctor. Physicians and health care systems are often […]
October 31, 2019 |  5
I have hit this topic before-copying and pasting notes—about a year ago. Let’s revisit. First, note the figure below. To the far right of the x-axis, you see the number of notes with > 60% + of manual entries, i.e., not pasted, in a large sample of studied notes—this from a JAMA study out of […]
October 17, 2019 |  0
I distinctly remember my first stint on night float rotation — it did not come until I was a third-year resident since most of my rotations were pre-duty hours. It was a “novel innovation” in our program and the job seemed simple — admit overnight, handoff to the day team, go home and sleep. Get […]
August 26, 2019 |  3
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 […]