I spoke with a young pediatrician recently who complained about her late hours in the office. A lot of calling patients with questions about labs. On cursory review, she seems to do a lot of medical tests. It makes sense. Here’s the math: Two sessions per day of 10-12 children per session and everyone gets a comprehensive metabolic panel (as an example). 48 hours ... Continue Reading about Medical Tests – The More You Order, the More You Explain
As a physician in one of the most diverse cities in the United States I often communicate with families with the help of an interpreter. Some see the language barrier as a compromise and a challenge. But it’s really an opportunity. What we fail to achieve with use of words we can bridge with non-verbal communication. Expression, touch, tone, and animation will ... Continue Reading about How a Language Barrier Creates Opportunity
The three A’s of physician success are availability, affability and ability. In this order. It speaks to what patients see as the most important attribute of a physician. Capacity and competence take a back seat to who happens to be around when you’re in need. To some it sounds short-sighted. But it works because average physician know how serves the average ... Continue Reading about Three A’s of Physician Success: Availability, Affability, Ability
I went to medical school with a woman who wanted to fix things. As a fourth year medical student on clinical rotations when confronted with chronic conditions she would bang her fists. ‘Just fix it,’ she would say with frustrated urgency. ‘I want something I can fix.’ She wanted the quick hit of making things better. So she became a surgeon under the illusion that she ... Continue Reading about The Fixer and the Docent
I’ll be highlighting some of my tags here periodically. You’ll find tags at the bottom of the post in a small, muted font. I use the Doctoring 101 tag on 33 charts for posts that deal with the nuts and bolts of caring for patients. These posts cover the tips and tricks that work for me as a full-time clinician. It’s how I do the things I do as a doctor. This is the ... Continue Reading about Doctoring 101 – 33 charts Tag Spotlight
I hear this occasionally on Twitter: “My doctor gave me his cell phone number so I can call him whenever I have a problem.” Occasionally I hear from physicians that they give their cell phone number to their patients. While some practice situations necessitate this (rural, solo practice or concierge) in other circumstances I don’t think this is fully thought ... Continue Reading about Should Physicians Give Their Cell Phone Number to Patients?