“We’ve gotta keep Mama happy” I hear this from time to time from pediatricians. The idea is that if we don’t give a mother what she’s looking for, she’ll walk. As a resident I had a preceptor who loved to pull me aside to teach me the ‘inside baseball’ of pediatrics. One day after prescribing antibiotics to a child with a runny nose, he remarked with a wink and ... Continue Reading about Keep Mama Happy
The Opposite Problem of the Clinic No-Show
Modern clinics are obsessed with the no-show. This is the clinic patient who makes an appointment but never arrives. Clinics spend a tremendous amount of time trying to solve the no-show. They begin with operational strategy sessions. Then they call, ping, and survey the no-show. Because in a fee-for-service model in a high demand specialty, the no-show is a ... Continue Reading about The Opposite Problem of the Clinic No-Show
How a Language Barrier Creates Opportunity
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
Tell Me What You Understand: My First Question for Hospitalized Patients
This is my first question for hospitalized patients: Tell me what you understand. Let me explain. I’m a pediatric specialist. I help hospitalists and pediatricians care for children. Actually, I’m typically one of several providers helping families care for a medically complex children in the hospital. And for better or worse communication can sometimes be ... Continue Reading about Tell Me What You Understand: My First Question for Hospitalized Patients
Do Your Patients Think You’re an Amazing Doctor?
A friend had asked me to see one of her neighbors. A young child with some elimination issues, the family had been to a couple of other doctors with no success. A fairly routine problem that needed the right evaluation and a consistent approach, it was sorted out in 2-3 visits. When I ran into my friend a month later, I was met with hugs and thanks for ... Continue Reading about Do Your Patients Think You’re an Amazing Doctor?
Procedure – The Only One That Matters
I've done some 10,000 endoscopic procedures over the past 25 years. Sometimes I offer that procedure number as a context for risk when discussing endoscopy. This morning when discussing consent with a mother she remarked, 'But this is the only one that matters.' You may have done a procedure 10,000 times. But for the individual patient there's only one that ... Continue Reading about Procedure – The Only One That Matters