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(With a hat-tip to the Happy Hospitalist.  Nothing new or profound here so my regular readers may, if they desire, ignores this article completely or read on and forgive the basic level of information presented. -PB) 
A young reader writes, “Dear Dr. Bear, I am a senior in high school and am thinking about being a doctor.  What does your job involve?”
I […]

An Apology
I want to apologize to the distinguished elderly gentleman sitting on the hall bed. It was a little insensitive of me to stand at the coffee machine taking my time making a cup of coffee not five feet away from you and your wife while you waited to be seen by a doctor. […]

(Once again, a caveat: I am a resident in a medium-sized Emergency Medicine program in an academic setting. Not as academic as Duke or USC but we have most of the players. I have never worked in private practice in Emergency Medicine so while I welcome the comments of those who have, I […]

Fast Freddie Johnson and the Man
The patient, a young black man, eyed me suspiciously. Apart from telling me that his name was Kareem, he had said very little during the initial assessment in the trauma bay and had made it to the CT scanner and back without saying more than ten words, total, to anybody. […]

Psychiatric Ward
Inpatient psychiatry wasn’t as fun as I thought it would be. The people locked up on the tenth floor of our hospital were just a little too crazy to really be interesting. A little insanity, like a little spice, adds flavor to a patient’s personality. Too much of it and it […]

Family and Community Medicine
Latravia Kell was my favorite patient. I can’t think of one bad hand that life hadn’t dealt her but she was unfailingly cheerful, polite, and compliant with all of her treatments. I met her on my first day of family medicine clinic and saw her at least every […]

I’ve got Your Back
It’s my wife. The pager displays our super-secret marital code for “Everything is all right. I just want to see how you are doing. Call me at home.”
“Hey baby,” I say when my lovely wife picks up,”How’s everything going?”
“I’ll be home in another hour. Sorry. Things are kind of […]

Emergency
Mrs. Jones looks like a cadaver. Her bony yellow legs stick out of the bottom of the gown. A pack of relatives clutch at each of her claw-like hands and stare confidently at the monitor over the bed.
“She’s doing better, right?” Her blood pressure had been coming up steadily. A great-grandson reads the numbers to […]

Breathe
“I’m a difficult patient,” declaims Mrs. Olafsen proudly around a mouthful of Whopper with cheese. “Nobody knows what’s wrong with me.”
“Really? It certainly looks like that from your chart.” Mrs. Olafsen is gigantic. It took four nurses to get her from the stretcher to her bed. Her legs, like two scaly tree-trunks, encircle a greasy […]

Waiting for a Miracle
“You understand that if your father’s heart stops we’re going to be pounding on his chest and shocking him to try to get it started,” I say to the family of Mr. Green, “there will many people in the room who you have never met inserting lines in his veins and arteries, […]

A Day in the Life of an Intern
Obstetrics Rotation. Week Two. An eternity ahead of me.
4:10 AM: Good God. It is early. Early by anybody’s standards. Even the dairy farmers must cringe from this early hour. And yet my eyes have been open for the last twenty minutes as I fight off sleep knowing that […]

A Day in the Life of an Intern.

Medicine Rotation. Two weeks down, three to go. Saturday morning. Today is “long call,” meaning that we will be here overnight as opposed to “short call” where we are the admitting team until two PM.
0530: I have the alarm set for 0545 but why bother? My eyes are […]

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