A Little Bit of Good? on Dying, Communication, and Breaking Bad

Sometimes there’s no way to mend a person or a bad situation. You can’t deny reality. But if you’re still conscious and able to communicate, you may be able to lessen the damage you’ve done, or the pain someone else is experiencing, just a bit.

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Seeing ZocDoc, And Listening To A Panel On Improving Health Care

No word cloud is needed; we were in one. It’s hard not to be charmed by the brightness of delightful, eager tech-workers who want to make it easier for people to get to doctors they might need. In theory. The ZocDoc space bore no semblance to any hospital or office where I’ve been a doctor or a patient.

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Visiting an Exhibit on Early AIDS at the New York Historical Society

Most doctors didn’t know what was going on. The young men weren’t sure either. There were rumors but also credible denials about a disease affecting the community…

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On Friends Affected by Cancer, and Environment Oncology

If I could pick a field for future investigation that might lead to insight on cancer’s causes and, ultimately, reduce the cancer burden 30 and 50 years from now, I might choose the tiny, under-funded area of environmental oncology

Posted in Blogs, cancer causes, Environmental Health, journalism, Life, Life as a Patient, Life as a writer, Oncology (cancer)Tagged , , , , , , , 1 Comment on On Friends Affected by Cancer, and Environment Oncology

Should People With Health Problems Talk About their Conditions?

Do you need to explain to the person on the checkout line or, say, a mother organizing a bake sale, why your back hurts? Or why you need a seat on the bus?

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Finding Kindness and Introspection in ‘Half Empty,’ a Book of Essays by David Rakoff

the words we use matter enormously, not just in clinical outcomes, but in how people with cancer feel about the decisions they’ve made, years later.

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What Do We Need Doctors For?

… if doctors are just thinking, and not being the ones to call you back, or putting in intravenous catheters, or even just sitting and taking a thorough history – they’ll know you less well. And if they spend less time with you, a patient with a serious illness, they ….

Posted in Future of Medicine, health care delivery, Ideas, Life as a Doctor, Life as a Patient, Patient-Doctor RelationshipTagged , , , , , , , , 3 Comments on What Do We Need Doctors For?

A Comedian Tells the Story of His Child’s Cancer

Yesterday a video came my way on Facebook. It’s a stand-up piece by Anthony Griffith, who tells what it was like working as a comedian when his 2-year old daughter had recurrent cancer and died….This 9 minute clip packs sadness and pain:

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Breakfast Will Never Be the Same Again

The point is – it’s not all about the vacations in Thailand, birthdays and rock concerts. Or opera, if you’re into that. Rather, it’s the everyday stuff that fills our lives.

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Talking About Physician Burnout, and Changing the System

With many difficult situations, the first step in solving a problem is in acknowledging it exists. After that, you can understand it and, hopefully, fix it. Our health care system now, as it functions in most academic medical centers and dollar-strapped hospitals, doesn’t give doctors much of a break, or slack, or “joy,” as…

Posted in Communication, Life, Life as a Doctor, Life as a Patient, Medical Education, Medical News, PsychiatryTagged , , , , , 1 Comment on Talking About Physician Burnout, and Changing the System

Living Like It’s Shark Week, Take 3

It’s Shark Week, or at least that’s the situation over at Discovery Channel. The annual, virtual immersion into the world of cartilaginous fish has been adopted by your author as some sort of metaphor, but she’s not sure…

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How Much Do You Want Your Doctors To Say About Risks of Treatment?

This kind of paternalism, when a doctor assesses the risks and benefits, and spares the patient’s “knowing” seems anachronistic. But it may, still, be what many people are looking for when and if they get a serious illness. Not everyone wants a “tell me everything” kind of physician.

Posted in Breast Cancer, cancer treatment, Empowered Patient, Informed Consent, Life as a Patient, Oncology (cancer), Patient Autonomy, Patient-Doctor RelationshipTagged , , , , , , , , , 19 Comments on How Much Do You Want Your Doctors To Say About Risks of Treatment?

Remembering a Warm-Hearted Patient

When I was a resident I worked in a general medicine clinic. One afternoon each week, I’d get more dressed than usual and split off from my inpatient team around noon to go see patients in another building, outside of the hospital. Today, I’m reminded of a man I saw there and treated for two […]

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Illness is Not Discrete. On Feeling Sick, and Not Knowing What’s Next

A broken arm, a low-stage breast cancer that’s treated and done with, a bout of pneumonia – these are things that a career can afford, an editor can handle, friends can be supportive. But when you have one thing, and then another, and then another, it gets scary, it weighs you down.

Posted in Essential Lessons, Life, Life as a Patient, Life as a writer, Patient AutonomyTagged , , , , 2 Comments on Illness is Not Discrete. On Feeling Sick, and Not Knowing What’s Next

50-50, A Serious Film About a Young Man With a Rare Cancer

The movie, based in part on the true story of scriptwriter Will Reiser, surprised me by its candor. Actor Joseph Gordon-Levitt smoothly portrays Adam Lerner, who soon finds out he has cancer. The opening scene

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Counterfeit Drugs, A New Concern for Patients

Counterfeit vials were sold and distributed to more than a dozen offices and medical treatment facilities in the U.S. This event, which seems to have affected a small number of patients and practices, should sound a big alarm.

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Do Adults Need Physicians to Tell Them to Exercise?

Whatever the reasons are that most doctors don’t bring up the issue, one might ask this: Why do adults need doctors to tell them about the health benefits of regular exercise? After all, it’s common knowledge –

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