At the heart of what is wrong in American health care is a failure of physicians to participate in the conversation about what medicine is really like.
As healthcare workers, we are problem solvers. We have to be. There are a handful of people whose lives I have saved with quick thinking. I wouldn’t trade those moments for anything. But wanting to jump to a solution means we sometimes fail to listen, to sit with a friend, patient, or colleague, and be a companion in their suffering.
I now know that everything that I was taught about opioids was wrong.
In-flight emergencies are just another reminder that you're never not a doctor.
Residency’s long hours, trauma, sleeplessness and social isolation inevitably erode our healthy coping mechanisms. At the same time, there is a powerful culture of fear, stigma and lack of self-care that prevents residents from seeking help. The resources that are in place in residency programs are simply not adequate.
I don't believe in grand conspiracies. I do however believe in the undue influence of money on our clinical decision making.