Thank you to CLOSLER for allowing me to contribute my essay of a “day in the life” reflection on rural oncology practice. “With the broken healthcare system crumbling, rural outpatient pharmacies shutting down, and labs and urgent cares intermittently closed due to staffing shortages, it’s easy to feel that the dwindling resources mean even our best is too little…
Comments closedIt is 4:15 p.m. in my clinic, and I’m running an hour behind. One of my morning patients arrived acutely ill and thus required more of my time and attention than the schedule allotted for. Accordingly, every patient after that has ended up waiting for me. And, as I’m a cancer physician, each of them…
Comments closedOriginally published on Medscape Blogs on June 8, 2022 Last week, after the multiple recent tragedies in our nation, I found myself turning to my laptop to write the feelings that were too big. But instead of my usual prose essay form, what came out was a poem. I also had been thinking a lot…
Comments closed“We only want to hear positive information.” “Don’t tell him about his prognosis.” “We don’t want to hear any doom or gloom.” This is what it’s like to be a cancer physician in America. As a medical oncologist, I spend much of my time helping people navigate the (for many) uncharted waters of uncertainty and…
Comments closedOn my way to work, I drive by an abundance of water — a bay that changes with the seasons’ moods. Some mornings, the wind whips up tall waves, and I grip my steering wheel against the gusts that shake my car. Other mornings, the wind is absent, and the water placid and smooth. On…
Comments closedIn celebration of Valentine’s Day this week, it seemed fitting to put together a post on the concept of love in medicine. Only…there’s not many of us out there writing on the topic. After a google search of “love in medicine” and “love and doctoring”, I found the following three posts, and have included one…
Comments closedAn oncologist colleague once said to me at a funeral, “People assume that as oncologists, we understand more about death than other people. But we really don’t.” He then faced a church filled with mourners and delivered a heartrending eulogy. I’ve thought of his words often since. Every time I counsel a patient and family…
Comments closedIs the duty of the physician to capture the patient stories, or capture a billing code? In July 2018, the Centers for Medicare and Medicaid Services (CMS) proposed revamping Medicare payments for office visits. CMS plans to collapse Medicare fees for levels 2 through 5 office visits into a single price beginning in 2019, as…
Comments closed(published also online on 4/10/17 in The ASCO Post, under the title The Mystery of Grace. re-published here on my home blog with permission of the editor). The day after I told Nell she had seven metastases to her brain, she sent me flowers. She was my patient; I was her oncologist. I had met her…
3 Commentsupdated 3/17/19 A short story on the meaning of burnout. The return from a vacation weighed on me physically. This had been a true vacation – an entire week away spent with my family, away from clinic and the burden of care. I even managed to unplug to the point of only checking email on…
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