Sometimes Pain Is a Puzzle That Can’t Be Solved

By ABIGAIL ZUGER, M.D (New York Time)

My elbow is killing me.

I mean that quite literally. Yes, it hurts, but it is also destroying me, the me as I was without a bad elbow, a happily balanced collection of parts all working modestly, silently, efficiently toward a common good. Kidneys, liver, knees, elbows — what a great team we were. I put my hands in my pockets without wincing, typed without thinking, sat at work judiciously evaluating everyone else’s distress. Cont

 

 

In the Hospital, Resisting the Urge to Do More

By JESSICA NUTIK ZITTER, M.D. (New York Time)

There was absolutely no way around it. She was dying. I gave her a few hours at best, with maximum pedal to the metal intensive medical care. Paramedics had picked up this homeless woman after she collapsed under a bridge in Oakland, Calif. Her heart had completely stopped. She had died under that bridge. But the paramedics had somehow pulled her back, with a jump-start to her heart. And then brought her right to my service in the intensive care unit.

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Jessica Nutik Zitter is featured in the upcoming Netflix documentary “Extremis.”

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Checking on Bullying at the Doctor’s Office

I let out a huge sigh as I picked up the next chart in clinic. “Chief complaint: Behavioral concerns” was typed out on the top of a thick packet of papers. My young patient was sitting on the exam table comfortably. His parents sat stoically with furrowed brows in the chairs next to him. They were nervous, rigid, clearly concerned.“What’s been going on?” I asked. Apparently he had been acting out at his elementary school. I sifted through the papers, chock full of documentation from teachers, detailing his behavior. He was on the verge of expulsion. His parents expressed understandable frustration to me given his remarkably normal behavior at home.

I gathered my history per usual, directing my questions toward him as he swung his legs back and forth on the exam table. I did not seem to be getting anywhere when I happened to ask, “Is anyone at school making fun of you?” 

Yes. 

 cont

Creative Resilience

By Nicolette Asselin, M.D.

In an age in which terrorism, natural disasters, illnesses, shootings, and wide-scale industrial errors and accidents are occurring with increasing frequency, there is a tremendous need to develop ways to cope with the aftershocks. Post-traumatic illnesses are on the rise, and we need to find new ways to curtail and prevent their rise. Building resilience has become an important topic. In this story, I tried to illustrate the ways our family dealt with a personal tragedy.  Cont

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“Suleika’s Shield”,  by Anne Francey

 

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Imagining A Future When The Doctor’s Office Is In Your Home

Extracting medical care from the health care system is all too often an expensive exercise in frustration. Dr. Eric Topol says your smartphone could make it cheaper, faster, better and safer.

That’s the gist of his new book, The Patient Will See You Now. Lots of people are bullish on the future of mobile health to transform health care, but Topol gets extra cred because of his major medical chops: Former head of cardiology at the Cleveland Clinic and present director of the Scripps Translations Science Institute in La Jolla, Calif.

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On Doctor’s and Hospitals

 

When the same test is reimbursed more when done by a hospital, it gives doctors a reason to go work for hospitals.
WWW.NYTIMES.COM|BY MARGOT SANGER-KATZ
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