January 30th, 2010 by Paul Auerbach, M.D. in Better Health Network, True Stories
Tags: Amputee, Dr. Paul Auerbach, Haiti, Leaving Haiti, Pediatrics, Physical Medicine And Rehabilitation, Relief Efforts, Surgery, Survivor Guilt
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We found out today that we are going to ship out tomorrow. My feelings are certainly mixed. There is an incredible amount of work to be done here – we have only contributed to the first wave of what is necessary. This may sound strange, but I cannot remember the details of much of what we did the first three days, when we were functioning on hyperdrive in a battlefield setting. My recollections become detailed after the third day, when we were able to see only four or five patients at a time, and we stopped triaging amputees to the operating room.
Now the hospital has been substantially augmented. Teams of foreign (to Haiti) surgeons have left to go home, because the operations to be performed now are largely orthopedic and plastic surgery, as well as specialty cases. Sadly, there are scores of patients with spinal fractures who are paralyzed, and little can be done for them this far out from the initial injury. Children continue to break our hearts. I had a small child who is a triple amputee offer me his cracker with his remaining hand. One can only pray that the memories he carries of this tragedy are erased swiftly, that he is assisted in his rehabilitation, and that his life improves. All of these will, of course, be hard to achieve. Read more »
This post, Leaving Haiti: Small Child – A Triple Amputee – Offers MD A Cracker With His Remaining Hand, was originally published on
Healthine.com by Paul Auerbach, M.D..
January 30th, 2010 by Dr. Val Jones in True Stories
Tags: Application, bureaucracy, Maryland, Maryland Board Of Physicians, Medical Board of California, Medical License, Primary Care, Red Tape, Time, Wait Time
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Since I finished my residency training, I’ve applied for medical licenses in several states. It has been interesting to see how long it takes different states to process the same credentials. I wanted to give a quick hat tip to Maryland, for being the fastest, lowest hassle state so far. They processed my application in under 4 weeks, accepting my FCVS packet as verification for my medical school, residency training, and USMLE scores. Although the website suggests that the process may take up to 120 days, mine was fewer than 30. Thank you, Maryland Board of Physicians! Job well done.
In my personal hall of shame, however, is the Medical Board of California. I have been waiting since June, 2008 for my license. Yes, it’s been 567+ days. Read more »
January 29th, 2010 by Michael Sevilla, M.D. in Better Health Network, Opinion, True Stories
Tags: Medical Education, Medical Students, Mentorship, Primary Care, Teaching
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“Dr. A, your student is here,” the front desk squawks through the intercom. “Sheesh,” I say to myself as I look at my full schedule of patients. Now, don’t get me wrong. I really enjoy teaching. Something I do know is that I could not do teaching full time. I thought about possibly joining a residency program or exploring the possibility of teaching full time at the med school. But, at this point in my career, patient care is still my passion. Read more »
*This blog post was originally published at Doctor Anonymous*
January 27th, 2010 by Emergiblog in Better Health Network, True Stories
Tags: Emergency Medicine, Migraine, Nursing, Pain Killers, Pain Management, Pain Medication, Slow, Wait Times
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Migraine.
Three days.
Out of pain medication and vomiting so you wouldn’t keep it down, anyway.
Agony.
Emergency department.
*****
You’re in luck – no one in triage!
A bed opens up, the nurse takes you straight to a room.
Gown, blanket.
And….
Two minutes later you send your cousin out to ask how long it will be until you get your pain med.
Excuse me? Read more »
*This blog post was originally published at Emergiblog*
January 27th, 2010 by DrRob in Better Health Network, True Stories
Tags: Death, Died Well, Disease, Dying, Dying Well, Family Medicine, Internal Medicine, Mortality, Palliative Care, Patients
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One of my favorite patients died last week.
My reaction to this was not quite what you would think: I smiled. No, I didn’t smile because of his death; I smiled because of his life. I smiled because I got to be a part of that life. His death wasn’t his tragic end, it was the exclamation point to his life.
I am around a lot of death – it’s one of the things that makes being a doctor different from other jobs. My goal with all of my patients is to keep them healthy, to relieve their pain, and to do my best to keep them alive. Ultimately, though, it’s a losing battle; 100% of them will eventually die. That’s why I don’t like statistics about how many people who die due to inadequate doctoring. Our job is to resist an irresistible force. We are standing up to the hurricane, the avalanche, the flood. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
