Tag: doctor-patient relationship

Omar Jamil Omar Jamil (1 Posts)

Contributing Writer

University of Illinois at Chicago College of Medicine


Omar Jamil is a second year medical student at the University of Illinois at Chicago College of Medicine. He has interests in obesity and health disparities and hopes to pursue residency training in general surgery or internal medicine.




Obesity Pep Talk

She just sat there and listened — what else could she do? Did he really think it was the first time she had heard this? Was the rehearsed monologue supposed to elicit some sort of epiphany? One of our pre-clinical instructors told us a story about how she went to the doctor’s office to get a refill, only to receive a 20-minute lecture about her weight by a resident. She walked out of the office both irritated and empty-handed, her refill not completed: “I know I need to lose weight!” But, at that juncture, and in that manner, she felt it simply was not the appropriate discussion.

Microcosm: A Routine Visit in Primary Care

The old woman with long silver hair sat in her wheelchair, feet propped slightly up, smiling toothless among her layers of wrinkles. She waited for me to speak, deferring her decades of matriarchy and adulthood to the stethoscope I wore so casually after just months of earnest experience. Indeed, it sat lightly on my neck today but heavily on my heart. A few more seconds passed, as I contemplated how exactly I wanted to discuss her test results and how exactly I would ask her to proceed.

Looking Back from the Wards: A Lesson from Anatomy

The other day, while scouring my computer for a lost document, I stumbled upon a speech I had given for my medical school’s anatomy donor recognition ceremony. It was an event held every fall, right after anatomy, during which our school’s first-year students showed their appreciation to the friends and families whose loved ones donated their bodies to science so that we could better learn the anatomy of the body. It has been a couple years since, so I decided to take another look at it.

What’s the First Thing You Do When You Walk Into a Patient’s Room?

I was constantly sick as a child with ear infections, meaning I was in the doctor’s office all of the time. However, about the time I turned 3 years old, I got Bell’s palsy. My mom is a nurse and did not often overreact to medical issues, but she was obviously terrified of my drooping face and rushed me into the doctor’s office. Given my previous history of visits for my ear infections, the doctor was somewhat impatient. Assuming I was there for another ear infection, he walked into the room while looking at my chart, never looking up. As he was prattling on about how we were in the office far too often my mom looked at him and yelled, “Just look at her!” The moment he did, his jaw dropped and he rushed into action.

Dignity

My first rotation as a third-year medical student, I met a man who will forever influence the way I approach my patients. He had come to the hospital because of rectal bleeding and was ultimately diagnosed with colon cancer. As I got to know him, I learned that he had fought in two wars, started a successful business and was married for more than 50 years. And he was enormous, six-foot five-inches and 280 pounds, with a voice that reminded me of Lee Marshell — think Tony the Tiger and the guy who sang “You’re a Mean One, Mr. Grinch.”

Breaking Boundaries and Finding Love in Patient Care

On a recent visit to my parents’ home in Upstate New York, just as the snow had finished melting and our tulips were beginning to sprout, my dad and I went out for a walk. As we made our way down our driveway to the railroad-tracks-turned-walking-trail that runs through the woods near our house, we bumped into one of my dad’s patients. With a hearty grin, the middle-aged man proudly told my dad how his morning blood sugars were improving. My dad beamed, and gave him a big high five. Later, as we walked along the trail, he told me how thrilled he was to see this patient getting the exercise that would help treat his diabetes and high blood pressure.

Laws that Shackle Doctors: How Can We Prevent Another Planned Parenthood Shooting?

On November 27, 2015, a horrific shooting at a Planned Parenthood clinic in Colorado Springs left three people dead. This tragedy is a stark reminder of the grave consequences that may accompany inflammatory political rhetoric and poor legislation. After his arrest, Gunman Robert Dear declared “no more baby parts” to investigators. Dear’s terrifying actions have been linked to the national ongoing attack on reproductive rights as well as inadequate gun control laws. As a medical student, I fear that we will have many more Robert Dear’s in this country unless we make sure that political interests do not continue to impede on patient-provider relationships.

Vaccines: Our Role in a Civil Conversation

Vaccines have become a cornerstone of modern public health and have greatly reduced the burden of infectious disease across the globe. They are also the center of major debate in America. Conjuring furious arguments with divided opinion, where vaccine safety gets more attention than vaccine effectiveness. In the era of Facebook, Twitter and every imaginable social media outlet, opinions and facts flood computer screens, distorting truth and instilling doubt. To support an argument, it is not difficult to find an article or group that agrees with you. Medical professionals constantly find themselves concerned and restrained by an apathetic response to reason and science.

The Right Time to Lose a Patient

Although there is really never a right time to die or even witness death, it is important to acknowledge that death is a reality, and one to which all health care practitioners will be subjected at some point in time. For that reason, I raise the question: is there an appropriate time to lose a patient? From my perspective the answer is yes, and for good reason.

Done Smoking

She had survived an avalanche and was now lying face down in the debris. Longstanding ischemic brain disease had triggered a seizure. The seizure stunned the heart causing a cardiomyopathy. The cardiomyopathy, unfortunately, exacerbated her chronic obstructive pulmonary disease (COPD). As her oxygen saturation dropped, she was intubated and mechanically ventilated. She was now agitated, restrained and delirious.

A Matter of Life and Death: Review of “Being Mortal” by Atul Gawande

Few doctors in the modern era have established themselves so securely as both doctor and writer as to be easily recognized in both circles; this is perhaps because of the difficult and time-demanding nature of both careers. One notable exception is Dr. Atul Gawande, a renowned general surgeon in Boston, MA, who also happens to be a widely published and well-known author of several books. In his most recent book, “Being Mortal,” it is clear that he has grown, not only as a writer, but as a doctor and a human being as well – which, after all, is what this book is all about.

Sometimes the Patient is the Teacher

I’m an ePatient blogger, academic, educator and breast cancer survivor. I write about my patient experience in hopes that medical professionals may achieve a better understanding of the patient’s perspective of the medical system. Like any profession, physicians are the experts of their field, but no doctor is the expert of all human pathophysiology. Because of this, the emerging interdisciplinary team of specialists has become a pragmatic step.

Rebecca Hogue (2 Posts)

Guest Writer

University of Ottawa


Rebecca J. Hogue (Becky) is an ePatient blogger and flexible scholar. She is co-founder of Virtually Connecting, a PhD Candidate at the University of Ottawa and Associate Lecturer at the University of Massachusetts-Boston. Professionally, she produces self-published eBooks, and teaches Emerging Technologies and Instructional Design online. Her research and innovation interests are in the areas of ePatient storytelling (pathography), blogging, and online collaboration.