#HealthcareHeroes Rock– But We Shouldn’t Need Them

#HealthcareHeroes Rock– But We Shouldn’t Need Them

It’s Christmas Eve 2021, and our COVID numbers are nasty: This is happening all over the country. It’s another surge, worse than the last few surges, and healthcare workers operating on the front lines are beyond tired. They’re exhausted, and my heart goes out to 

Reality and the Toilet Seat, Revisited

Reality and the Toilet Seat, Revisited

Originally published in April 2011, this practical post featuring a real patient encounter that took place in our clinic bathroom (and the scientific questions raised by that whole humorous situation) has been viewed many thousands of times.* In the ten years since, the evidence and 

Self Reflection, Self-Respect

Self Reflection, Self-Respect

“Mom, every time I look in the mirror, I see something different. Sometimes it’s good and I feel good about myself, but, sometimes it’s not.” It was well after dinner, and my nine-year-old daughter was perched on the kitchen counter nibbling on apple slices while 

Is It Pollen, Or Is It COVID?

Is It Pollen, Or Is It COVID?

It’s a gorgeous spring day in May. Trees are flowering, flowers are flowering, and I can’t go a day without antihistamines. I suffer from springtime pollen allergies and asthma, common things that can cause congestion and a cough. This has been anxiety-provoking for me at 

A Day in Clinic During a Pandemic

A Day in Clinic During a Pandemic

So, here I am in the office, which all but closed in mid-March. While we do have a skeleton crew on site seeing non-COVID-19 urgent care (like abrasions and UTI’s and joint pain), most our ongoing outpatient work is via telehealth. I’m going to talk 

On the COVID Wards

On the COVID Wards

I was “activated” to duty on the inpatient COVID surge teams last week. I was worried, not only because it’s been a decade since I’ve been in charge of an inpatient service, but more so because SARS-CoV-2 is a new virus, and COVID19* is a 

Coronavirus: Making Primary Care Cool Again

Coronavirus: Making Primary Care Cool Again

You guys may not know this, but up until this pandemic, primary care has been the runt of the medical litter. Like, if the different branches of medicine were a high school sitcom, outpatient internal medicine would be the dorky intellectual kid who everyone knows 

Long Day, But It’s Okay

Long Day, But It’s Okay

Here’s a true story from my yesterday, as in, New Year’s Eve 2019: I had wrapped up my clinic and was looking forward to maybe leaving the office earlier than usual. Most of our docs have been away for the holidays, and I’ve been one 

Time to Talk Lifestyle

Time to Talk Lifestyle

Boston enjoyed the first snowstorm of the season this week, and I was lucky enough to have clinic scheduled smack dab at the height of it. We pretty much never cancel clinic for a snowstorm, though there have been blizzards when I literally couldn’t get 

A Hospital Angel

A Hospital Angel

My longtime patient told me the story of how she met an angel in our hospital one night. My patient gave me permission to share this story. All identifying details and clinical specifics are omitted, of course. Not only for ethical reasons and HIPAA compliance,