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August 4, 2022 | 2 min read

Processing The ICU Experience

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

When my patient felt overwhelmed from an ICU stay, I realized what she needed most was to have her feelings validated after this near-death experience.

November 5, 2024 | 1 min read

From ICU to canvas

By Zeina Moukarzel, MD, MPH, Beirut, Lebanon

Art is a form of reflection on my career as an ICU physician. Through this painting, I wanted to capture the contrast between the technical aspects of medicine and the emotional reality of losing a loved one.

July 17, 2023 | 3 min read

Choreographing Clinical Care

By Hanghang Wang, MD, PhD, Johns Hopkins Medicine

Exceptional patient care is akin to a ballet performance. Synergistic team interactions, thoughtful decisions, and deliberate actions are all critical steps in the dance of patient care.

December 3, 2020 | 4 min read

The Other Side of the Glass

By Michelle Sharp, MD, MSH, Johns Hopkins Medicine

Having a loved one in the ICU is one of the hardest things someone can experience. Timely and compassionate communication from clinicians to families is invaluable.

February 17, 2020 | 1 min read

Insights From “Dying in the Neurological ICU”

By Ambereen Mehta, MD, Johns Hopkins Medicine

Excellent clinicians are aware of the level of uncertainty in which we practice and empathize with the challenge that patients and families face in the face of that uncertainty.

November 30, 2022 | 2 min read

Anger

By Joanne Shay, MD, Johns Hopkins Medicine

When patients or loved ones express anger, honest and sincere communication may help address their feelings and underlying concerns.

February 3, 2022 | 2 min read

Perspective Matters

By Souvik Chatterjee, MD, Johns Hopkins Medicine

As the pandemic continues, I remind myself that my job is to give selflessly to those who are sick. It’s helpful to lean on my team when situations feel especially challenging.

October 10, 2022 | 3 min read

“What Else?”

By Matthew McEvoy, MD, Houston, Texas

Asking these simple two words and showing genuine concern can bring out a richer story and promote healing.

November 11, 2021 | 3 min read

Dying Alone

By Eric Last, DO, Northwell Health, Wantagh, New York

Caring for a patient dying of AIDS reminded me that—while it's necessary to be fully present and listen attentively to all patients—those who are alone need even more of our time.

Bagels & Cream Cheese

April 28, 2020 | 2 min read

Cream Cheese and Kindness

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

“I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.” -Maya Angelou

May 14, 2024 | 1 min read

ED overcrowding: every clinician can help

By Catherine Washburn, MD, Johns Hopkins Medicine

Collaboration between healthcare professionals across the hospital is crucial to reduce ED overcrowding and improve patient care. One thing clinicians can do is help patients leave the hospital as soon as they are ready.

May 7, 2024 | 3 min read

“My patient is dying”

By Nakiya Showell, MD, MPH, MHS, Johns Hopkins Medicine

Excellent patient care goes beyond medical expertise. Building relationships, clear communication, and emotional intelligence are crucial for compassionate care, especially in the face of critical illness.

December 7, 2022 | 4 min read

The Road to Aequanimitas

By Wes Ely, MD, MPH, Vanderbilt University Medical Center

My medical training in the 80s and 90s taught me to be reserved and distant from patients. After many years in practice, I now know that they deserve a personal relationship with their doctor.

June 21, 2022 | 2 min read

“Can’t you put him down?”

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

Medical decision making for critically ill patients is complicated and difficult for everyone involved. It is our responsibility to ensure that patients and families are adequately informed to make choices that align with their values.

March 4, 2021 | 2 min read

Clear is Compassionate

By Jillian Bybee, Michigan State University

Always be honest and transparent when talking with patients, even when sharing bad news.

“We often jump to reassure, fix, and plan. If we can be still for a moment, we can remain present and let compassion guide our actions.”

December 8, 2020 | 3 min read

The Messy

By Cassie Ferguson, MD, Medical College of Wisconsin

Caring for children in the pediatric ED is both rewarding and exhausting. Cultivating compassion for patients and ourselves can help to sustain our practice and our well-being.

A child playing with a parent's gun that wasn't safely stored.

October 15, 2020 | 3 min read

How to Talk About Firearm Safety During the Pandemic

By Katherine Hoops, MD, Johns Hopkins Medicine

With a surge in gun sales during the pandemic, exposure to firearms has increased for all. It’s imperative that clinicians give comprehensive firearm safety counseling to patients during these challenging times.

July 29, 2020 | 2 min read

Jumping Into Redeployment

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

Caring for very sick patients during the pandemic can help you to reconnect with the meaning and purpose of medicine. Sign up to serve if the opportunity presents itself.

January 10, 2024 | 2 min read

Risk and reward

By Hien Tan Nguyen, MD, MBA, MPH, Johns Hopkins Medicine

During surgical residency training, I learned how to operate. In practice, I learned how to decide WHETHER to operate based on individualized versus protocol-driven parameters.

July 6, 2020 | 3 min read

Dropping Out, Surviving, or Thriving

By Jina Sinskey, MD, University of California San Francisco

The practice of medicine inherently involves intense emotional experiences. Instead of avoiding these feelings, we must embrace them if we want to grow.

August 15, 2022 | 2 min read

Role Modeling Vulnerability

By Daniel Saddawi-Konefka, MD, MBA, Massachusetts General Hospital

When a patient dies, sharing your emotions with trainees normalizes this response and highlights our shared humanity.

MERIT Health Leadership Academy students, Baltimore, Maryland, author's photo.

February 27, 2019 | 2 min read

The Need for Diversity

By Tyler Mains, MD, University of California, San Francisco

Our future healthcare workforce must be as diverse as the communities it serves.

October 14, 2021 | 1 min read

Caring During Death

By Vivian Altiery De Jesus, MD, MBE, Johns Hopkins Medicine

It’s a privilege to care for patients and their loved ones, especially at the end of life. Even when we can’t cure, we can always comfort.

May 7, 2024 | 1 min read

Shifting careers

By Zeina Moukarzel, MD, MPH, Beirut, Lebanon

As healthcare professionals, there are multiple ways to have a positive impact on the world. If and when you step away from patient care, thoughtfully consider what will bring fulfillment and purpose.

"If I die, tell my mother I love her. If I get better, I'm going to visit her in Tennessee. She has ten acres and a farmhouse."

May 11, 2021 | 1 min read

Empathy at The End of Life

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

At the end of life, clinicians who are present and listen compassionately may be entrusted with patients’ final wishes. Attempting to honor these requests is one way to serve.

April 17, 2024 | 2 min read

Kratom—the opioid-like herbal drug your patients may be using

By Megan Buresh, MD, Johns Hopkins Medicine

Kratom use is on the rise. It is important to ask patients about use in a nonjudgmental manner.

February 22, 2024 | 1 min read

A journey through time

By Beatriz Rizkallah Alves, MD, Massachusetts General Hospital

As a young doctor, I cared for a centenarian. I realized that I’d never fully appreciated the complexity and challenges of aging—I now take extra time to uncover my older patients’ struggles.

December 16, 2020 | 2 min read

The Danger of Stereotyping Specialties

By Sarah Temkin, MD, Greater Baltimore Medical Center

Clinicians must critically evaluate the stereotypes that they assign to one another. A diversity of training and backgrounds is beneficial to patient care.

December 21, 2023 | 2 min read

Night owls

By Sara Benjamin, MD, Johns Hopkins Medicine

When patients say they often feel drowsy during the day, discuss a sleep routine that fits with their schedule. And remember to screen for sleep apnea.

November 7, 2023 | 3 min read

Speaking Our Patients’ Language

By Abbey Becker, LMSW, Johns Hopkins Medicine

Clinicians must meet patients where they are. Determining their health literacy levels is a critical part of care that sometimes gets overlooked.

March 2, 2018 | 4 min read

The Joy of Mentoring

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

Making time to mentor a high school student can be refreshing and rejuvenating for all clinicians.

October 29, 2019 | 4 min read

Curiosity, Connection, and Comfort

By Margaret "Molly" Hayes, MD, Harvard Medical School

Curiosity is an essential part of our humanity and a foundation of the doctor-patient relationship. By remaining curious, we remain faithful to the words of Hippocrates: “Cure sometimes, treat often, comfort always.”

"Critical care unit," drawing by the author.

October 29, 2024 | 1 min read

“Critical care unit”—a visual reflection

By Sujal Manohar, medical student, Baylor College of Medicine

In the face of devastating diagnoses and uncertain prognoses, pediatric patients and their loved ones need to feel heard and understood.

April 15, 2024 | 1 min read

When the end is near

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine, Shubham Tomar, MBBS, MPH, Vanderbilt University Medical Center

At the end of life, loved ones often must make difficult decisions. Healthcare professionals can help ease this burden by showing empathy and compassion.

October 14, 2019 | 4 min read

The Struggle Between Occam’s Razor and Hickam’s Dictum

By Kittane "Vishnu" Vishnupriya, MBBS, Johns Hopkins Medicine

Occam's razor and Hickam's dictum are both helpful tools when engaging in diagnostic reasoning.

August 30, 2019 | 1 min read

The Gatekeepers of “Fairness”

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Excellent clinicians spend time listening to patients, acknowledging concerns, and empathizing with feelings that life is not fair.

November 10, 2021 | 5 min read

Reading Between The Lines

We don’t always say what we’re thinking, particularly in difficult conversations. Sharing and exploring unspoken thoughts can lead to stronger connections with our patients and better care.

October 23, 2024 | 2 min read

Educated lucky: Making critical decisions without all the answers

By Edana Mann, MD, Johns Hopkins Medicine

In critical care, we often make life-saving decisions with incomplete information. Teamwork is essential, and sometimes acting on our best-educated guess is the only option. These moments remind us of life’s fragility and the importance of trusting our instincts and each other.

July 23, 2024 | 3 min read

The last gaze: witnessing a peaceful death

By Michael McCarthy, MD, Johns Hopkins Medicine

In Abraham Verghese’s novel “Cutting for Stone” I learned about how to help patients face death. This includes considering the role of spiritual support and ensuring patients feel cared for in their final moments.

May 20, 2021 | 2 min read

Alleviating Your Patients’ Worries

By April Sharp, MD, Johns Hopkins Medicine

During hospitalizations, patients and families have lots of time to worry. Asking about the concerns and empathizing may be especially helpful.

March 15, 2021 | 1 min read

How to Talk With Vaccine-Hesitant Patients

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

When speaking with patients reluctant to get vaccinated, listen to their concerns, and convey respect and empathy.

May 8, 2018 | 3 min read

Compassion is Contagious

By Colleen Christmas, MD, Johns Hopkins Medicine

Patients are observing us while we interact with others in the hospital, and this can have a tremendous impact on the trust they put in our care.

February 23, 2021 | 3 min read

Tips For Giving Medical Updates to Families

By Joshua Budhu, MD, Mass General

A physician’s disappointment in hearing surprises about his loved one’s condition sparked new insights on the value of regularly updating families about the patient.

January 29, 2024 | 2 min read

Life after grief

By Jaime Jump, DO, Texas Childrens Hospital

I was invited to a baby shower for the sibling of a baby who had died in my care. Talking with the parents taught me that beyond sadness, there can be hope and joy.

December 20, 2023 | 3 min read

Unhappy holidays

By Larkin Corrigan, MSW, Portland, Oregon

During “the most wonderful time of the year,” we can remind patients, loved ones, and ourselves, that grief often sits side by side with joy at the holiday table, and that’s ok.

July 17, 2018 | 4 min read

Being a True Patient Advocate

By Deborah Freeland, MD, Johns Hopkins University School of Medicine

Sometimes being an advocate for your patient means fighting for a decision that you don’t fully agree with and respecting their decision; in so doing, you are fulfilling your duty to protect and honor patient autonomy.

October 3, 2023 | 2 min read

Never Forget Where You Came From

By Hanghang Wang, MD, PhD, Johns Hopkins Medicine

Reflecting on my journey to becoming a cardiothoracic surgeon reminds me of how far I've come. This also helps me to imagine the rewards of giving clinically excellent care to future patients.

May 31, 2023 | 1 min read

Lessons From a Leaf-Coated Dog

By Catherine Callister, MD, University of Colorado

Encouraging patients to bring things that remind them of home to the hospital may help promote healing.

September 11, 2020 | 3 min read

No Regrets—A Lesson Amid a Pandemic

By Eric Last, DO, Northwell Health, Wantagh, New York

A decision made in good faith with the best available information shouldn’t be regretted even if it’s later proven wrong. All we can do is learn from the experience to improve our care of patients.

May 15, 2023 | 3 min read

Ode to Joy

By Joanne Shay, MD, Johns Hopkins Medicine

When I look for reasons to smile at work, I find them. Simple things like a hug from a colleague or listening to a patient share their story can brighten our days.