MomMD Blogs

Blogs for women in medicine which cover topics such as health, medical school applications, pediatrician moms, physician success, childcare and many other thoughts for women in medicine.

The machine

Healthcare is a machine.  A giant machine with a thousand parts.  Sometimes the machine is efficient, well maintained, oiled, and produces a product that will withstand the test of time.  Other times the machine is missing parts, hasn't been stroked by the loving hands of a caregiver in years, or churns out partial pieces of the final product. I have spent years living in the machine, a small pixel in a big picture.  I try to be efficient and not be the rate limiting step.  I try to make sure the patient comes first do whatever possible to lessen the load a little or to brighten their day.  E......
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The contrast was almost unbearable that fall.   I was medical director at an eating disorders program.  Dr. LeGrange's superb program helped so many young women suffering from anorexia nervosa.  However, some were hard to help.  Some loved the skinniness.  Some found it beautiful.  And, no amount of skinniness was ever enough.  First baby fat was lost.  Next the rest of the fat was lost.  Later menses were lost.  Eventually, health was lost.  I never saw a life lost, but of course sadly many are. After those clinics, I drove an hour north to a different kind of starvation.  I was watching the......
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nutrition services

I miss nutrition services.  Which is to say I miss the daily voice AND emails from nutrition services.  And I quote: "This is a message from nutrition services.  A child in your household by the name of teenage boy has a negative school lunch balance in the amount of two dollars and thirty five cents.  blah blah blah idle threats here" After nearly three months of voice mails and emails, teenage boy has *finally* remembered to turn in the checks we gave him.  I wanted to write a check for two dollars and thirty four cents, but Honey wouldn't let me. Someday, it'll be Sallie Mae calling.  An......
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some days you're the totter

or is it the teeter that's on the bottom? I'm on elective and should be reveling in the time I have away from work and sewing my fingers off.   While I am enjoying down time away from emotionally and sucking-the-hours-out-of-your-week draining rotations, I'm struggling personally.  I find myself at a complete impasse with my internal career decision pathway and overwhelmed with the possibilities (what a problem, eh?).   And honey isn't convinced we especially need another babe.   And I'm starting to seriously wonder how the hell all of this will be paid for.  *see http://benbrownmd.wordpress.......
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A blue-tinged pale face with telling red marks encircling the neck.    I had nothing to do with this patient who I saw during my emergency medicine rotation in med school.  No one in the hospital had much to do with him, actually, as he arrived dead.  DOA.  The young man had hung himself, and the emergency room was a waste of time.  He was long gone. But almost two decades later, he is not long gone from my mind.  Every time a patient reports suicidal ideation, I see his face.   And, my pulse quickens.  I am haunted.  Surrounded by endless tragedies, I don't think those of us in medicine can ......
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