The golden rule is wrong. Fight me.

As a healthcare provider and educator, equity is a top priority for me. I try to consider the differential impact of every decision I make on different people with different needs. I know I don’t always do this perfectly and I am always learning. It helps to observe others a lot and develop some basic... Continue Reading →

Diagnosis vs. Understanding

I’ve been a long-time fan of the Diagnosis column in the New York Times Magazine, written by Dr. Lisa Sanders. (Yep, I get the Sunday Times delivered. I also take my rescue dog to the dog park, shop at the famers’ market, drink kombucha, and wear athleisure. Bite me). Dr. Sanders writes about medical puzzles— cases... Continue Reading →

Compassion.

Ask yourself what’s missinig in contemporary news and discourse. What underlies divisiveness and hate speech. What makes some encounters (with a police officer, or a doctor, or someone you expect to care) so completely demoralizing. And what causes hopelessness and pain and substance use and. . . My answer: compassion is missing. When a person... Continue Reading →

Does the language of health care matter?

Disclaimer: Dammit Jim, I’m a nurse, not a linguist!     We’ve been arguing over the language of the healing professions for a long time. Providers. Midlevels. Doctors. Physicians. Physician Extenders. Do the semantics matter to the development of the roles? To the patient experience? To the politics and payment?     In a 1951... Continue Reading →

Book Club: An American Sickness

The U.S. healthcare system is a hot mess. Even people who know things are convoluted and expensive might not realize the extent: we pay far more for just about all aspects of healthcare here than anywhere else, and our outcomes are worse pretty much across the board (see this article from the Commonwealth Fund for... Continue Reading →

Why patients clash with doctors

I’ve seen several loved ones frustrated by interactions with the medical system lately, and after my initial knee-jerk reaction of “how dare they mess with one of my people” and “we have a shitty system, and we probably always will,” I got to thinking more about it. Why do people who are seeking help from... Continue Reading →

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