Might meritocracy undermine one’s sense of humility? It’s an unusual line of argument, but one that caught my eye in a recent alumni magazine article reviewing the political theorist Michael Sandel’s newest work, The Tyranny of Merit: What’s Become of the Common Good? A year ago this month, I wrote about another interesting piece by Daniel Markovits debating the success …
The Value Of Nostalgia
In medicine, the suffix -algia indicates pain. Neuralgia is nerve pain. Myalgias are muscle aches of the type that we commonly feel during an acute viral illness (it is one of the common symptoms of COVID 19). Nostalgia combines the Greek nostos, to return home, with -algia, pain. We regard others who dwell in nostalgia as prone to melancholy, pining …
How To Endure In Medicine
As an emergency physician, it’s a gift being of service to patients on the worst (or last) day of their lives. It’s not easy, and it’s not for everyone, but it lets me contribute in a meaningful way. Acknowledging that being an emergency physician provides me a real sense of fulfillment is not enough to persuade me to want to …
Sometimes The Past Emerges To Break Your Heart
It was during one of my return visits home from college, and I was in the vulnerable seat that is the barber’s chair. I sometimes imagine a barber offering an old-fashioned lather and shave with a sharp blade – a man submits his neck to a stranger with a knife, trusting that no harm will follow. It’s an interesting exercise, …
COVID Is A Social Stress Test: It’s Telling You To Diversify
I recently reconnected with someone I’d been out of touch with since the start of the COVID pandemic. On paper, he’s a cliche of a 1950s American male – works in tech, married with kids and a non-working spouse, living on the east coast. He and his wife have a traditional marriage more characteristic of prior generations – a division …
Are You A Tunneler Or A Ranger?
My wife and I belong to a book club where we enjoy our role as being the youngest members. At one point, there was a 47 year difference between the youngest an oldest person in attendance. Having such a diverse range of life experience offering insight on a shared bit of literature is a delight (at least until the point …
What’s The Right Amount Of Portfolio Complexity?
As an ER doc and birdwatcher, I find that the breadth of human behaviors have a great deal in common with the variety of birds. Many years ago I enjoyed explaining to a faculty interviewer at a residency program that a short observation period, applied pattern recognition and a need to think quickly on one’s feet are inherent to both …
Strong Opinions, Weakly Held
It’s my lot in life to be the last to know. I find out about relationships in the ER after an engagement ring has been presented, a child has been born or a staff member has departed. There are ambivalent aspects to my naivete – it’s arguably more difficult to enter the line of fire when you never knew where …
Playing The Percentages
What are your superpowers? One of mine, cultivated from early childhood and strengthened routinely in my role as an emergency physician, is the ability to frame a situation in a way that allows me to move beyond aggravations, real and imagined. (Excluded from this claim is the ability to deal with preteens and adolescents, which I consider a universally shared …
Lessons From Docs Who Cut Back
Chief Wellness Officers are administrative leaders tasked with ensuring that organizational culture and executive leadership align to produce a healthy practice of medicine for those tasked with working in the clinical environment. That is a complicated way to say they are supposed to help doctors either like their work more or resent it less. Structural incentives are important in helping …