Strategies For Cutting Back: Group Policy Change

crispydocUncategorized 12 Comments

But we’ve always done it this way! Medicine is a conservative profession, where change is viewed with suspicion and the reason, “But we’ve always done it this way!” is as unquestionable as, “I’m the mommy, that’s why!” was in childhood. (Incidentally, the latter was the bumper sticker on the station wagon that served as my first car, which made meeting …

Don’t Let Someone Else’s Script Narrate Your Story

crispydocUncategorized 18 Comments

Sometimes the people we love are those most likely to sabotage us by insisting on forcing our unconventional narrative to fit within their traditional story framework. My wife’s grandmother, a widow, had developed dementia and moved to an assisted living facility. My wife’s aunt, a successful attorney in her 50s who happened to be single, had come from out of …

Are You Having A Career ALTE?

crispydocUncategorized 6 Comments

Alternate Title: The Father, The Son And The Holy Crap! Careers in medicine have evolved over time. It’s always been a hard path, but previously, you knew what you were getting when you signed up. Recent changes have eliminated significant autonomy and prestige from a medical career. Increased debt conspires with decreased satisfaction until we unexpectedly encounter an Apparent Longevity …

Convergence

crispydocUncategorized 17 Comments

Alternate Title: Carolina In My Mind This weekend was spent in North Carolina strengthening ties with people we love but see less often than we’d like. BT is one of those people. He was not a typical emergency medicine resident Most of us were single. BT was married with a kid. Most of us had family in California BT was …

Martyrdom In Medicine

crispydocUncategorized 16 Comments

I recently called every member of my physician group as part of an effort to incorporate feedback on a group policy I was trying to develop. I’m fortunate to work with folks I truly respect and admire, who collaborate and frequently ask one another to opine in challenging cases. In that spirit, I sought advice and suggestions from folks who …