 In which a young surgeon-in-training describes his adventures.Primary Format :
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Episode 27: Whither and Whence
The way this blog is posted and served is absolutely free. Unless you value the time it takes to do it...this post was finished almost a week ago, but took a long time to successfully upload.So that's the excuses section.Anyway, Episode 27 is up at last. Enjoy, and let me know what you think!D, M.D.
Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 26: Sometimes it's all in your head.Well folks, I'm back again. And reading from the mailbag, where Amanda writes in with some great questions about naturopathy.Also, in the podcast, I mistakenly refer to graduates of Osteopathy schools as ODs. This is what's known, in this political season, as a gaffe. They are actually DOs. Apologies.Here are some associated links, if you want more:Here's a Wikipedia article on Naturopaths...it's interesting for some basic information on naturopathy, and it's also a fascinating exploratio ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 25: A Conversation on the Frontlines of MedicineYou responded to Episode 24 with aplomb, I have to say. Tons from the mailbag -- enough to form an entire episode. We hear from Moof on why I should be a doctor, ZeroRocker on why he wants to be one too, and another emailer with some compelling questions on transplants. In 26, look for a diagnostic puzzle...coming soon(ish)!Until then, enjoy, and keep the conversation going!D, M.D.P.S. In this episode, I talk about how altruistic liver donation doesn't happen in the US. Turns out there ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 24: Should I Stay or Should I Go?I know, I know...You could argue, rightly, that I already went. But hey, I'm back, and glad to be here. No drama, no amnesia, no fugue state in which I woke up months later washing dishes in a diner in New Mexico, no kidnappings or secret missions. Just a lot of living, and then, towards the end, some technical difficulties.But I'm back, and here is Episode 24. And here is the link to the article from the NYT that I talk about therein. Keep in touch. I'll do the same.
Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 23: Looking back, looking forwardHi All,First, a very happy New Year to you all! I'm really excited about where this podcast is headed, and about this first episode for 2008.This episode is in three parts:Part 1: The story of a recent tragedy, and what it makes me remember and consider.Part 2: A look at a couple of recent issues that have appeared in the mainstream media that have direct implications on surgery. The first is a story from This American Life about a heart transplant recipient who comes to know her donor's ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 22: The Anniversary Issue!So. A year. Amazing. Both in how long it seems, and how it seems like just last weekend I sat down and wondered "what's this podcast thing all about."I'd thought about a greatest hits episode, but in the end, with questions from the listeners waiting (very patiently) for answers, I went for new content. Hopefully that will be the theme of Year 2.The poem I read, Miniver Cheevey, can be found all over the Internet, but here's one place.My Facebook account, discussed on the show, is "Das ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 21: Rites of PassageHi All,First, some pressing news: I'm going to be on the Doctor Anonymous radio show tomorrow, Sunday the 21st, at 9 PM Eastern. Hope you can join us there...I'm excited about having a chance to interact with the Listenership in real time. The show link is here, and the Doctor Anonymous blog, which is much more prolific than my own, is linked on the right. Episode 21 tells the story of some recent rites of passage: my completion of the trilogy of board exams (the USMLE Step exams), my t ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 20: The End of SummerSo...summer was great. So great that I didn't really get to the podcast much. That, and some technical difficulties. But I'm back now, with some great listener mail. Episode 20 hits some big topics: - Medical school for non-traditional students- Universal healthcare, and my feelings about it- Coping with bad daysHope you enjoy! I'm glad to be back.Keep your thoughts and questions coming!
Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 19: Sharing lessonsI'm back, at long last. Now coming to you from the East Coast of America, and living a very different life. There are plenty of stories still to come, but there's still plenty to say about the life I've left behind, too. So I give you the transplant service.
Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 18: Can work be its own reward?The rewards of medicine are sort of obvious: taking care of other people is one of the great privileges of life, and the fact that we get paid at all to do it sometimes seems like an unexpected, unnecessary pleasure. But the fact is that medicine asks more from us than simple patient care, and making that worthwhile is another question all together. As it is, there's no incentive to do anything more than just get by in medical residency, for instance...no matter how hard you work, you spe ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 17: You Grow Accustomed To The SmellHere'sthe story of how a young doctor-in-training learns to keep standing...and at what cost.As always, I love hearing your thoughts.New to the podcast? Want to subscribe? You do? Great! Click the button below:Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 16: Questions you should askHere's Episode 16. We start with some letters from the Listenership, then take a quick trip to the newswires, where we check on the medical accuracy and completeness of recent stories about Tony Snow's cancer diagnosis and Jon Corzine's car accident. Then, at long last, we arrive at the stated topic: questions you should ask your surgeon before having an operation, and things you can do in the hospital to be sure that you're getting all the treatment that you should.Of course, I'm not you ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 15: Three Patients, Three FamiliesAs I finish a three-week rotation in the Intensive Care Unit, three patients with three families stick in my memory. Not so much for their individual cases, though each was memorable and heartbreaking in its way, but for how their needs and ours worked together - or failed to. Also, a trip to the mailbag for more questions from Nancy! Enjoy!
Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 14: From the NewswiresIn this week's episode, I go to the front pages of the last week, trying my hand at a little bit of political commentary from the medical perspective and trying to put some scientific sense into our reading of news headlines.The two issues I talk about are based on articles about Dick Cheney's blood clot and the Walter Reed Scandal.As always, I can't wait to hear your thoughts on this week's episode!
Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 13: From Our Own CorrespondentsYou wrote, I read, and now here we are: an entire episode devoted to answering the questions of loyal listeners Cody (aka ZeroRocker) and Nancy, who wrote in with some great questions that I had a lot of fun answering. Want to know about why we need scrub techs? What's the relationship between surgeons and internal medicine doctors? Do you need calculus to be a doctor? And, of course, what are the romantic prospects for the modern single surgeon??This is what I dream this podcast will b ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 12: If you pull out all the stops, when do you end? (Part 2)When Enough is Enough:Continuing last week's theme of resource allocation, I talk about some times when doing everything we can is probably doing too much. Next week, we go to the mailbag for a full episode of listener's questions. Stay tuned!
Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 11: If you pull out all the stops, where do you end? (Part 1)Resource allocation is a bloodless term of art for a question that's often very bloody. How do we decide which patients deserve the full force of modern medicine, and which do not? It's one of the perennial questions in medicine today, especially in a time and culture that cannot accept the principle of rationed health care.I don't pretend to know the answer to these questions, but I take a shot at a couple of examples. This is the first part in what I imagine will be a two part series. ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 10: Where do I go from here?Sometimes I feel like I'm at the end of my tether. Sometimes I wonder what exactly I'm tethered to. A special "inside my head" edition ofthe podcast!Do you like what you're hearing? Subscribe by clicking the button below. And tell your friends, please! The podcast listenership has reached a plateau, and, being anonymous, I can't tell anyone about it. Thanks!Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 9: Back in the SaddleHello all,At long last, I've recovered from illness and New Year's Eve and produced Episode 9. Look forward, as always, to your comments, questions, and answers! Can't wait to see where this podcast takes us in 2007!
Listen | Listen in your iPhone | Download | View full cache | Visit Website ER Diaries, Day 3Here's the tale of Day 3. Started slow, ended long. Enjoy.
Listen | Listen in your iPhone | Download | View full cache | Visit Website ER Diaries, Day 2Day Twowas a doozy, folks...the busiest day in the ER that I've ever seen, and, by extension, the busiest day I've ever had. Listen to the tale, tell your friends, and let me know what you think!Listen | Listen in your iPhone | Download | View full cache | Visit Website ER Diaries, Day 1I've started working in the ER again, and was struck today by how many amazing stories I'd already seen in just a few hours. So I'm inaugurating the ER Diaries: every day that I work over the course of this three-week rotation, I'll give a quick summary of the stories I see every day. Let me know what you think. Here'sDay One.Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 8: Troubles I've SeenFriends,Episode 8 is streaming now. In it, I talk a little bit about my troubles with the current state of affairs, and look at how they compare, pitifully, with the troubles of some of my patients. But troubles are troubles...as one of my friends in college put it, "I believe in the relativity of all human experience." So I have committed to do something to change my reality a little. Hear all about ithere, and let me know your thoughts!Listening for the first time? You can subscribe ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 7: Going to the MailbagIn this week's episode, I respond to two separate emails from the Listenership. Yes, you sent me emails, and I read them, and made a show about it. In the first segment, I address Sharon's comment about the way I do - or don't - identify my patients. In the second segment, I pontificate on Anna's question about applying to medical school. This will hopefully be the start of a short series on application processes...I still want to do a show about applying to residency, too.In the meanti ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 6: The Best of Times, The Worst of TimesAt long last, I've gotten EpisodeSix together. It's easily three episodes in one, though, so free up some hard drive space andenjoy!Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 5: The ABCsA story of my first day as the second-year surgery resident in our emergency room, where we coordinate the care of all the trauma patients and act as a regional resource for a farflung network of hospitals. On my first day, a doctor called in with what seemed like a question far outside the realm of my meagre experience. On second thought, it turned out to be pretty easy. The full story, complete with my proving my first-grade teacher wrong by correctly reciting the first five letters of ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode 4: Speaking from the HeartWelcome to Episode 4. In this episode, I review some mail from listeners and talk a little bit about the trials of medical school and how they compare - or don't - to the trials of doctoring. Jarrad, whose letter I read, blogs atwww.veritography.com...check it out.Get the podcasthere, or better yet subscribe by clicking here:Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode Three: Sometimes Things Go RightThe highs of medicine are as high as you can go.In Episode Three, I talk about the most affirming moment of my medical career, such as it is thusfar. I hope you enjoy it.The podcast has been growing in popularity, even at it's young, young age. Thanks to all of you for listening, but special thanks to those of you who've taken the time to write with your thoughts. I want to tell your stories and share your comments, so please keep them coming!In the meantime, enjoyEpisode Three!Listen | Listen in your iPhone | Download | View full cache | Visit Website Episode Two - When I Chose to be A DoctorI've known since I can remember that I wanted to be in medicine. There were times, though, when that choice was muddied by my other interests. And there were even a few dark months when I was pretty sure I wanted to be a lawyer, instead. One night, volunteering as an EMT in the local ER, I met a patient who made my choice clear. That story here, asEpisode Two.Look forward to hearing what you think. Thanks for listening.P.S. The podcast is now available on iTunes. Or just click here:Listen | Listen in your iPhone | Download | View full cache | Visit Website Dashing MD, The PodCast: Episode One.Welcome one and all! Or at least one! I'm excited to announce the start of the Dashing MD podcast, another way to tell my stories and, if I'm lucky, yours as well. This is a new venture, and I have no experience in doing this, but I've been granted a full weekend off from work and have enjoyed spending part of it putting this first podcast together. I was suprised at how easy it was, in the end. Whether it's easy on the ears as well I look to you to tell me. Enjoy.Better yet, subscribe ... Listen | Listen in your iPhone | Download | View full cache | Visit Website
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