Transitions

This has been a time of transitions. New baby new home new job. New possibilities for life. New take on how to support life. After eight years with the Chicago Family Health Center and teaching students at University of Chicago, my first roles as a physician out of residency, I took on a new challenge…

When a Gunshot Wound to the Arm is a Blessing

“Blessed. I’m so blessed.” She kept repeating this, from her seat on the examining table. “I’m so blessed.” I unwrapped the bandage holding on the splint that had covered her arm for the three weeks since the bullet went in above her elbow and came out through her forearm, hitting no bone, touching no major…

Gratitude in the New Year

The snow is falling in Chicago. Potentially 11 inches in the next few days, which means only one thing–cross country skiing! I’m warm, wrapped under a blanket on the couch curled up next to a napping husband. My stomach is full, after two pieces of my mom’s delicious holiday cranberry-orange nut bread (thank you, Mom).…

Health Care Value vs Sick Care Volume

Today a group of community physicians were discussing ACEs (accountable care entities), and exploring their payment structures.  Healthcare plans being paid a set amount for taking care of a person within a set population, with incentives to keep them healthy. Fee-for-value vs fee-for-service. Value vs volume. What do we mean by value and volume, when…

The Upstreamist Doctor

Rishi Manchanda is a healthcare not sickcare visionary. He founded HealthBegins, a group to train doctors to become proverbial upstreamists–a term he describes in his TED talk and book, The Upstream Doctors. The upstream proverb: Imagine a river, heading towards rapids, towards a deadly waterfall. In the water are children. At risk of death. Three friends leap to…

Key Questions for a Doctor to Ask

Mortality. Life choices. Health hazards. The conversations doctors have with our patients can be difficult. Especially when we ask about taboo topics. Learning key series of questions can make complex discussions much simpler. Key questions I’ve learned and practiced and use on a roll-off-the-tongue daily basis: What can I do for you today? (eliciting the…