Dr Weinstein's humanity & humility, both essential ingredients in patient care, are evident throughout the pages of this fine volume. Anyone embarking on a career in medicine (as well as those already qualified) will be well rewarded by following the example set by Dr Weinstein.
Taking a pt’s Hx is probably the hardest but most important skill u will learn as a med student. It takes years to perfect, & even then, histories will be incomplete at 1 sitting—even if u have asked every ? under the sun. Pts change their Hx or suddenly remember something new.
Managing a pt’s expectations may become the most difficult part of medicine. It’s not uncommon that a pt is upset that nothing is found despite an exhaustive investigation. They will not understand that doing nothing is doing something and often the right thing to do. #MedEd#med
The delivery of medical
care, due to the ever-changing practice of medicine and the
failure of inertia to exert its force on medical progress, will mostcertainly be different during your tenure and therefore require a different path.#medstory#medmemoir#medicine#medical
Take any opportunity to see a patient with your attending. Those are special moments, and often teaching ones. It’s in those experiences when you will likely find yourself a mentor, which is essential to becoming an excellent physician. We all stand on
each other’s shoulders.
You will be the bearer of the greatest good news and the most devastatingly bad news. You will witness humankind’s infinite capacity for hope and blind faith and observe what real fear looks like and not how it is portrayed in the movies.
I think these three qualities—hard work, a sense of
obligation bordering on devotion to your patients, and ceaseless efforts to remain up to date on the latest developments in one’s
specialty—are the foundation of a life in medicine. #MedEd#MedStudentTwitter#doctor#medicine
There is nothing more satisfying than caring for people. When you are old and look back on your life’s work, you can trust that you will not have squandered it or labored for ephemeral things that do not matter and in sum are of no consequence.
The adage that the journey is the destination is very true for medicine. It’s a high peak to aspire to, but, like all steep climbs, do not look up at the mountaintop because, unlike real mountaintops, the peak will forever recede further into the distance, into the cloudy heights
Time in the hospital is not like time elsewhere. Sometimes it
moves at such speed that when you return to the world you feel older. In other cases, when you leave the hospital and return to the world, you feel as if the world has passed you by and you are younger for it.
Whatever field you choose, it will demand of you things that you never dreamed you would do to another human being; things you are not certain you are capable of at all. And perhaps the latter may prove true—you cannot master all of medicine or surgery.
It may be God that ultimately takes us, our souls, but it is only the doctor, even one as newly minted as I was, who can make that death legal in the world of Caesar. Officially gone.
Recognize that every test cannot be completed, that there is always someone
else who might fare better, another option or another day to obtain the information. It is not a failure to ask for help. In fact, asking for help is the foundation of excellent medical care—the consult.
Physicians are as imperfect as the rest of humanity, and
mistakes—costly mistakes, to be sure—happen. But when they happen, know that it’s not immediately about what happened, but how you respond to the complication or misjudgment that will define what kind of a doctor you are.
You have seen firsthand the respect and admiration patients hold for physicians. Do everything you can
not to disappoint them, although it is important to remember that you will. #MedEd#med#MedTwitter#medical_students#medical_literature
No matter what field you enter, whether you become a pathologist, internist, pediatrician, surgeon or a sub specialist, you will make mistakes. You will have complications. You will miss things and sometimes your mistakes, misjudgment or oversight, may cost someone
their life.
But the cadaver that lies on the metal table is nothing more than a means to an end. The medical student, like an animal in the wild, ravages it as if it were prey. In the end, only the bones remain.@ecanin@abe_verghese
By the time you lay the belly of the scalpel to the corpse, the body has long been dead, stinking of formaldehyde from its long bath, the skin shriveled like a raisin. Little of the remains resemble the life that thrived within, neither the systole or diastole of it.@abe_verghese