Gratitude

We all go through difficult times; I certainly have. When patients express discouragement about the track of their lives, I tell them about my friend John. John was a wonderful surgeon who operated on two of my kids. He was a gentleman and a gentle man, and he...

Aches and Pains

As my patient population aged, I heard more and more complaints about life’s daily aches and pains, and how annoying they were. I would commiserate: I know. I get them, too. I was complaining to my wife about them, and she said to me, “We both have friends who died...

The Recalcitrant Patient

You might – just might – have patients who don’t take your advice and return with same problem again and again. For such patients, like inveterate smokers with recurrent upper respiratory infections or refluxers who just have to have that bowl of ice cream...

Sudden Deterioration in Condition

One of the most distressing things for a family is when a patient, usually elderly, suddenly gets worse and seems to be heading for a cliff. When I was a medical student at Columbia, we admitted a ninety-seven-year-old history professor with a broken hip. At his age,...

Setbacks in Recovery

Patients recovering from surgery or an illness sometimes perceive they’re having setbacks or days when they don’t seem to be improving. Once I’ve determined that no untoward medical event has occurred, I explain progress this way: The course of recovery from anything...