The Art of Medicine — A good father

The couple sits side by side in twin chairs by the examination table. The mother cradles a bundle in her arms, a look of maternal contentment on her face. The father’s shoulders tower over her, shaved head giving way to a thick black beard reminiscent of Rasputin. His limbs are equally heavy and thick. He rises to his feet, a veritable giant, and in that moment I mentally muse how that shepherd boy must have felt with only five smooth pebbles in his pocket. more»

Interested readers can now access my latest Art of Medicine column — A good father — recently published in the Journal of the American Academy of Physician Assistants.

Please note that all of my previously published Art of Medicine pieces can now be accessed here.

The Art of Medicine — Doughnuts for breakfast

This 14-year-old boy has come to the office for his annual physical examination. I recall seeing him once or twice over the course of this past year, always with his mother. Today she sits in one of the two orange chairs by the window. The other chair is vacant. The boy has already assumed his perch on the examination table, head down between his shoulders. more»

Interested readers can now access my latest Art of Medicine column — Doughnuts for breakfast — recently published in the Journal of the American Academy of Physician Assistants.

Please note that all of my previously published Art of Medicine pieces can now be accessed here.

The Art of Medicine — A mother in mourning

This mother looks as though she has gained weight since I saw her last at the infant’s 2-week well-child visit. I study her face. A trace of lipstick crosses the vermillion border of her upper lip, marring the subtle line between beauty and disarray. more»

Interested readers can now access my latest Art of Medicine column — A mother in mourning — recently published in the Journal of the American Academy of Physician Assistants.

Please note that all of my previously published Art of Medicine pieces can now be accessed here.

The Art of Medicine — A lump in the neck

Establishing credibility is difficult in an initial encounter; the clinical waters have not yet been tested by time. more»

Interested readers can now access my latest Art of Medicine column — A lump in the neck — recently published in the Journal of the American Academy of Physician Assistants.

Please note that all of my previously published Art of Medicine pieces can now be accessed here.

The Art of Medicine — Regression

The boy ogles my face but remains silent. “Sit up and answer the doctor,” the mother says, looking up from the partially completed form on the clipboard in her lap. “He’s been giving us a hard time lately,” she explains, “almost like he wants to be a baby again.” more»

Interested readers can now access my latest Art of Medicine column — Regression — recently published in the Journal of the American Academy of Physician Assistants.

Please note that all of my previously published Art of Medicine pieces can now be accessed here.

The Art of Medicine — Cutting remarks

I make my way down the long corridor to Room 8, rap on the door, and push it open. Despite the nurse’s admonition, I’m not entirely prepared for the portrait before my eyes. more»

Interested readers can now access my latest Art of Medicine column — Cutting remarks — recently published in the Journal of the American Academy of Physician Assistants.

Please note that all of my previously published Art of Medicine pieces can now be accessed here.

The Art of Medicine — Agate eyes

I retire to an empty examination room to review the chart. An entry from 2 years back jogs my memory. This woman had learned she has breast cancer midway through her last pregnancy. She elected to forgo treatment and carry her baby to term. Radiation and chemotherapy were started immediately after the birth of the child. It had been a rocky course. I close the chart, walk down the hallway, and rap gently on the examination room door. more»

Interested readers can now access my latest Art of Medicine column — Agate eyes — recently published in the Journal of the American Academy of Physician Assistants.

Please note that all of my previously published Art of Medicine pieces can now be accessed here.

The Art of Medicine — A lot on her plate

As I read the nurse’s note in the infant’s chart, an involuntary sigh escapes from my lips. A 9-month-old child who refuses to eat. This does not bode well for the first patient of the day. I glance at my posted schedule, already full for the morning session. more»

Interested readers can now access my latest Art of Medicine column — A lot on her plate — recently published in the Journal of the American Academy of Physician Assistants.

Please note that all of my previously published Art of Medicine pieces can now be accessed here.

The Art of Medicine — Partnering with a parent

Immediately, I recognize the parents. I’ve met them before. Their infant daughter is now 4 months old. The father stands in the middle of the room next to the examination table with the child in his arms. The mother is seated in one of the chairs by the far wall. Brief smiles fade from their faces as the conversation moves quickly to the reason for the visit. more»

Interested readers can now access my latest Art of Medicine column — Partnering with a parent — recently published in the Journal of the American Academy of Physician Assistants.

Please note that all of my previously published Art of Medicine pieces can now be accessed here.

The Art of Medicine — When care goes beyond the patient

I check my morning schedule: this 1-month newborn well-child check, with no additional patients booked for the next half-hour, is certainly a satisfactory start — but in this business, without warning, things can go south in the blink of an eye. more»

Interested readers can now access my latest Art of Medicine column — When care goes beyond the patient — recently published in the Journal of the American Academy of Physician Assistants.

Please note that all of my previously published Art of Medicine pieces can now be accessed here.