For my patient, his wide-angle lens took in the whole of his life, of which diabetes was one small part. For me, in the 20 minutes allotted, my lens was narrowly focused on the disease that posed the gravest and most immediate risk to his health. Read more…
Posts published by Danielle Ofri, M.D.
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When Doctors Give Patients Money
By DANIELLE OFRI, M.D.Recently a few of my colleagues were sitting together and one asked if any of us had ever given money to a patient. There was an awkward pause, and then the stories starting coming out. Read more…
Lots of New Patients, Too Few Doctors
By DANIELLE OFRI, M.D.It is increasingly difficult for patients to find doctors and to get appointments with primary care physicians like myself, and it is likely to get worse, not better, as millions more gain health insurance under the Affordable Care Act. Read more…
When Doctors Share With Their Patients
By DANIELLE OFRI, M.D.Doctors often “self-disclose” to patients in an attempt to empathize. But contrary to what might be expected, such self-disclosures often turned out not to be helpful in addressing patients’ concerns or building rapport. Read more…
The Challenge of Diabetes for Doctor and Patient
By DANIELLE OFRI, M.D.A diabetes diagnosis must trigger a flurry of life changes and is something patients will live with for the rest of their lives. Read more…
A Powerful Tool in the Doctor’s Toolkit
By DANIELLE OFRI, M.D.How caregivers present and administer treatments has a powerful effect on clinical outcomes. Read more…
In a Culture of Disrespect, Patients Lose Out
By DANIELLE OFRI, M.D.When doctors tolerate a culture of disrespect, we aren’t just being insensitive, or obtuse, or lazy, or enabling. We’re in fact violating the first commandment of medicine. Read more…
Uncertainty Is Hard for Doctors
By DANIELLE OFRI, M.D.As a group, doctors dislike ambiguity. We pride ourselves in the scientific girders of modern medicine and are most comfortable when we are dispensing medical care to our patients that comes from a double-blind clinical trial, that fits into a validated clinical-prediction rule. But very little of medicine falls into that absolute category. Read more…
How Creative Is Your Doctor?
By DANIELLE OFRI, M.D.Medicine is a field with a strong history of creativity, but its daily practice feels less and less creative. Read more…
The Fallout of a Chance Medical Finding
By DANIELLE OFRI, M.D.A small mass was “incidentally noted” on my patient’s chart. But once the incidentaloma had been given life, so to speak, it was no longer incidental. We were now obliged to run some highly complicated — and expensive — lab tests. Read more…
Making a Case for the Medical Checkup
By DANIELLE OFRI, M.D.A new report concluded that general health checkups for adults did not help patients live longer or healthier lives, but it may not be time to forgo the annual doctor’s visit, one doctor argues. Read more…
A Return to Bellevue After the Storm
By DANIELLE OFRI, M.D.After Bellevue Hospital was evacuated during Hurricane Sandy, many doctors and staff members underwent the feelings of loss and confusion that are not dissimilar to the experience of being ill. Read more…
When the Patient Is ‘Noncompliant’
By DANIELLE OFRI, M.D.As soon as a patient is described as noncompliant, doctor shorthand for patients who don’t take their medication or follow medical recommendations, it’s as though a black mark is branded on the chart. Read more…
Women Still Missing From Medicine’s Top Ranks
By DANIELLE OFRI, M.D.While women make up about half of all medical students and a third of academic faculty members, they are nearly absent in leadership roles. Read more…
Falling Into the Diagnostic Trap
By DANIELLE OFRI, M.D.The patient was found in his room, surrounded by alcohol bottles. But while he was battling alcohol withdrawal, the medical team almost missed a life-threatening diagnosis. It’s as though our brains close ranks around our first impression, then refuse to consider anything else. Read more…