Archives for December 2014

Slow Medicine Versus Fast Medicine

As we watch medicine unfold, there is a lovely debate emerging around slow versus fast medicine. It would seem that emphasis on the bedside falls very much in the category of the former. This debate also is reminiscent of the work of David Orr and his lovely books, THE NATURE OF DESIGN and DESIGN ON

The Flipped Patient

Many of us in the Program in Bedside Medicine are deeply involved in the medical students pre-clerkship curriculum. Each week the students interview hospitalized patients, perform physical exams, give presentations, followed by a written H&P note. These students enter the patient room with only pen and paper, as they have not yet gained access to

Tripe Palms

A patient’s hands may reveal much about them. Fingers, nails and palms can all tell their own stories of habits, occupations or disease. The right hand of a 71-year-old female is shown below. Deep tar staining of the thumb and pulps of the index and second finger are visible – a consequence of many years manipulating cigarettes

An Image For the Day

Kahlo’s Self-Portrait with Portrait of Dr. Farill (1951). This interesting image raises all sorts of questions. What was Frida trying to say? Was it a comment about presence or about lack thereof? Was it a way of sanctifying the doctor? We know he operated on her many times and she thought he had saved her life. What does