by Jeremy Topin | Jan 31, 2018 | Balance, Change, Medical, Medicine, Parenting, Transformation
The lob shot. As a goalie, it’s my nemesis. It was my major weakness in college and even more so today. Standing (or more appropriately treading) 6’3″ tall, with an even longer wingspan, I have always been eager and ready to explode up and out of the...
by Jeremy Topin | Sep 5, 2017 | Medical
The patient, previously a John Doe, is now known. Family now present, when before there was none. A spouse, siblings, and young kids all around. Despite seventy-two hours in the ICU, his lungs have failed, his heart has failed, his liver has failed, his kidneys have...
by Jeremy Topin | Jul 20, 2017 | Balance, Burnout, Healthcare Reform, Medical
Uncertainty. In particular, diagnostic uncertainty, would keep me awake at night, early in my career as a freshly minted critical care doctor. Patients who deteriorated without explanation or haziness on CT Scans without an identified cause, fanned the flames of my...
by Jeremy Topin | Jul 2, 2017 | Balance, Change, Medical Education, Medicine
July is just around the corner. For hospitals it’s a dynamic time. A changing of the guard. Graduating residents moving on and new interns, fresh out of medical school with their clean and crisp long white coats, moving in. Out with the old, in with the new. The ICU...
by Jeremy Topin | May 9, 2017 | Medical, Medical Education
The patient in front of me is trying to die. Elderly and frail, he is lying in the bed. His ribs outlined under skin that should be smooth. His temples are concave where they should be flat. Both are an outward display of internal damage from his lung cancer. More...
