My blog represents my personal experiences and perspectives. This includes many anecdotes from my medical practice. I have been scrupulous to anonymize these anecdotes and to avoid ever belittling or making fun of patients. (I often make fun of and criticize myself, my colleagues, and the institutions where I have worked.)

The best defense

This folk wisdom is variously attributed to Sun Tzu (The Art of War), Carl von Clausewitz, Mae Zedong, and the heavyweight prizefighter Jack Dempsey. Regardless of origin, it deserves its place in the pantheon of behavioral truths.

During a recent conversation with a patient about her irritable bowel syndrome, I asked about possible stressors:

“So, tell me, I know it’s hard to manage both full time school and a part time job, but I wonder if there are any other things going on for you that you wish you could change?”

The circumcision

Every physician has a few stories of things that are funny or amazing, in retrospect, but were less so at the time. Many of these are of questionable taste. This is one of those stories. Read on at your own risk – you were warned.

Stages of development

I’m not sure where this came from. I found it among some notes and writing fragments. If someone can help me source it, I would love to add a citation. For now, it stands as a tribute to those who have gone before, and a nod to those yet to come…

 

First you can’t wait to grow up so you can move out. Then you move out and discover you have to grow up.

Then you can’t wait to be a couple so you can start a family, and suddenly you yearn for the days you did things your own way, without a thought.