My wife's a librarian, but she's only working part-time right now, so she can spend more time with our kids. This is the guy that married my ex-wife: the schnoz. You need a lot of onions for this. Q: What started to go wrong after I last visited? MR. BURKE: I hate to tell you, but I've got to have something to hold on to. DOCTOR 5: Now remember, this is the one with the lock in it. DR. And the pain came on me, and it gradually got worse and worse and worse. Doctor Who Cast: Where are they Now? I'm conscious of the fact that I don't abuse myself or my body. MR. COLLINS: Yeah? And so, if you're trying to leave the hospital at 6:00 to go to your son's baseball game and your patient has deteriorated and has gotten very sick, you know, there's a strong sense of obligation and guilt about, well, should you do something with your son or should you stay in the hospital and deal with the patient who's sick? ELLIOTT BENNETT-GUERRERO: Procardia? I don't know what I'm going to do about this. I didn't have this in medical school. I am taking a short food break because I'm getting a little hypoglycemic here. Tom: The health-care system in this country is a mess. And if you can do that in a poor village in rural China, suddenly you have a distribution system. National Library of Medicine www.nlm.nih.gov The National Library of Medicine, the world's largest medical library, also offers a vast amount of information on its website. She wrote to let me know he was volunteering in New York. JAY BONNAR: I knew I couldn't be a businessman. TOM TARTER: I started at 6:00 yesterday morning...very tired. LUANDA GRAZETTE: Hi, I'm Dr. Luanda Grazette, and I'm a cardiologist. A Doctor's Diary From a COVID ICU A Mayo Clinic doctor heads to New York for a week on the front lines. JANE LIEBSCHUTZ: I've decided to work in internal medicine at Boston City Hospital. Elliott, let me show you. Mr. Rogers, we're going to take you into the operating room now, okay? She's so hardworking and level-headed and smart. After I left Bloomington Hospital, I took some jobs at hospitals here and there, essentially working for an agency that placed me at different facilities. PATIENT'S PARTNER: Well, you're only a third-year medical student, Jane. Doctor's Diary - Männer sind die beste Medizin: kostenlos mit einem Klick in der Cloud aufzeichnen und anschließend zeitversetzt abrufen. They issue questionnaires on patient satisfaction. Q: If you could do some things in your life differently, what are some of the life lessons you've learned? JANE LIEBSCHUTZ: I'm going to help you, okay? I feel like I'm bad luck or something. This is what I do. I do miss patient care. I hope for greater satisfaction in my work and with myself as a person. I'm going back, see what goes on. You can do something like become a physician's assistant or a certified nurse anesthetist. Actually, they stop calling patients "patients." EXAMINER: You have 30 minutes in which to finish this test book. Cardiology is the study of the heart and the blood vessels associated with it, which means it's basically hydraulics. You're going to be a little hesitant. How are you feeling? And that's real nice. JAY BONNAR: That's fine. Miss Brown is a patient who was in the hospital, and unfortunately, while there, fell and broke her hand. They think that doctors from the hospital fill shifts, which hasn't happened since the 1970s. And I like working with older people. INSTRUCTOR 1: Do no harm. My mother thinks I'm ridiculous. Q: What would you say to a young person who thought he or she wanted to be an emergency-medicine doctor? When this person gets his exit questionnaire, and it says, "Are you happy with the care you got?" Doctors' Diaries Hour 1 Produced and Directed by Michael Barnes Edited by Robert Alexander Steve Audette Dick Bartlett Production Team Jennifer Redfearn Julie Crawford Anthony Manupelli Julia Cort Barbara Costa Peter Frumkin Noel Schwerin Camera Stephen McCarthy Boyd Estus Brian Dowley Peter Hoving Steven Ascher Tom Fahey Michael Barnes Sound Recordists Steve Bores John Cameron John Osborne Clint Bramesco Music Miguel d'Oliveira Online Editor and Colorist Michael H. Amundson Audio Mix John Jenkins Production Manager Selina Kay Special Thanks Harvard Medical School and the Class of 1991 Hour 2 Produced and Directed by Michael Barnes Edited by Steve Audette Robert Alexander Co-Producer Jennifer Redfearn Production Team Julie Crawford Anthony Manupelli Julia Cort Barbara Costa Peter Frumkin Noel Schwerin Camera Mark Rublee Stephen McCarthy Jason Cuddy James Jansen Richard Numeroff Richard Chisolm John Hazard Michael Barnes Dick Bartlett Sound Recordists Phil Rossini Dominic Yip Steve Bores Dwayne Dell Steve Nelson Music Miguel d'Oliveira Online Editor and Colorist Michael H. Amundson Audio Mix John Jenkins Production Manager Selina Kay Special Thanks Harvard Medical School and the Class of 1991 NOVA Series Graphics yU + co. NOVA Theme Music Walter Werzowa John Luker Musikvergnuegen, Inc. Additional NOVA Theme Music Ray Loring Rob Morsberger Closed Captioning The Caption Center NOVA Administrator Mykim Dang Publicity Carole McFall Eileen Campion Victoria Louie Karinna Sjo-Gaber Karen Laverty Marketing Steve Sears Researcher Kate Becker Senior Researcher Gaia Remerowski Production Coordinator Linda Callahan Paralegal Sarah Erlandson Talent Relations Scott Kardel, Esq. That could well be you and if social distancing weren't a … TOM TARTER: Hi there, sir, I'm Doctor Tarter. - YouTube. TOM TARTER: I have a watch that has got a stopwatch built into it. DAVID FRIEDMAN: Be as official as possible. have access to my C.V. PATIENT 1: I'm not so sure of that, Jane. ELLIOTT BENNETT-GUERRERO: This week, I work at nights and then I try, well, at least I try to sleep during the days. Tom: Because of some circumstances surrounding the divorce, my credit rating has gone down the toilet, and right now I couldn't get a credit card from Sears if I wanted to. I was trained as a pediatrician at Harvard Medical School. I'm one of the doctors here. The Boston Globe , December 16, 2007. www.boston.com/bostonglobe/magazine/articles/2007/12/16/so_you_want_to_be_a_doctor/?page=full, "Playing Doctor: Oh, No! KAREN: It wasn't long before we knew that we were destined to be together. Can you hear me? TOM TARTER: That's right, ex, my ex-wife. STAFF MEMBER: Yeah, but it's Sarah, and she's slit her wrist, not side to side, but up and down. 67 likes. JAY BONNAR: It feels like it's such a poor test of what I really know. The best part of him goes away early in the morning, for the whole day, and then when he comes home, what do I have? You could do that in your older years. We'll clean you up. ETHEL HOFFMAN: You mean I got to get nude? The ABMS oversees the certification of new physicians to the various medical specialties and provides information about those specialties. TOM TARTER: Hi, ma'am, I'm Dr. Tarter. TOM TARTER: Medical school is absolutely something that one cannot be emotionally prepared for. TOM TARTER: Are we going to light this together or separate? But I do love emergency medicine. And I hate it, I really hate it, if I am working with a trainee, and I don't get the sense that they're really anxious, that they're really on edge, waiting for something bad to happen, because that's really, I think, part of doing a good job. JANE LIEBSCHUTZ: I always have to hold my breath and just calm down for a few minutes before I walk into the room. Erstelle deine Mediathek! DAVID FRIEDMAN: I don't want to pull it out. ELLIOTT BENNETT-GUERRERO: Hi, how are you? LUANDA GRAZETTE: Learning to be a doctor is an apprenticeship. I've just been running so hard, trying to get my life together, that my health has really gone to hell in a handbasket. They see that I graduated Harvard; I've been working for 15 years as a board-certified, high trauma, high volume emergency doctor; I've never been sued, never been named in a case. They live in their own cabins and adjudicate disputes with their own judges and policemen. If you like what I do please support me on Ko-fi, even a small donation helps support my content! A lot of these people are so poor and so remote that if we could develop this easy distribution system, it would almost be the only way they could get glasses. JAY BONNAR: It means there's something wrong with her cranial nerve. And looks like we got some swelling here, has anyone ever figured out what this swelling's from? I'm going to get up! Mostly, I work in private practice and see patients, for the majority, in psychotherapy. W. W. Norton & Company, 2004. It's just...these books are loaded with human life and emotion, and it's just a, it's a fantastic space. And that feels really good, to be able to offer that to somebody. Gen wenzhen hao ma? And at a certain point I see our job and the job of the nurses and everybody involved to help people have the most painless, graceful death possible. DEAN TOSTESON: Today you stand before us ready to become a physician. Get this incompetent away from me.". ELLIOTT BENNETT-GUERRERO: This thing's in Latin. That's good. I'm constantly thinking about the person who donated their body, how they lived and what emotions they had and why they gave up their body. TOM TARTER: Right, so we don't want to damage those threads going through there. DAVID FRIEDMAN: Some people like to do procedures, some people don't. TOM TARTER: Okay, here's a guy you wanted to know about. According to one account, the First Doctor began writing the diary whilst still on Gallifrey, but left it there when escaping with Susan. KAREN (Tom's wife) : Year and a half, almost a year and a half. LUANDA GRAZETTE: How long have you been on the iron? It just says, "This guy isn't your typical doctor.". DAVID FRIEDMAN: Ninety percent. I'd wait and wait to get the kids to sleep so I could do my work. Currently you are able to watch "The Vampire Diaries" streaming on Netflix, DIRECTV or buy it as download on Apple iTunes, Google Play Movies, Vudu, Amazon Video, Microsoft Store, FandangoNOW. For that matter, I barely knew which end of a stethoscope to use. MISS BOSSLER: I was insured up until I got divorced, and then that was part of the divorce settlement, I guess: my children are insured and I'm not. Have you been taking... ELLIOTT BENNETT-GUERRERO: Yeah, the cimetidine and lopressor, and the micronase? And I'm very happy to be at a part in my career where I can do that. Doctors Episodes Episode guide. I haven't seen many of them for 15 years or so. My wife and I constantly brainstorm to try to think of ways to turn things around. Can you call a nurse? Tom: Watch out for adjustable-rate mortgages, watch out for cars that don't get good gas mileage. PATIENT 1: But I know I have some different odds. For that reason, I was particularly disappointed. JAY BONNAR: Right now it's January, and I am in Ward Medicine, which means that I take care of patients admitted to the hospital with basically any problem that doesn't require them being on the surgical service. JANE LIEBSCHUTZ: I feel so burned out right now... JANE LIEBSCHUTZ: ...that the idea of staying in a dysfunctional hospital like this, for years on end, is really not appealing. JANE LIEBSCHUTZ: I'm very interested in working with urban poor. It was directed by Bora Dağtekin and shown from June 23, 2008 to February 14, 2011 on German television, RTL Television. And what goes on in between the, say, the mouth and the anus has been a mystery. If playback doesn't begin shortly, try restarting your device. DR. JOHNSON: Oh no, he was...he couldn't do anything. But it's been a labor of love for me, and I couldn't imagine doing anything else. BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF: Good morning, doctors! That's about it. Basically, I've had so little time to take care of myself. www.boston.com/bostonglobe/magazine/articles/2007/12/16/so_you_want_to_be_a_doctor/?page=full, www.time.com/time/magazine/article/0,9171,1196411,00.html, The Secret Life of Scientists and Engineers. JANE LIEBSCHUTZ: I know. Of course I do. That is right, you will be. Emergency department doctors have to work within the boundaries of a hospital. DOCTOR 3: You still feel a pulse? I'm not surprised that I'm still at the same hospital where I did my internship and residency. It reminds me of what I'm doing in medical school. A dramatic reality series that delves deep into the lives of the people who save lives in the trauma center and emergency room in a large urban hospital. I understand the luxury of free time and the necessity of streamlining, hence why I've created these 10 productivity tips. Doctor’s Diary ist eine deutsch - österreichische Arztserie, die von 2007 bis 2010 vom Sender RTL in Koproduktion mit dem ORF produziert wurde. Better: A Surgeon's Notes on Performance by Atul Gawande. DR. ELLIOTT BENNETT-GUERRERO: I feel uncomfortable doing this, and it's just a plastic model. Doesn't that sound good? She had deep S.T. You know, the work that I do now, I actually don't have a work-life balance; I work all the time. So far I have admitted one patient with fever, probable sepsis, and done a lumbar puncture; subsequently disimpacted that patient, which is great fun. (PROSE: The Three Paths) Another account had the Doctor writing in his Five Hundred Diary from his stay at 76 Totter's Lane onwards. From their first days at Harvard Medical School to the present day, none of them could have predicted what it would take, personally and professionally. These are the worst blood gases I have ever seen. He was a very sweet old gentleman, and I was sorry to see him go. DOCTOR 5: The harder the bone, the better for her. I've had multiple orthopedic procedures for injuries from when I was involved in weight lifting and motorcycles. It's been very therapeutic, allowed me get a lot of things off my chest. TOM TARTER: I'm Tom Tarter. ELIZABETH: Now he goes to work at 6:00 in the morning, and it doesn't affect my schedule. This is a 3-story building in Coconut Grove, Miami. DR. POSER: Well, now wait a second. Specialties. I thought I’d start a new series for my blog, called Doctor’s diaries. I remember him as being very, very sweet and being much more concerned about how his family was doing and how the nursing staff was doing, much more so than he was concerned about how he himself was doing. TOM TARTER: I'm really sorry to hear that. There's, like, all these patients, and they all have multiple problems, and they're going for tests, and results are coming back from tests, and you're making treatment decisions based on tests and, sort of, keeping it all straight: who got what, when and how. They talk about customer satisfaction. In my years of practice, now, I have seen all the ranges of extreme tragedy, extreme joy. Having your hand on a case and actually helping when you feel needed is probably among the top 10 experiences to have in the world. You're not always making people happy when you're making them healthy. Tom: The doctors who run these groups [that have contracts to manage emergency departments] have become businessmen. Q: You have been under such stress in the last few years. SURGEON: ...conduit. That's your greatest gift to mankind. Ordering lots of tests makes everybody happy, because you can bill more. All I can say about the question of whether I would do it all again is I'm glad I don't have to consider that. I was just going to sit there and keep stabbing him, trying. She's over 130. I'm trying to get used to it. INSTRUCTOR 4: Unscrew the screw...other way. My third marriage did not work out. JAY BONNAR: Being in medical school is a very, very intensive process, and you really need some time where you can just sort of put that aside and really think about other things. Now let me explain it to you.". It wasn't until we had to deal with it on a day-to-day basis, and now we're having to deal with it a lot more, with this hospital stay. Here it is. Tom: Yeah. We're going to take of you, and you're going to be all right." And you're sort of afraid that the patient'll look at you and say, "I don't want this person near me. Nobody cares for me. It is the rotation, which is, at this hospital, one of the most difficult ones in terms of the workload. Stiff: The Curious Lives of Human Cadavers by Mary Roach. That's how you get to change; that's the only way we can do it. I haven't seen you guys in so long. JAY BONNAR: I came in four hours ago. I think part of why the medical community, in general, doesn't communicate well with the public is because most doctors were hand-selected from upper middle class families. I'm Dr. Liebschutz. I'm a board-certified emergency physician. It's the first time where I feel I have responsibility, and if I don't do something well, I could cause my patient harm, and that would be the worst thing one could do. So I am here, and it's a better place than where I've been. I realize it is somewhat unusual for a doctor to have this type of. This is everybody congregating before we all go off to our respective jobs. Careful, don't stick yourself. It is an emotional roller coaster as the show profiles life and death in the Emergency Room. I remember the first few times when I had to cut on the eye, and I'd make these little scratches. TOM TARTER: I'm sure you will. TOM TARTER: As you enter the medical profession as a third year medical student, one of the first things you learn is that there's a very rigid hierarchy of power. Unfortunately, someone has to do it, and often that's me. Follow the lives of seven people over two decades, as they move from Harvard Medical School to midlife. But in the private sector, it's tough. I'm still vain, but less young. I don't know. We're doing the best we can. There you go. GRADUATES (In unison) : I will strive to promote honor in the medical profession. You can't go side to side. Q:I can tell. And I want to keep it alive. I'd barely touch it. Do we do this together? And then I decided I'd just go in very early in the mornings and get the extra work done I needed done, and when I came home I was done, and I was just here for the family. DAVID FRIEDMAN: So we've always had to have a little bit of a deal going. TOM TARTER: Thanks. But I did feel that way, and I do now. I got to go. That's really good. And it looked so, our cadaver looked so lifelike, and so real. STEPHANIE: I think he looks like a Renaissance prince. That's the anterior R.V. My husband says to me, "Now remember, I'm not one of your interns," because you get into this mode of giving orders and being in charge, and it's really different in a relationship. A lot of people just don't understand that everybody isn't stamped out of the same cookie cutter, that people are different and that's okay. And that's what I am really working on tonight, trying to figure out what's going to be a good system for me that will keep me from going back to the chart three times to see if I checked X and did Y and so forth. DOCTOR 3: Slide the thing off. What I think's nice about it is that you get to operate and do procedures, and it's a happy specialty. In fact people say, "Oh, you're going to marry a doctor." The marriage lasted only a few years. ELLIOTT BENNETT-GUERRERO: I think I got kind of lucky in that way, because I don't think I was always of that mindset. Okay, now hold the wire at the skin. DAVID FRIEDMAN: In the third year, we leave the classrooms for the Boston teaching hospitals so we can see all the different specialties. DOCTOR 1: No, we're going to close the curtains. TOM TARTER: Up to this point, I've only seen the body from the outside. Right now, I'm six months into my internship, and I'd say I'm gradually just getting more and more tired. You cannot use the same paradigm for selling hamburgers as for taking care of an ill patient. Because I, like many people, I think, had a fantasy that I was going to be a new person, a different person. DOCTOR 5: Okay, let's get the smaller drill bit ready. Over and over, the evidence is that if patients have good primary care, they're less likely to use expensive procedures, they're less likely to use the emergency room, et cetera. I really enjoy the teaching that I do, which is increasingly part of my work now. ECHOING GREEN EVENT ATENDEE: Three weeks ago, my friend Dona Maria used this bucket to draw water from a shallow well in her Bolivian village. DAVID FRIEDMAN: Everyone feels like, "I can't believe how little I know." Mr. Nei has two major problems that I'm worried about. MR. WEBER: ...everybody else. Or a little nick, right? STUDENT 2: Cranial nerve number twelve...no, seven. So the impact is huge, compared to the type of impact that I could have on the process as a bench scientist. And if it doesn't get done, you can't get angry that it didn't get done. Now I'm taking anesthesiology, and I really think it's the field for me. MINISTER 2: Thomas, let me caution you. Mittelpunkt der Serie ist die junge Ärztin Margarete „Gretchen“ Haase, die Karriere in dem Krankenhaus ihres Vaters machen möchte. I'm an internal medicine, primary care and preventive medicine physician. There are certain life experiences which come to us, courtesy our professions. It was really difficult. I'm trying to get a job closer to home, but I just can't find a job locally. DOCTOR 1: Well, Jay's the one you're mostly going to be talking to. I'm just struck by how full of myself I seemed. And I think that's a problem. As you move up, you get more and more responsibility. JANE LIEBSCHUTZ: I think a lot of patients appreciate somebody who can be direct. However, he greatly feared becoming disabled and losing his independence in that process towards death. MELISSA (Elliot's wife) : Being married your first year is difficult enough, in and of itself, without your husband working 80 or 90 hours a week and then come home and be exhausted. LUANDA GRAZETTE: Hopefully, in a week, I'll sort of have my system together. And in academic medicine particularly, there's interesting cases. Okay, how about this one?