Author - Osman Bhatty, MD

Hindsight

I thrust off my maroon Nike FreeRuns and watched them find their final resting place after a single bounce and thud. They lay on my grey carpet, in the middle of my chaotic apartment which in turn was located in Omaha, Nebraska full of tall grass and yes, bright yellow stalks of corn should you be so inclined to find them outside our small city limits. I collapsed onto one of my floral couches [which in my defense were already there when I had arrived]. They were adorned with sunflowers of...

New Year, New Goals

A sharp pain moves from the tips of my fingers towards my palm. I ball my hand into a fist and thrust them deeper into the warm interiors of my pockets hoping that the depth provides some protection in this frigid weather. It’s below ten degrees in Omaha Nebraska and a blue hue seems to have blanketed the horizon. I reach the entrance and momentarily my hands leave their cozy sanctuary to grasp the frigid door handle; the discomfort of a quick chill yields to the reward of warmth as the...

Behind the Noise: Should Physicians Speak Up?

I’ve asked myself this question often. Especially in these times when anyone with a computer or smart phone can find the means to amplify their voice using any number of social media platforms. In this sense the Facebooks, Twitters and Instagrams of the world have been a double edged sword. Just log on, sign up, make a password and suddenly the reach these networks provide can be used  to promote ideas regardless of the credibility of the individual. This brings me to what I think is...

45 year old asks about Cholesterol

A 45 year old M with no past medical history, on no medications and using no medications walks in for a annual visit. “Another day in clinic” I think to myself.  My nurse walks in smiling and hands me the few sheets of paper with the medications and vitals of my upcoming patient as she’s done so for the past two years. “Here you are Dr Bhatty, next one should be easy!” she says walking away. I review the chart as my patient comes in and greet him as he sits down...

The Importance of Process in the Hospital

Process is important — it helps large and complicated objectives like transferring a patient out of the ED, performing ACLS stay on task and not disintegrate with the spontaneity of human error. There is already so much standardization throughout the regular workings of a hospital that one tends to take it for granted. From prescribing IV antibiotics that get checked by pharmacists then confirmed with nurses and reconfirmed by their charge to the admission process where one ED physician...

Reflection: Essentialism by Greg Mckeown

In his book Essentialism Greg McKeown elaborates on the concept that “less is more”. He uses examples throughout history to color in this idea from a police force dropping the rates of crime by only focusing their efforts in particular areas of prevention to Boyscout leaders improving the speed of their troop by focusing their attention on identifying the primary problem. The idea of essentialism and trying to reduce the number of activities in a life so one can focus on doing a few...

Half Day Clinic & What Should I Feel?

“This latte is too sweet” I think to myself as the foamy hotness lights up the sweet receptors of my tongue. I stop and try to remember how many pumps the nice lady at the coffee shop slammed into my cup and think it’s somewhere around three or four — will have to go down to one tomorrow. I sigh and spin in my office chair breathing deeply and looking around. Black Dell computer, corded office phone, a chair next to mine and an automated bed with thin, crumply...

The ER Rotation

ED is a different beast than what I’ve been used to on the floors. Instead of the slow, simmering thought process of a medicine doc this in contrast requires quicker more agile thinking. The past week I’ve been zipping from room to room collecting snapshots of patients, enough to know how to begin treating them or sending them home. I’ve really appreciated the art of the differential the past few weeks and the physical exam skills are extremely practical as a ED doc who needs...

When Intern Year Ends

As I sit here in this rural Toyota Dealership waiting for my car’s sideview mirror to get fixed [after an unfortunate accident…] my eyes glance at the date on the corner of my computer screen. July 2nd 2016 — a little over one year after starting and finishing the supposed “most difficult year” of residency and a physician’s career. I imagine people reading this would at this time want that question answered — what it that hard? Yes. It was definitely...

The (Almost) Perfect Getaway

I extend the ID badge dangling on my chest and plant it firmly on the black box in front of me. It’s attached to my white coat by stretchy-cord thing which makes it easy to get in and out of restricted areas without actually having to remove it entirely– the perfect contraption. Beep. I thrust the doors open and dive into the familiar smell of the hospital wing. There are large windows all along the hallways facing east. You can see the pink hue of a fading sun hiding on the other...