Author - Osman Bhatty, MD

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...

Small Things Matter in Medicine

There’s a room in the center of a long hallway that connects two of the busiest units of the hospital– the CCU and ICU step down. Most days you can see nurses, MDs and others making the mecca between these two points, stopping in front of the door to punch in numbers and enter. Inside is a steel fridge full of sandwiches, cooled lettuce, tomatoes and turkey ready to be distributed to hungry patients. Right across is our old, groaning coffee machine that’s been churning carafes...

Finding the Light

The high pitched howl of a beast readying for the night can be heard behind the thick glass windows of this urban hospital with me peering at the moon blanketing over its grey skeleton. I dive my hand into my pocket and stare at the shrieking electric box in-front of me–no wolves here, just my pager. I turn it off and shoot another glance outside; there’s a highway with many passing headlights much like tiny fireflies, my own personal light show. It’s been over half a year...

Connecting with Patients

Gray, wrinkled shirt damp with sweat and a LCD screen pulsing with the green glow of vitals. One of them, his heart rate, blinking fast enough to think he had just come back from a light jog–except he hadn’t. Nope. This man was lounging in his bed looking at me stare at his IV line through which flowed the antibiotics that would help kill the bacteria resting comfortably in his lung. After quickly scribbling [illegibly to my later dismay] the digits displayed on that black screen I...